Myanmar Health Sciences Research Journal
Volume 27, Number 2
TITLE: Clinical Profile of Road Traffic Injury
AUTHOR: Moe Kyaw Myint, Nay Win Myint, Aung Sann Oo, Kyaw Thu Soe, Yadanar Aung & Kyaw Zin Thant
SOURCE: Myanmar Health Sciences Research Journal. 2015; 27(2): 100-106
ABSTRACT: Worldwide, over 1.2 million people die with road traffic accidents (RTA) each year and 20 to 50 million undergo non-fatal injuries. Group of injury, poisoning and other external causes were third leading causes of morbidity and mortality in Myanmar. Morbidity and mortality due to RTA were continuing in Pyin Oo Lwin year by year. This paper aimed to study the incidence of injuries due to RTA, epidemiological characteristics of patients, type of road users, type of injury and outcomes of the patients took treatment at 300 bedded Pyin Oo Lwin General Hospital from July 2010 to June 2011. Each case was followed from the time of admission to its discharge or death. Among 1619 injury patients, 1052(65%) were caused by RTA. Of these (1052), 755(71.8%) were males and 297 were females (28.2%). Mean age of the patients was 29.8. Among 1052 patients, 446(42.4%), 331(31.5%), 221(21%) and 54(5.1%) were presented in the Neuro-surgical Unit, Emergency Out-patient Department, Traumatology Unit and General-surgical Unit, respectively. According to kinds of road users among the RTA patients, 696(66.1%) were motorcycles users and followed by 204(19.4%), 83(7.9%), 61(5.8%) and 8(0.8%) were motorcar users, pedestrians, bicycle and cart users, respectively. In relation to parts of body injured, head injury was seen in nearly half (i.e., 48.3%) of the patients and followed by lower limb, face, upper limb, back, chest, abdomen, neck and perineum injuries comprising in 39.1%, 22.8%, 21.7%, 10%, 7.8%, 4.2%, 1% and 0.4% of the patients, respectively. Abrasions, bruises, lacerations, bone fractures, crushed injuries, penetrated wounds, injuries with sharp incisions, joint dislocations, burns and inhalational injuries were found in 861(81.8%), 615(58.5%), 488(46.4%), 206(19.6%), 52(4.9%), 42(4%), 40(3.8%), 17(1.6%), 13(1.2%) and 3(0.3%), respectively. Among the cases, 30(2.9%) were brought dead, 11(1.0%) died at hospital, 19(1.8%) absconded from the hospital and 64(6.1%) were referred. According to bi-variate analysis motorcycle users were more likely to get head injury than other kinds of vehicle users (OR=1.64, 95% CI=1.26-2.15). As a conclusion, because of many head injured patients (446) were taking treatment at Neuro-surgical Unit and neuro-surgical management was the important role in care of head injury, more facilities were needed for Neuro-surgical Unit of the Pyin Oo Lwin hospital.
SUBJECT HEADINGS: Incidence, Road traffic injury, Vehicles, Outcomes