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INTRODUCTION:Road traffic injuries are the leading cause of death among people aged between 15 and 29 years. Road traffic crashes cost most countries 3% of their gross domestic product. Without sustained action, road traffic crashes are predicted to become the seventh leading cause of death by 2030.METHODS:170 patients who met with an accident on Mumbai-Pune Expressway and who presented to Emergency Department of MGM Medical College and Hospital were studied and analyzed.RESULTS:In our study we noted that human factors (68%) contributed the most followed by vehicle (12%) and infrastructure (7%) among which over speeding (65.07%), alcohol (34.70%), fatigue/ sleep (34.22%), obstacle (21.70%) were the most common responsible factors for RTAs.CONCLUSION:Maximum RTA’s occurs in the productive age group. The need for drivers / road user’s education, road maintenance and putting in place a well-organized rescue and pre-hospital care team is emphasized.
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Objective To provide scientific support for the prevention and control of expressway traffic injury by analyzing the epidemiological features of expressway traffic injury in China.Methods The secular trend and epidemiologic features of expressway traffic injury from 1994 to 2009 in China were analyzed.The indicators including mortality of mileage,accident rate of mileage,and accident mortality were used to evaluate the severity of expressway traffic injury in China.Cluster analysis was used to compare the differences of accident rate of mileage and accident mortality from 29 provinces,municipalities and autonomous regions.Results Except for the yearly increase of the accident mortality and the fluctuant decrease of the mortality and accident rate of mileage,other indicators reflecting the domestic expressway traffic injury from 1994 to 2009 were increased and then decreased,when the decreased indicators were still higher than those in 1994.In addition to the number of accidents of the four basic traffic injury indicators,the proportions of other three indicators(number of wounded and death,direct property damage)in the road traffic injury were increased year by year and the increase was the most obvious in regard of the direct property damage which had accounted for more than 30％ since 2006.The data from 2007 to 2009 showed that the peak time of traffic accidents was at around 4:00 am and around 4:00 pm.The traffic accidents caused by the drivers accounted for 93.02％ and the drivers with less than five years of driving accounted for 40.92％.Pedestrians and passengers were vulnerable to the expressway traffic injury and the accident mortality was the highest(72.75 per 100 accidents).Rear collision(44.17％)and bumping the fixed objects(16.35％)were the major accident types.There was a high accident proportion on the dry road(77.60％)and sunshine day(65.39％).Conclusions With worsening situation of the expressway traffic injury in China,we should,based on the epidemiological features of traffic injury on expressway,take appropriate measures such as strengthening traffic management of expressway and education of road users and improving the emergency medical service level.
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Objective To study factors influencing injury severity of expressway traffic acci- dents. Methods Data of expressway traffic accidents involving casualties in areas around Hangzhou during 2005-2006 were collected and analyzed by non-conditional simple and multiple logistic regression analysis. Results (1) During 2005-2006, there were 220 traffic crashes involving 327 eases, of which there were 64 deaths (19.6%), 121 severe injuries (37.0%, ISS≥16 points) and 142 slight and mod- erate injuries (43.4%, 1 point≤ ISS≤15 points). (2) Non-conditional simple logistic regression analy- sis showed that risk factors significantly influencing the injury outcomes of traffic accidents included gen- der, weekday, weather, type of collision, vehicle type, driver category, purpose of vehicle use, purpose of travel and crash responsibility. (3) Non-conditional multiple logistic regression analysis manifested that influential factors were gender, type of collision, driver category and crash respensibihty. Conclu- sion Analysis of expressway traffic accidents data helps identify factors influencing injury severity of ex- pressway traffic accidents may provide suggestions for prevention or decrease of expressway traffic acci- dents.
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Objective To evaluate the epidemiological characteristics of traffic accidents on expressways in Shaanxi province. Methods A retrospective analysis was done on the original data of traffic accidents happened on the expressways of Xi'an-Tongchuan, Xi'an-Baoji and Xi'an-Weinan from 1994 to 1999. Results (1) Traffic accidents increased yearly. The traffic accident occurred more frequently in July, August and November, the mortality was high in August, November and December. The peak time of traffic accidents was at 6-8 am and 2-4 pm. (2) The traffic accidents caused by divers accounted for 64.3% (751/1 168). (3) Traffic accidents caused by divers with less than 5 years of driving accounted for 54.2% (633/1 168). (4) Peccancy in the children less than 15 years old on the expressways caused the highest death rate in such group of people. (5) Traffic accidents involved in the truck accounted for 36.3% (776/2 136). (6) Traffic accidents occurred in the fine weather accounted for 64.0% (748/1 168). Conclusions The key to reducing the traffic accidents on the expressways is to take an active and useful measure upon factors such as people, vehicles, roads, surroundings and management.