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- Title
An Epidemiological Retrospective Study of Fatal Head Injury Related to Road Traffic Accident Victims in Medicolegal Autopsies in and around Madurai City.
- Authors
Selvaraj, T.; Sadasivam, S.
- Abstract
Background- Incidence of fatal head injuries in road traffic accident in and around Madurai city is comparatively high. Accidents occur not only due to ignorance but also due to carelessness, thoughtlessness and over confidence. Human, vehicular and environmental factors play role before, during and after a Road Traffic Accidents (RTA). Road traffic injuries are partially predictable and hence preventable. Objectives- Purpose of study to find out different epidemiological parameters such age, sex, season, time, survival period, vehicle etc. and to suggest steps on prevention based on the findings. Results-. Out of 1082 autopsies of victims of road traffic accidents, 950 victims had head injuries. Of these head injury alone was the cause of death in 589 victims. In 361 victims in addition to head injury, injuries involving other parts of the body were also present. Out of 950 victims of fatal road traffic accidents with head injury, 92(9.68%) victims were spot dead, 115 (12.11%) victims were brought dead while 743(78.21%) victims were hospitalized and treated but died in the hospital. The age range starts from one month to 84 years. The incidence was peak in the age group between 21-30 years constituting 20.94% of the cases. 19.05% victims belonged to 31-40 years. Hence 40% of victims belonged to age group of 21-40 years. Individuals of more than 80 years were the least affected (0.21%). Males constituted 807 (84.9%) while the females were only 143 (15.1%). The sex ratio was 5.6:1 (Male=807, Female=143). In the most commonly affected age group of 21-30 years the sex ratio was 9:1. Peak incidence of road traffic accidents occurred in summer and second peak occurred in the early rain fall season. Motor cyclists were the most commonly involved victims(50.2%). Most of the road accidents occurred between 6PM to9PM in 22.74% of total cases. Between 12 midnight to 3AM, the least number of incidents occurred in 3.37% of the total cases. The time of incidence was unknown in six cases . Out of 950 victims of head injury, 111 victims had undergone craniotomy. The longest duration of survival among operated victims was 90 days. Among non operated groups 201 victims died within 6 hours while 79 victims survived beyond 7 days, the longest duration of survival was 84 days.
- Subjects
TRAFFIC engineering; FORENSIC cardiology; EPIDEMIOLOGICAL models; BIOLOGICAL models; HEAD injuries
- Publication
Indian Journal of Forensic Medicine & Toxicology, 2016, Vol 10, Issue 2, p235
- ISSN
0973-9122
- Publication type
Article
- DOI
10.5958/0973-9130.2016.00102.X