AN AUTOPSY BASED CROSS-SECTIONAL STUDY ON ISOLATED LIVER INJURIES FROM FATAL ROAD TRAFFIC ACCIDENTS ATTENDING A TERTIARY CARE MEDICAL INSTITUTE
Keywords:
Road traffic fatalities, Liver injury, Seat belts, Motor vehicleAbstract
Background: In today’s era of machines road traffic fatalities are an unfortunate common occurrence. One of the causes of such deaths are injuries to the liver. The present study aims to find the prevalence of isolated liver injuries from fatal road traffic incidents and the factors affecting these incidents. Materials and Methods: A prospective cross sectional study on the victims of Road Traffic Accident (RTA) brought for medico-legal autopsy was done for a period of 1 year. Results: Out of total 176 cases of RTA, 38 cases were included in the study based on the findings. The highest of 22 cases (44.74%) were in the 21-30 age group, with motor vehicle (2-wheeler) being the most common vehicle. Males were most frequently involved. The driver of vehicle (50%) cases was the highest involved; generally, patients survived for a mean duration of 2-6 hours. Most of the victims didn’t use seat belts. Conclusion: The victims were mostly males involved without wearing a seatbelt and the survival period was low but prompt intervention went a long way in saving the life of the victim.
References
Mathiharan K, PatnikAmrit K, editors. Modi’s Medical Jurisprudence and Toxicology. 23rd ed. New Delhi: Lexis Nexis; 2006. pp. 830–41.
Taghavi S, Askari R. Liver Trauma. [Updated 2022 Jul 19]. In: StatPearls [Internet]. StatPearls Publishing; 2022 Jan-. Available from: https:// www.ncbi.nlm.nih.gov/books/NBK513236/
Subedi N, Yadav BN, Jha S, Gurung S, Pradhan A. An Autopsy Study of Liver Injuries in a Tertiary Referral Centre of Eastern Nepal . Journal of Clinical and Diagnostic Research. 2013 Aug;7(8):1686-88.
Viano DC, King AI. The Biomedical Engineering Handbook. Boca Raton:Biomechanics of Chest and Abdomen Impact. Ed. Joseph D. Bronzino. 2nd ed. CRC Press LLC; 2000.
Hogarth J. Glossary of Health Care Terminology. Vol. 56. Copenhagen: World Health Organization; 1978. 295–303 p.
M. Peden, R. Scurfield, D. Sleet, et al. World report on road traffic injury prevention. Geneva: World Health Organization; 2004. 1–224 p.
Road traffic injuries factsheets [Internet]. World Health Organization; 2018 [cited 2022 Sep 30];Available from: http://www.who.int/news-room/factsheets/details/ road-traffic-injuries/en/
Kozar RA, Crandall M, Shanmuganathan K, Zarzaur BL, Coburn M, Cribari C, Kaups K, Schuster K, Tominaga GT; AAST Patient Assessment Committee. Organ injury scaling 2018 update: Spleen, liver, and kidney. J Trauma Acute Care Surg. 2018 Dec;85(6):1119-1122.
Ameh EA, Chirdan LB, Nmadu PT. Blunt abdominal trauma in children: epidemiology, management, and management problems in a developing country. PediatrSurgInt [Internet]. 2000 Oct 2 [cited 2022 Sep 30];16(7):505–9. Available from: http:// link.springer.com/10.1007/s003830000406
Ankarath S, Giannoudis PV, Barlow I, Bellamy MC, Matthews SJ, Smith RM. Injury patterns associated with mortality following motorcycle crashes. Injury [Internet]. 2002 Jul [cited 2022 Sep 30];33(6):473–7. Available from: https://linkinghub.elsevier.com/ retrieve/pii/S0020138302000487
John TG, Greig JD, Johnstone AJ, Garden OJ. Liver trauma: A 10-year experience. Br J Surg [Internet]. 2005
Dec 8 [cited 2022 Sep 30];79(12):1352–6. Available from: https://academic.oup.com/bjs/article/79/12/1352/ 6173537
Nair IPPS, P. S. R. A prospective and retrospective study on conservative management of hepatic and splenic injury following blunt abdominal trauma. IntSurg J [Internet]. 2020 May 26 [cited 2022 Sep 30];7(6):1930. Available from: https:// www.ijsurgery.com/index.php/isj/article/view/5979
Jha NK, Yadav SK, Sharma R, Sinha DK, Kumar S, Kerketta MD, et al. Characteristics of Hollow Viscus Injury following Blunt Abdominal Trauma; a Single Centre Experience from Eastern India. Bull Emerg Trauma. 2014 Oct;2(4):156–60.
Khan JS, Iqbal N, Gardezi JR. Pattern of visceral injuries following blunt abdominal trauma in motor vehicular accidents. J Coll Physicians Surg—Pak JCPSP. 2006 Oct;16(10):645–7.
Helmi I, Hussein A, Ahmed AHA. Abdominal trauma due to road traffic accidents in Qatar. Injury [Internet].
Mar [cited 2022 Sep 30];32(2):105–8. Available from: https://linkinghub.elsevier.com/retrieve/pii/ S0020138300001558
Brammer RD, Bramhall SR, Mirza DF, Mayer AD, McMaster P, Buckels JAC. A 10-year experience of complex liver trauma. Br J Surg [Internet]. 2002 Dec 2 [cited 2022 Sep 30];89(12):1532–7. Available from: https://academic.oup.com/bjs/article/89/12/1532/ 6143953
Cuschieri A, Hennessy TP, Stephens RB, Berci G. Diagnosis of significant abdominal trauma after road traffic accidents: preliminary results of a multicentre clinical trial comparing minilaparoscopy with peritoneal lavage. Ann R CollSurg Engl. 1988 May;70(3):153–5.
Talving P, Beckman M, Häggmark T, Iselius L. Epidemiology of Liver Injuries. Scand J Surg [Internet]. 2003 Sep [cited 2022 Sep 30];92(3):192–4. Available from: http://journals.sagepub.com/doi/10.1177/ 145749690309200303.
