Indian Journal of Surgery

, Volume 79, Issue 4, pp 332–337 | Cite as

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

Original Article


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.


Road traffic accidents RTA Injuries Lower limb Karachi 



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

Compliance with Ethical Standards

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.”


  1. 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):162–169CrossRefPubMedGoogle Scholar
  2. 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: CrossRefPubMedGoogle Scholar
  3. 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: B9781843342038500121 PubMedPubMedCentralGoogle Scholar
  4. 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):866–870CrossRefPubMedGoogle Scholar
  5. 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):82–85Google Scholar
  6. 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):19–22Google Scholar
  7. 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: true&db=aph&AN=84400802&site=ehostlive&scope=site, CrossRefPubMedPubMedCentralGoogle Scholar
  8. 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: PubMedGoogle Scholar
  9. 9.
    Peden M, Seurfield R et al (2004) “World Report on traffic injuries prevention, Geneva” WHO 2004Google Scholar
  10. 10.
    Murray CJL, Lopez AD (1997) Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet 349:1498–1504CrossRefPubMedGoogle Scholar
  11. 11.
    World Health Organization (2011) WHO: Road traffic injuries. Fact sheet N°358. (Online). (Cited 2012 Feb 28). Available from URL
  12. 12.
    World health rankings, road traffic accidents (2016). Available from: URL:
  13. 13.
    McGee K, Sethi D, Peden M, Habibula S (2004) Guidelines for conducting community surveys on injuries and violence. Inj Control Saf Promot 11:303–306CrossRefPubMedGoogle Scholar
  14. 14.
    Bagaria V, Bagaria S (2007) A geographic information system to study trauma epidemiology in India. Journal of Trauma Management & Outcome 1:1–3CrossRefGoogle Scholar
  15. 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: CrossRefPubMedPubMedCentralGoogle Scholar
  16. 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):743–746CrossRefPubMedGoogle Scholar
  17. 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: fcgi?artid=4404595&tool=pmcentrez&rendertype=abstract CrossRefPubMedPubMedCentralGoogle Scholar
  18. 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):476–482CrossRefPubMedPubMedCentralGoogle Scholar
  19. 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: =pmcentrez&rendertype=abstract CrossRefPubMedPubMedCentralGoogle Scholar
  20. 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: CrossRefPubMedGoogle Scholar
  21. 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):9–17CrossRefGoogle Scholar
  22. 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: CrossRefPubMedGoogle Scholar
  23. 23.
    Wong E, Leong MK (2002) Road traffic accident mortality in Singapore. J Emerg Med 22:139–146CrossRefPubMedGoogle Scholar
  24. 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: CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Association of Surgeons of India 2017

Authors and Affiliations

  1. 1.Department of SurgeryCollege of Medicine, Prince Sattam bin Abdulaziz UniversityAl KharjSaudi Arabia

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