Kashid Manoj, Rai S K, Nath S K, Gupta T P, Shaki Omna, Mahender Pramod, Varma Rohit
Department of Orthopaedics, SMBT Institute of Medical Science and Research, Dhamangaon, Ghoti Nasik, Nagpur, Maharashtra, India.
Department of Orthopaedics, Base Hospital, Guwahati, Assam, India.
Int J Crit Illn Inj Sci. 2020 Jan-Mar;10(1):9-15. doi: 10.4103/IJCIIS.IJCIIS_77_19. Epub 2020 Mar 6.
Roadside trauma in India is an increasingly significant problem, particularly because of bad roads, irregular road signs, overcrowding, overspeeding, and bad traffic etiquettes. Adequate information on the characteristics of victims, causes of accidents, frequency, vehicles involved, alcohol intake, and outcome of management is essential for understanding and planning for better management.
This study aimed to determine the characteristics of trauma (roadside accidents) victims admitted to various trauma centers in India. The purpose of this study is to examine the epidemiology of trauma within a local community in India through data gained from the different emergency centers and to analyze trauma patients to find the predictors that led to the deaths of trauma patients.
The present observational study involved trauma victims over 1-year period in three centers. Demographical details recorded were age, sex, alcohol intake, systolic blood pressure on arrival, respiratory rate, Glasgow Coma Scale (GCS) score, the interval between injury and admission, Injury Severity Score (ISS) risk factors, hospital stay, and outcome.
A total of 2650 injuries were recorded in 2466 patients. The mean age was 42.45 ± 15.7 years, the mean ISS was 13.82 ± 6.2, and the mean GCS was 12.20 ± 4.1. The mean time to admission at different trauma centres was 48.41 ± 172.8 h. The head injury was the most common (29.52%).
Road side accidents due to overspeeding was the most common cause whereas driving under the effect of alcohol was the second most common cause. Accidents are common because of bad traffic etiquette on Indian roads.
在印度，路边创伤问题日益严重，尤其是由于道路状况差、路标不规范、过度拥挤、超速行驶以及不良交通礼仪等原因。了解受害者特征、事故原因、发生频率、涉及车辆、酒精摄入情况以及治疗结果等方面的充分信息，对于理解和规划更好的治疗管理至关重要。
本研究旨在确定印度各创伤中心收治的创伤（路边事故）受害者的特征。本研究的目的是通过从不同急救中心获取的数据，研究印度当地社区内创伤的流行病学情况，并分析创伤患者，找出导致创伤患者死亡的预测因素。
本观察性研究涉及三个中心为期1年的创伤受害者。记录的人口统计学细节包括年龄、性别、酒精摄入情况、入院时的收缩压、呼吸频率、格拉斯哥昏迷量表（GCS）评分、受伤与入院之间的间隔时间、损伤严重程度评分（ISS）、危险因素、住院时间和治疗结果。
共记录了2466例患者的2650处损伤。平均年龄为42.45±15.7岁，平均ISS为13.82±6.2，平均GCS为12.20±4.1。不同创伤中心的平均入院时间为48.41±172.8小时。头部损伤最为常见（29.52%）。
超速行驶导致的路边事故是最常见的原因，而酒后驾车是第二常见的原因。由于印度道路上不良的交通礼仪，事故很常见。
