Meena Sanjay, Barwar Nilesh, Rastogi Devarshi, Sharma Vineet
Department of Orthopedics, All India Institute of Medical Sciences, New Delhi - 110 029, India.
Department of Orthopedic Surgery, C S M Medical University Hospital, Lucknow, Uttar Pradesh, India.
J Emerg Trauma Shock. 2014 Apr;7(2):73-6. doi: 10.4103/0974-2700.130874.
Cycle rickshaw is an important means of transportation in Urban India. Pedestrians, rickshaw users, rickshaw pullers, two wheeled vehicle users and cyclists are among the most vulnerable road user groups in terms of injuries and fatalities resulting from road traffic accidents in India. Our objectives were to study characteristics of crashes and nature of injuries associated with cycle rickshaw.
Between August 2008 to July 2009, a hospital based observational study was done of patients who presented to King George medical college trauma center with injury sustained due to cycle rickshaw in emergency department. Age, time of trauma, mode of trauma, contributing factors and type of injury were recorded.
The mean age of the patient was 32.1. Seventeen patients were rickshaw pullers and the rest were occupants of the rickshaw. Overloading with more than two passengers was found in 24 cases (28.5%). Most common cause of injury was collision with a moving vehicle (56 patients, %) followed by fall from rickshaw. The most common contributing factor was the overloading of rickshaw. On arrival to the hospital, the mean Injury severity score (ISS) was 3.5 ± 2.2 and the mean Glasgow coma scale (GCS) was 13.4 ± 4.3. Nine patients were admitted to ICU (Intensive care unit). The median ICU stay was 4 (1-24 days). Six of the ICU admitted patients had head injury.
Rickshaw pullers and occupants are vulnerable to road traffic accidents. Urgent preventive measures targeted towards this group are needed to reduce the morbidity and mortality resulting from injuries involving rickshaws. The need for improved understanding of the risk characteristics of cycle rickshaw is emphasized.
人力三轮车是印度城市重要的交通工具。在印度，行人、人力三轮车使用者、人力车夫、两轮车使用者和骑自行车的人是道路交通意外伤亡方面最脆弱的道路使用者群体。我们的目的是研究与人力三轮车相关的碰撞事故特征及损伤性质。
2008年8月至2009年7月，在乔治国王医学院创伤中心急诊科，对因人力三轮车受伤前来就诊的患者进行了一项基于医院的观察性研究。记录患者的年龄、创伤时间、创伤方式、促成因素及损伤类型。
患者的平均年龄为32.1岁。17名患者是人力车夫，其余为人力三轮车乘客。24例（28.5%）发现搭载超过两名乘客。最常见的受伤原因是与行驶中的车辆碰撞（56例，%），其次是从人力三轮车上跌落。最常见的促成因素是人力三轮车超载。到达医院时，平均损伤严重程度评分（ISS）为3.5±2.2，平均格拉斯哥昏迷量表（GCS）评分为13.4±4.3。9名患者被收入重症监护病房（ICU）。ICU住院时间中位数为4天（1 - 24天）。收入ICU的患者中有6例头部受伤。
人力车夫和乘客易发生道路交通事故。需要针对该群体采取紧急预防措施，以降低人力三轮车相关损伤导致的发病率和死亡率。强调了更好地了解人力三轮车风险特征的必要性。
