Epidemiological study of patients of road traffic injuries attending emergency department of a trauma center in New Delhi

Puneet Misra, Anindo Majumdar, Mahesh Chandra Misra, Shashi Kant, Sanjeev Kumar Gupta, Amit Gupta, Subodh Kumar

Indian Journal of Critical Care Medicine 2017 21(10):678-683

Background and Aims: There is paucity of data regarding some of the lesser known contextual and epidemiological factors with respect to road traffic injuries (RTIs). The objective was to study the epidemiological profile of RTI victims attending an emergency department of a tertiary care trauma center. Methods: The present study was a hospital-based cross-sectional study conducted in the emergency department of a tertiary care trauma center in New Delhi. All patients of RTI attending the emergency department during the designated data collection days were included in the study. Patients brought dead were excluded from the study. A semi-structured interview schedule was developed for collecting data on various domains such as sociodemographic characteristics, vehicle-related factors, accident site-related factors, personal protection measures, contextual factors, and prehospital care-related factors. Results: A total of 984 patients and informants were approached and finally data of 900 participants were analyzed after excluding those who refused participation and those for whom incomplete data were available. Out of 900 RTI victims, 756 were male (84.0*) and 144 (16.0*) were female. Mean age of the victims was 32.7 years. Most of the victims, i.e., 377 out of 900 (41.9*) were occupants rather than drivers. Majority of victim's vehicle meeting accidents were motorized two-wheelers (53.4*), and majority of the colliding vehicle was a four-wheeler (39.3*). Helmet use was found to be low (63.3*), but seat belt use was particularly low (32.4*). Most accidents (28*) happened between midnight and 6 A.M. More than half of the victims were in a hurry on the day of the accident. An ambulance was used to transport the victims in only 14.6* cases. Conclusion: In road traffic accidents some lesser known epidemiological data were generated that may be useful in defining preventive measures.

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