Skip to main content

Advertisement

SpringerLink
Log in

Pattern of Injuries from Road Traffic Accidents Presented at a Rural Teaching Institution of Karachi

  • Original Article
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

The aim of the study is to study the pattern of injuries from road traffic accidents presented at the emergency department of a rural teaching institution in Karachi. This descriptive case series was conducted prospectively in the Emergency Department of Fatima Hospital and Baqai Medical University from 1 January 2012 to 21 March 2013. There were 385 patients in the series. All of the patients with recent injuries from road traffic accidents were included. Cases with injuries more than 72 h old were excluded. The majority of patients had lower limb injuries 172 (44.7%), followed by head and neck injuries 107 (27.8%), multiple injuries 62 (16.1%), upper limb injuries 22 (5.7%), abdominoperineal injuries 19 (5%), and chest injuries 3 (0.8%). Majority (229, 59.5%) of patients were given first aid treatment and discharged, while 151 (39.3%) patients were either admitted or referred to better equipped hospitals. Three patients were brought dead, and two patients left against medical advice. The lower limb injuries were the commonest road traffic accidental injuries, followed by head and neck injuries, multiple injuries, upper limb injuries, abdominoperineal injuries, and chest injuries.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Choquehuanca-Vilca V, Cárdenas-García F, Collazos-Carhuay J, Mendoza-Valladolid W (2010) Epidemiological profile of road traffic accidents in Peru, 2005-2009. Rev Peru Med Exp Salud Publica 27(2):162–169

    Article  PubMed  Google Scholar 

  2. Bacchieri G, Barros AJD (2011) Traffic accidents in Brazil from 1998 to 2010: many changes and few effects. Rev Saude Publica 45(5):949–963 Available from: http://www.ncbi.nlm.nih.gov/pubmed/21953026

    Article  PubMed  Google Scholar 

  3. Mogaka EC, Ng’ang’a Z, Oundo J, Omolo J, Luman E (2011) Factors associated with severity of road traffic injuries, Thika, Kenya. Pan African Medical Journal 8:20 Available from: http://www.sciencedirect.com/science/article/pii/ B9781843342038500121

    PubMed  PubMed Central  Google Scholar 

  4. Razzak JA, Luby SP (1998) Estimating deaths and injuries due to road traffic accidents in Karachi, Pakistan, through the capture-recapture method. Int J Epidemiol 27(5):866–870

    Article  CAS  PubMed  Google Scholar 

  5. Chang F, Sahito MM, Pirzado MS, Baloch S, Mughal I, Sahito R (2014) Profile of RTA cases attended in tertiary care hospital district Shaheed Benazir Abad, Sindh Pakistan. New York Science Journal 7(11):82–85

    Google Scholar 

  6. Saleem S, Haider A, Khan J, Saleem T (2015) Study of fatal road traffic accidents: based on medico-legal autopsies. Gomal J Med Sci 13(1):19–22

    Google Scholar 

  7. Razzak JA, Shamim MS, Mehmood A, Hussain SA, Ali MS, Jooma R (2012) A successful model of road traffic injury surveillance in a developing country: process and lessons learnt. BMC Public Health 12(1):357–361. doi:10.1186/1471-2458-12-357 Available from: http://search.ebscohost.com.subzero.lib.uoguelph.ca/login.aspx?direct= true&db=aph&AN=84400802&site=ehostlive&scope=site, http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3508990&tool=pmcentrez&rendertype=abstract

    Article  PubMed  PubMed Central  Google Scholar 

  8. Moafian G, Aghabeigi M-R, Heydari ST, Hoseinzadeh A, Lankarani KB, Sarikhani Y (2013) An epidemiologic survey of road traffic accidents in Iran: analysis of driver-related factors. Chin J Traumatol 16(3):140–144 Available from: http://www.ncbi.nlm.nih.gov/pubmed/23735547

    PubMed  Google Scholar 

  9. Peden M, Seurfield R et al (2004) “World Report on traffic injuries prevention, Geneva” WHO 2004

  10. Murray CJL, Lopez AD (1997) Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet 349:1498–1504

    Article  CAS  PubMed  Google Scholar 

  11. World Health Organization (2011) WHO: Road traffic injuries. Fact sheet N°358. (Online). (Cited 2012 Feb 28). Available from URL http://www.worldlifeexpectancy.com/country-health-profile/pakistan

  12. World health rankings, road traffic accidents (2016). Available from: URL: http://www.worldlifeexpectancy.com/cause-of-death/road-traffic-accidents/by-country/

