Published: 2017-01-03

A study to assess the pattern and determinants of road traffic injuries during a year, a tertiary care hospital-based study

Manish Kumar, Anjana Niranjan, Sanjeev Kumar


Background: Expansion in road network, motorization, and urbanization in the country has been accompanied by a rise in road accidents leading to road traffic injuries (RTIs). Today RTIs are one of the leading causes of deaths, disabilities, and hospitalizations with severe socioeconomic costs across the world.

Methods: It is a retrospective record-based study of patient attending the causality of S.G.M.H. Rewa in Madhya Pradesh, India last one year, after road traffic accident. Study area was tertiary care hospital S.G.M.H. Rewa Madhya Pradesh, India. Simple random sampling method are used among all RTA victims visit to causality of S.G.M.H. Rewa. Study period was 1 year from st January 2015 to 3st December 2015. Sample size was 325 RTA and 412 victims. Main objective of the study was to determine sociodemographic factors and their circumstances leading to RTA, outcome and seasonal variations of RTA. Study variables were demographic, human, vehicular, environmental and time factors and statistical analysis, percentages, linear and logarithmic trend and chi-square.

Results: 325 RTA was occurred in the year 2015 in which injured person were 412 who visited to causality of S.G.M.H Rewa in whom 298 (72.33%) were males and 114 (27.66%) were females, and most 49.02% of them belong to 21-40 year age. Alcohol consumption was found in 20.61% but fatality was high (76.11%) and high speed of the vehicle was the causing factor in 71.38% and case fatality was also high (73.94%) in high speed RTA. More number of RTA occurred at unfamiliar road ratio between RTA occurred at unfamiliar road and familiar road was 2.73:1 and fatality was also high in unfamiliar road accident.

Conclusions: Most of the factors responsible for RTA and its fatal consequences are preventable. A comprehensive multipronged approach can mitigate most of them.



Road traffic accidents, Road traffic injuries, Victims, Epidemiological factors, Outcomes

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National Crime Record Bureau. Annual Report on Road Accidents; 2010.

Nantulya VM, Reich MR. The neglected epidemic: Road traffic injuries in developing countries. BMJ. 2002;324:1139-41.

Lagarde E. Road traffic injury is an escalating burden in Africa and deserves proportionate research efforts. PLoS Med. 2007;4:e170.

Ghaffar A, Hyder AA, Masud TI. The burden of road traffic injuries in developing countries: The first national survey of Pakistan. Public Health 2004;118:211-7.

Museru LM, Leshabari MT. Road traffic accidents in Tanzania: A 10-year epidemiological appraisal. East Cent Afr J Surg. 2002;7:23-6.

Peden M, McGee K, Sharma G. The injury chartbook: A graphical overview of the global burden of injuries. World Health Organization: Geneva. 2002.

Accidental deaths and suicides in India. National crime records bureau. Ministry of home affairs, Government of India. 2001.

Singh R, Singh HK, Gupta SC. Pattern, Severity and Circumtances of Injuries Sustained in Road Traffic Accidents: A Tertiary Care Hospital-Based Study. Indian Journal of Community Medicine. 2014;39(1):30-4.

Mishra B, Sinha ND. Epidemiological Study of Road Traffic AccidentCases from Western Nepal. Indian Journal of Community Medicine. Indian J Community Med. 2010;35(1):15-121.

Statistical year, book of Nepal, central bureau of statistics. Kathmandu, Nepal: 2001.

Bener A, Breger A, Al-Falasi AS. Risk-taking behavior in road traffic accidents. J Traffic Med. 1994;22:67-70.

Odero W. Alcohol-related road traffic injuries in Eldoret, Kenya. East Afr Med J. 1998;75:708-7.

McDonald A, Duncan ND, Mitchell DI. Alcohol, cannabis and cocaine usage in patients with trauma injuries. West Indian Med J. 1999;48:200-2.

Bhuyan PJ, Ahmed F. Road Traffic Accident: An Emerging PublicHealth Problem in Assam. Indian J Community Med. 2013;38(2):100-4.

Wang ZG, Jiang J. An overview of road traffic trauma research in China. J Traffic Med 1998;26:25‑30.