Pattern of Injuries in Road Traffic Accident Death Cases in Western Haryana An Autopsy Study at Maharaja Agrasen Medical College, Agroha, Hisar
Keywords:
Road traffic accidents, Injuries, VehiclesAbstract
Background: Fatal road traffic accidents (RTA) are a major cause of concern all over the world. The outcome of injuries sustained in an RTA depends on various factors including but not limited to: the location of the event, type of vehicle involved, nature of the roads, the time of accident, etc. Materials and Methods: The present study included all the fatal Road Traffic Accident cases, which had been brought to mortuary of Maharaja Agrasen Medical College during the period 1/02/2021 to 31/01/2022 with a sample size of 81 cases. Before and during conduction of postmortem examination, data was collected by using pre-designed semi structured proforma by the investigator himself. The data thus obtained was subjected to further suitable statistical analysis. Results: Among 81 cases, maximum deaths occurred in age group of 21-30 years and 82.7% were males. Most of the study participants (34.6%) were doing labour work. Approximately, 40% participants were brought dead in hospital. Among total victims, 46% were drivers, 23.5% were passengers, and 30.9% were pedestrians. About 55% of all deaths occurred in occupants of two wheelers. More than 85% victims experienced injuries on head. Fracture was the most common (85.2%) type of injury followed by abrasions (82.7%), lacerations (67.9%) and contusions (50.6%). The most commonly damaged internal organ was brain (~75%). The most common cause of death (48.2%) was head injury followed by complications due to head injury (9.9%), haemorrhage and shock due to multiple injuries (24.7%) and traumatic shock due to multiple injuries (12.4%). Conclusion: It may be concluded that there is urgent need to address the epidemic of RTA on the roads. Road traffic deaths are to a great extent preventable.
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References
[1] Park K. Park’s Textbook of Preventive and Social Medicine. 24th ed. Jabalpur: Banarsi Das Bhanot; 2017. pp. 423.
[2] Baburao B, Sudha RG. Epidemiological study of road traffic accident cases visiting emergency department of Osmania general hospital, Hyderabad, Telangana, India. International Journal of Community Medicine and Public Health 2016; 3(4):875-77.
[3] Ruikar M. National statistics of road traffic accident in India. Journal of Orthopaedics, Trauma and Rehabilitation 2013; 6(1):1-6.
[4] Government of India, Ministry of Health and Family Welfare: Integrated Disease Surveillance Project, Project Implementation Plan, New Delhi. 2004. Available from: https://idsp.nic.in/WriteReadData/OldSite/MedOff.pdf. [Accessed on 2022 Nov 08].
[5] India accounts for 11 per cent of global deaths in road accidents: World Bank. The Hindu 2021 Feb 14; 3 (col.5).
[6] Jain A, Menezes RG, Kanchan T, Gagan S, Jain R. Two wheeler accidents on Indian roads- a case study from Mangalore, India. Journal of Forensic and Legal Medicine 2009; 16(3):130-43.
[7] Akhilesh P, Desania NL, Verma R. Profile of road traffic accident and head Injury in Jaipur (Rajasthan). Journal of Indian Academy of Forensic Medicine 2008; 30: 6-10.
[8] Chaudhary BL, Tirpude BH. Profile of Road Traffic Accident Cases in Kasturba Hospital of M.G.I.M.S., Sevagram, Wardha, Maharashtra. Medico-Legal Update 2005; 5:10-12.
[9] Banerjee KK, Agarwal BL, Kohli A, Aggarwal NK. Study of head injury victims in fatal road traffic accidents in Delhi. Indian Journal of Medical Sciences 1998; 52:395- 398.
[10] Biswas G, Verma SK, Agrawal NK. Pattern of road traffic accidents in northeast Delhi. Journal of Forensic Medicine and Toxicology 2003; 20:27-32.
[11] Sharma BR, Sharma AK, Sharma SH. Fatal road traffic injuries in Northern India: Can they be prevented? Trends in Medical Research 2007; 2:142-148.
[12] Numan H, Chavan K, Bangal R, Singh B. Pattern of Thoraco-Abdominal Injuries in Rural Region. Indian Journal of Forensic Medicine and Pathology 2009; (2):97–104.
[13] Singh H, Dhattarwal SK, Mittal S, Aggarwal A, Sharma G, Chawla R. A review of pedestrian traffic fatalities. Journal of Indian Academy of Forensic Medicine 2007; 29(4):55- 57.
[14] Singh D, Dewan I, Sharma AK. A retrospective study of death due to head injury in Chandigarh. Journal of Indian Academy of Forensic Medicine 1998; 18: 1-4.
[15] Dandona R, Mishra A. Deaths due to road traffic crashes in Hyderabad city in India: Need for strengthening
surveillance. The National Medical Journal of India 2004; 17: 74-79.
[16] Ambade VN, Manu S. Pattern of injuries in different types of victims of road traffic accident in central India: A comparative study. Journal of Forensic Science and Research 2021; 5(1):007-11.
[17] Mandal BK, Yadav BN. Pattern and distribution of pedestrian injuries in fatal road traffic accidental cases in Dharan, NepalJournal of Natural Science, Biology and Medicine 2014; 5(2):320–23.
[18] Jakhar JK, Dagar T, Yadav N, Jain P. Pattern and distribution of injuries in victims of fatal road traffic accident cases of bikers in Haryana a retrospective study. International Journal of Medico Legal Update 2019; 19(1):130-35.
[19] Farooqui JM, Chavan KD, Bangal RS, Syed MM, Thacker PJ, Alam S, Sahu S, Farooqui AA, Kalakoti P. Pattern of injury in fatal road traffic accidents in a rural area of western Maharashtra, India. Australasian Medical Journal 2013; 6(9):476-82.
