Singh Ashish Kumar, Tripathi Sachin Kumar, Singh Rajiv Ratan, Yadav Pradeep Kumar, Singh Mousami, Verma Anoop Kumar
Department of Forensic Medicine and Toxicology, MLN Medical College, Prayagraj, Uttar Pradesh, India.
Department of Toxicology, Forensic Medicine and Toxicology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Natl J Maxillofac Surg. 2024 Sep-Dec;15(3):494-498. doi: 10.4103/njms.njms_102_23. Epub 2024 Nov 16.
In Uttar Pradesh, India, there are many fatal head injuries as a result of road traffic accidents (RTAs). Studying the pattern and distribution of intracranial hemorrhages, a frequent complication of severe head trauma might provide vital information on the efficacy of traffic safety regulations. To improve road safety tactics and lower fatal head injuries in Uttar Pradesh, this study intends to assess the effect of road safety measures on the frequency and distribution of intracranial hemorrhages in fatal head injury patients.
This study's objective is to assess the influence of current road safety initiatives on intracranial bleeding distribution and patterns in fatal head injury cases in Uttar Pradesh.
The 604 RTA cases with head injuries that were brought to the mortuary of the S.R.N. Hospital in Prayagraj for a medical-legal postmortem assessment over the course of a year, from April 2021 to March 2022, make up the entirety of this prospective study. Following receiving institutional ethical approval and informed consent, structured interviews with attendees utilizing a questionnaire were done to gather the data.
The results show that certain traffic safety measures have reduced the frequency of fatal head injuries in RTAs. A decreased incidence of intracranial hemorrhages was linked to improved traffic infrastructure, including well-planned junctions, pedestrian crossings, and distinct bicycle lanes. Similar results were shown in serious head injuries when traffic restrictions including speed limits, seat belt use, and helmet legislation were strictly enforced.
There are still issues with fatal brain injuries from car accidents, despite some encouraging results. Safety legislation violations, a lack of public knowledge, and inadequate enforcement all contribute to the issue. Disadvantaged groups like walkers and users on two-wheelers continue to be especially susceptible. The results of this investigation offer important new understandings of the efficiency of traffic safety measures and their influence on the distribution and pattern of cerebral hemorrhages in Uttar Pradesh, India. The results point to the necessity of improved public education efforts and traffic safety laws. More research and focused interventions are required to address specific risk factors among various road user groups. This will result in a safer driving environment and a decline in catastrophic brain injuries.
在印度北方邦，道路交通事故（RTA）导致了许多致命的头部损伤。研究颅内出血的模式和分布情况，这是严重头部创伤的常见并发症，可能会为交通安全法规的有效性提供重要信息。为了改进北方邦的道路安全策略并降低致命头部损伤的发生率，本研究旨在评估道路安全措施对致命头部损伤患者颅内出血频率和分布的影响。
本研究的目的是评估当前道路安全举措对北方邦致命头部损伤病例中颅内出血分布和模式的影响。
本前瞻性研究涵盖了2021年4月至2022年3月这一年间，被送往普拉亚格拉杰S.R.N.医院太平间进行法医学尸检评估的604例头部受伤的道路交通事故病例。在获得机构伦理批准和知情同意后，使用问卷对参与者进行结构化访谈以收集数据。
结果表明，某些交通安全措施降低了道路交通事故中致命头部损伤的频率。颅内出血发生率的降低与交通基础设施的改善有关，包括规划良好的路口、人行横道和清晰的自行车道。当严格执行包括限速、使用安全带和头盔立法在内的交通限制措施时，严重头部损伤也呈现出类似结果。
尽管取得了一些令人鼓舞的结果，但交通事故导致的致命脑损伤问题仍然存在。安全法规的违反、公众意识的缺乏以及执法不力都导致了这一问题。步行者和两轮车使用者等弱势群体仍然特别容易受到影响。本调查结果为印度北方邦交通安全措施的有效性及其对脑出血分布和模式的影响提供了重要的新认识。结果表明有必要加强公众教育努力和交通安全法律。需要更多的研究和针对性干预措施来解决不同道路使用者群体中的特定风险因素。这将带来更安全的驾驶环境并减少灾难性脑损伤的发生。
