Mohanty Chitta Ranjan, Radhakrishnan Rakesh Vadakkethil, Jain Mantu, Sasmal Prakash Kumar, Hansda Upendra, Vuppala Sunil Krishna, Doki Sunil Kumar
Department of Trauma and Emergency, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Department of College of Nursing, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
J Emerg Trauma Shock. 2021 Jan-Mar;14(1):23-27. doi: 10.4103/JETS.JETS_29_20. Epub 2021 Mar 23.
The incidence of road traffic accidents (RTA) is increasing every day, especially in developing nations. Amongst various attributable factors, the menace of the stray animals remains one of the most underrecognized factors leading to animal-vehicle collision (AVC). Objectives: Our prospective cross-sectional study aims to survey the incidence of RTA attributable to stray animals and record the pattern of injuries along with other epidemiological parameters.
The present study was conducted at a tertiary care trauma centre located in a major city of eastern India, between June 2019 and March 2020. Variables like demographic details, type of vehicle and injury with severity score, use of safety gear including types of stray animals were collected and analysed.
A total of 185 patients had suffered RTA due to AVC during the study period. The median age of occurrence was 29.0 years. The evening was the most frequent time of accidents (4 PM to 8 PM) with two-wheelers affected in 92% of cases. Stray dogs account for 69% of cases followed by cattle 21% cases. 41% of all RTA victims had polytrauma. Patients with RTA due to impact with ox were found to have higher injury severity score (ISS). The ISS comparison between two-wheeler drivers with and without helmet and influence of alcohol were statistically significant (<0.01).
The study highlights an alarming incidence of RTA due to stray animals roaming freely on roads, thus adding significant morbidity and costs to the society. There is a need of the hour for imposing stringent measures from the appropriate authority, including public awareness to make sustainable action plans to prevent animal homelessness and wander freely on streets and major roads.
道路交通事故(RTA)的发生率每天都在上升,尤其是在发展中国家。在各种可归因因素中,流浪动物的威胁仍然是导致动物与车辆碰撞(AVC)的最未得到充分认识的因素之一。目的:我们的前瞻性横断面研究旨在调查由流浪动物引起的道路交通事故的发生率,并记录损伤模式以及其他流行病学参数。
本研究于2019年6月至2020年3月在印度东部一个大城市的三级创伤中心进行。收集并分析了人口统计学细节、车辆类型、损伤严重程度评分、安全装备使用情况以及流浪动物种类等变量。
在研究期间,共有185名患者因动物与车辆碰撞而遭遇道路交通事故。事故发生的中位年龄为29.0岁。傍晚(下午4点至8点)是事故最频繁发生的时段,92%的病例涉及两轮车。流浪狗占病例的69%,其次是牛,占21%。所有道路交通事故受害者中有41%患有多发伤。因与牛碰撞导致道路交通事故的患者损伤严重程度评分(ISS)较高。两轮车驾驶者戴头盔与不戴头盔以及酒精影响之间的ISS比较具有统计学意义(<0.01)。
该研究突出了流浪动物在道路上自由游荡导致道路交通事故的惊人发生率,给社会带来了显著的发病率和成本。当务之急是相关部门采取严格措施,包括提高公众意识,制定可持续的行动计划,以防止动物无家可归并在街道和主要道路上自由游荡。