Indian Journal of Community Medicine

ORIGINAL ARTICLE
Year
: 2010  |  Volume : 35  |  Issue : 1  |  Page : 115--121

Epidemiological study of road traffic accident cases from Western Nepal


Badrinarayan Mishra1, Nidhi D Sinha2, SK Sukhla3, AK Sinha4 
1 Rural Medical College, Loni, India
2 Rural Dental College, RMC, Loni, India
3 Department of Medical Informatics, RMC, Loni, India
4 Department of Orthopedics, Manipal College of Medical Sciences, Pokhara, Nepal

Correspondence Address:
Badrinarayan Mishra
Rural Medical College, Loni Bk, Ahmednagar
India

Background: Road Traffic Accident (RTA) is one among the top five causes of morbidity and mortality in South-East Asian countries. [1] Its socioeconomic repercussions are a matter of great concern. Efficient addressing of the issue requires quality information on different causative factors. Research Question: What are different epidemiological determinants of RTA in western Nepal? Objective: To examine the factors associated with RTA. Study Design: Prospective observational. Setting: Study was performed in a tertiary healthcare delivery institute in western Nepal. Participants: 360 victims of RTA who reported to Manipal Teaching hospital in one year. Study Variables: Demographic, human, vehicular, environmental and time factors. Statistical analysis: Percentages, linear and logarithmic trend and Chi-square. Results: Most of the victims i.e. 147 (40.83%) were young (15 to 30 years); from low i.e. 114 (31.66%) and mid i.e. 198 (55%) income families and were passengers i.e. 153 (42.50%) and pedestrians i.e. 105 (29.16%). Sever accidents leading to fatal outcome were associated with personal problems (P<0.01, χ2 - 8.03), recent or on-day conflicts (P<0.001, χ2 - 18.88) and some evidence of alcohol consumptions (P<0.001, χ2 - 30.25). Increased prevalence of RTA was also noticed at beginning i.e. 198 (55%) and end i.e. 69 (19.16%) of journey; in rainy and cloudy conditions (269 i.e. 74.72%) and in evening hours (3 to 7 p.m. 159 i.e. 44.16%). Out of 246 vehicles involved; 162 ( 65.85%) were old and ill maintained. The contributions of old vehicle to fatal injuries were 33 (50%). Head injury was found in 156 (43.33 %) cases and its associated case fatality rate was 90.90%. In spite of a good percentage receiving first aid i.e. 213 (59.16%) after RTA; there was a notable delay (174 i.e. 48.33% admitted after 6 h) in shifting the cases to the hospitals. The estimated total days lost due to hospital stay was 4620 with an average of 12.83 days per each case. Conclusion: Most of the factors responsible for RTA and its fatal consequences are preventable. A comprehensive multipronged approach can mitigate most of them.


How to cite this article:
Mishra B, Sinha ND, Sukhla S K, Sinha A K. Epidemiological study of road traffic accident cases from Western Nepal.Indian J Community Med 2010;35:115-121


How to cite this URL:
Mishra B, Sinha ND, Sukhla S K, Sinha A K. Epidemiological study of road traffic accident cases from Western Nepal. Indian J Community Med [serial online] 2010 [cited 2020 Feb 26 ];35:115-121
Available from: http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2010;volume=35;issue=1;spage=115;epage=121;aulast=Mishra;type=0