Pattern of Road Traffic Accident Cases Attending in the Emergency Department of Khwaja Yunus Ali Medical College and Hospital, Bangladesh.

L. Yesmin, Md Rafiqul Islam, Taslima Akber Happy, Eleza Ali, Farzana Ahmed, Debasish Ghosh, Ayesha Yasmin
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Abstract

Objective: To evaluate the pattern of Road Traffic Accident cases attending the Emergency Department of Khwaja Yunus Ali Medical College & Hospital (KYAMCH), Enayetpur, Sirajganj. Materials and Methods: This cross-sectional study was carried out at the emergency department of Khwaja Yunus Ali Medical College and hospital (KYAMCH), Enayetpur, Sirajganj from January’21 to June’21. Total 148 Road Traffic Accident (RTA) cases were collected by using a pre-designed format from the Emergency register/ records book, for the study. Results: During the study majority of the cases (73.65 %) were male and 58 (39.19%) of the patients belong to above 40 years of age, In the above 40 age group (29.73%) were male and (9.45%) were female. The majority (29.05%) had only soft tissue injury (Abrasion/Bruise/Laceration), followed by (27.02%) had only lower limb fracture and dislocation, (17.58%) of patient had only upper limb Fracture and dislocation,( 19.59%) had head injury,( 4.05%) had both upper and lower limb fracture, only (1.35%) had spinal cord injury and (1.35%) had another injury. During the accident common vehicle for the accident was Compressed Natural Gas (CNG) Auto-rickshaw (28.38%) followed by Motorcycle were (22.97%), 15.54% cases were due to Auto rickshaw/ van, 8.78% were due to Bi-cycle, 9.46% others. Besides that, management was given according to requirements where surgical intervention required in most of the cases, 64.87%, whereas Intensive care unit (ICU) support was required only 6.08 % cases, referred cases 8.11%, Patient refused to take treatment 10.13% cases. Conclusion: From our study we can say that, soft tissue injury (Abrasion/ Bruise/ Laceration) was a common injury found in road traffic accident patients, where CNG Auto-rickshaw and Motorcycle was the prominent source of road accident at this area, may be due to these are the main transportation in this rural area. Moreover, the recommendations from the world report on road traffic injury prevention should be considered and promptly implemented. The awareness among both users of road and administrators about road travel discipline should be very high in order to curb the ever-rising epidemic of road traffic accidents. KYAMC Journal Vol. 13, No. 01, April 2022: 41-44
孟加拉国赫瓦贾尤努斯阿里医学院和医院急诊科的道路交通事故病例模式。
目的:评价西拉甘省埃纳耶特普尔市赫瓦贾尤努斯阿里医学院急诊科道路交通事故病例的分布情况。材料和方法:本横断面研究于21年1月至21年6月在Sirajganj Enayetpur的Khwaja Yunus Ali医学院和医院(KYAMCH)的急诊科进行。使用预先设计的格式从紧急登记册/记录簿中收集了148个道路交通事故(RTA)案例,用于研究。结果:本组病例中男性占73.65%,40岁以上58例(39.19%),其中40岁以上年龄组男性占29.73%,女性占9.45%。仅软组织损伤(擦伤/瘀伤/撕裂伤)占多数(29.05%),其次为仅下肢骨折脱位(27.02%),仅上肢骨折脱位(17.58%),头部损伤(19.59%),上肢和下肢同时骨折(4.05%),脊髓损伤(1.35%)和其他损伤(1.35%)。事故中最常见的交通工具是压缩天然气(CNG)机动三轮车(28.38%),其次是摩托车(22.97%),机动三轮车/货车占15.54%,自行车占8.78%,其他占9.46%。此外,大多数病例(64.87%)按要求进行了手术治疗,而重症监护病房(ICU)支持仅占6.08%,转介病例8.11%,患者拒绝治疗10.13%。结论:软组织损伤(擦伤/瘀伤/撕裂伤)是道路交通事故患者中常见的损伤,其中CNG机动三轮车和摩托车是该地区道路交通事故的主要来源,这可能是由于这些交通工具是该农村地区的主要交通工具。此外,应审议和迅速执行《世界预防道路交通伤害报告》的建议。为了遏制日益严重的道路交通事故,道路使用者和管理者都应该提高道路交通纪律意识。KYAMC学报第13卷第01期,2022年4月:41-44
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