A Prospective Study on Road Traffic Accidents and Their Pattern of Injury admitted to Thanjavur Medical College and Hospital

Vijayeswaran, N (2015) A Prospective Study on Road Traffic Accidents and Their Pattern of Injury admitted to Thanjavur Medical College and Hospital. Masters thesis, Thanjavur Medical College, Thanjavur.

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Abstract

AIMS AND OBJECTIVES: 1. To study the demographic profile of Road traffic accidents victims. 2. To study pattern of injury in victims of road traffic accidents. 3. To suggest the possible measures for prevention and control of road traffic accidents. MATERIAL AND METHODS: This study conducted at Thanjavur Medical College & Hospital (TMCH) at Thanjavur from March 2013 to May 2014for a period of 15 months duration. The study group comprised of all the road traffic accident cases reporting to TMCH causality in the above period. All patients were screened for the inclusion criteria and all those who met these inclusion criteria, were enrolled in the study after obtaining their due informed consent to take part in the study. All these patient had AR/FIR entry entered. The researcher interviewed all the consented victims and relevant information pertaining to the accident were recorded . A pretested trauma proforma was used in collecting these information, either in the Emergency and Triage ward or in the surgical wards of TMCH. RESULTS: 1. Rural trauma -- 78% Urban trauma 22%. 2. Male 699 85% and female 123 15% victims. 3. The highest number 240 31% of victims were between 20-29 years of age and average age is 36.5 years. 4. Accidents involving 2wheelers accounts 60.8% , 4wheelers 29%, pedestrians 13.4, 3 wheelers 5.2%, cycle 4.7%, bullock cart 1%. 5. Only 125 victims had a valid driving license. 6. Only 25 victims wore a helmet. 7. 44.5% (n=365) were transported by 108 ambulance. 8. Around 192 victims 20% had been referred from primary, secondary care hospitals to TMCH. 9. About 196victims 26% of victims have consumed alcohol <6hrs prior to accident. INJURIES: 1. Simple injuries 48.5%and Grievous injuries 51.5%. 2. Lower limb fractures were most common 115victims, followed by Upper limb 67victims. 3. Fracture of Tibia and fibula 35victims is the most common fracture followed by fracture Femur 33 20 % had head injuries. Most common visceral to be injured is brain. INTERPRETATION AND CONCLUSION: From the above results, we can infer that most of the victims were males in their Productive age groups placing an economic burden on the family owing to medical care Costs and loss of productive days of work. Road users like drivers, passengers and pedestrians users are more vulnerable to Road traffic injury. CONCLUSION: 1. Most of the victims are due to rural trauma with marked male preponderance, 75% are of age 20–49 years most productive for their family and the country. 2. High risk driving, not following speed limits common factors responsible for these RTAs. Stricter traffic law enforcement is a need in rural areas. 3. If RTAs are considered an Epidemic of modern times, then prevention is its vaccine. 4. To reduce RTA conducting public awareness program is the need of the hour.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Epidemiological factors ; Demographic profile ; Road Traffic accident ; Road Traffic injuries.
Subjects: MEDICAL > General Surgery
Depositing User: Punitha K
Date Deposited: 04 May 2018 18:48
Last Modified: 04 May 2018 18:48
URI: http://repository-tnmgrmu.ac.in/id/eprint/7459

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