  13. McGee K, Sethi D, Peden M, Habibula S (2004) Guidelines for conducting community surveys on injuries and violence. Inj Control Saf Promot 11:303–306

    Article  PubMed  Google Scholar 

  14. Bagaria V, Bagaria S (2007) A geographic information system to study trauma epidemiology in India. Journal of Trauma Management & Outcome 1:1–3

    Article  Google Scholar 

  15. Lapostolle A, Gadegbeku B, Ndiaye A, Amoros E, Chiron M, Spira A et al (2009) The burden of road traffic accidents in a French Department: the description of the injuries and recent changes. BMC Public Health 9:386 Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2774692&tool=pmcentrez&rendertype=abstract

    Article  PubMed  PubMed Central  Google Scholar 

  16. Madubueze CC, Chukwu COO, Omoke NI, Oyakhilome OP, Ozo C (2011) Road traffic injuries as seen in a Nigerian teaching hospital. Int Orthop 35(5):743–746

    Article  PubMed  Google Scholar 

  17. Hailemichael F, Suleiman M, Pauolos W (2015) Magnitude and outcomes of road traffic accidents at hospitals in Wolaita Zone, SNNPR, Ethiopia. BMC Res Notes 8:135 Available from: http://www.pubmedcentral.nih.gov/articlerender. fcgi?artid=4404595&tool=pmcentrez&rendertype=abstract

    Article  PubMed  PubMed Central  Google Scholar 

  18. Farooqui JM, Chavan KD, Bangal RS, Syed MMA, Thacker PJ, Alam S et al (2013) Pattern of injury in fatal road traffic accidents in a rural area of western Maharashtra, India. Australas Med J 6(9):476–482

    Article  PubMed  PubMed Central  Google Scholar 

  19. Chini F, Farchi S, Ciaramella I, Antoniozzi T, Giorgi Rossi P, Camilloni L et al (2009) Road traffic injuries in one local health unit in the Lazio region: results of a surveillance system integrating police and health data. Int J Health Geogr 8:21 Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2678982&tool =pmcentrez&rendertype=abstract

    Article  PubMed  PubMed Central  Google Scholar 

  20. Agnihotri A, Galfat D, Agnihotri D (2014) Incidence and pattern of maxillofacial trauma due to road traffic accidents: a prospective study. J Maxillofac Oral Surg 13(2):184–188 Available from: http://www.ncbi.nlm.nih.gov/pubmed/24822011

    Article  PubMed  Google Scholar 

  21. Zavareh DK, Mohammadi R, Laflamme L, Naghavi M, Zarei A, Haglund BJ (2008) Estimating road traffic mortality more accurately: use of the capture-re-capture method in the West Azarbaijan Province of Iran. Int J Inj Control Saf Promot 15(1):9–17

    Article  Google Scholar 

  22. Khorasani-Zavareh D, Mohammadi R, Khankeh HR, Laflamme L, Bikmoradi A, Haglund BJA (2009) The requirements and challenges in preventing of road traffic injury in Iran. A qualitative study. BMC Public Health 9:486 Available from: http://www.scopus.com/inward/record.url?eid=2-s2.0-76349090497&partnerID=tZOtx3y1

    Article  PubMed  Google Scholar 

  23. Wong E, Leong MK (2002) Road traffic accident mortality in Singapore. J Emerg Med 22:139–146

    Article  PubMed  Google Scholar 

  24. Mansuri F, Al-Zalabani A, Zalat M, Qabshawi R (2015) Road safety and road traffic accidents in Saudi Arabia. A systematic review of existing evidence. Saudi Med J 36(4):418–424 Available from: http://www.smj.org.sa/index.php/smj/article/view/smj.2015.4.10003

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

The authors are grateful to the following house officers who give valuable help in data collection: Muhammad Ahsan, Shahzaib, and Shumaila Bano.

Author information

Authors and Affiliations

  1. Department of Surgery, College of Medicine, Prince Sattam bin Abdulaziz University, Al Kharj, Saudi Arabia

    Muhammad Shamim

Authors
  1. Muhammad Shamim
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Muhammad Shamim.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

“All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.”

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Shamim, M. Pattern of Injuries from Road Traffic Accidents Presented at a Rural Teaching Institution of Karachi. Indian J Surg 79, 332–337 (2017). https://doi.org/10.1007/s12262-017-1605-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12262-017-1605-3

Keywords

Search

Navigation