2019年向卡拉奇最大的三级医院事故和急诊科报告的道路交通事故中最常受影响的身体部位

Zaeema Ahmer, A. Siddiqui
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引用次数: 0

摘要

道路交通事故造成的伤害构成了严重的公共卫生危机。该研究的目的是确定被送到真纳研究生医学中心(JPMC)事故和急诊部(A&E)的患者在RTA中最可能受到影响的身体部位,真纳研究生医学中心是卡拉奇最大的三级保健医院。方法于2019年1月至3月对371名年龄在15-65岁之间的受访者进行描述性横断面研究。研究参与者是通过非概率方便抽样招募的。采用结构化问卷收集有关社会人口学变量和伤害类型、严重程度和性质的数据。使用卡方检验来确定受影响身体部位使用安全预防措施之间的显著差异。所有分析均使用SPSS version 20进行。在371名研究参与者中,64.4% (n=239)在15-35岁之间,其中91.9% (n=338)为男性。77.1% (n=286)的病例在1小时内得到紧急医疗服务,95.7% (n=355)的病例在医院由医生提供急救。82.5% (n=306)宗个案涉及私家车,46.1% (n=171)宗个案涉及电单车。79.8% (n=296)例以骨损伤为主,57.1% (n=212)例以腿损伤为主。大多数(56.2%)未系安全带的研究参与者的胸部面积受到影响(p=0.006)。结论15 ~ 35岁男性摩托车手更易发生rta,下肢多发。安全预防措施,如系安全带,可以防止rta。
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Most Frequently Affected Body parts in Road Traffic Accidents Reporting to the Accident and Emergency Department of the Largest Tertiary Care hospital of Karachi in 2019
Introduction Injuries sustained during Road Traffic Accidents (RTAs) amounts to a serious public health crisis. The aim of the study was to determine the body parts most likely affected in an RTA in patients brought to Accident and Emergency (A&E) department of Jinnah Postgraduate Medical Centre (JPMC), the largest tertiary care hospital of Karachi. Method A descriptive cross-sectional study was done in January-March 2019 among 371 respondents aged 15-65 years. Study participants were recruited through non-probability convenience sampling. A structured questionnaire was used to collect data on sociodemographic variables and type, severity and nature of injury. Chi Square test was used to determine the significant difference between using safety precautions with body parts affected. All analysis was performed on SPSS version 20. Results Out of 371 study participants, 64.4% (n=239) were between 15-35 years with 91.9% (n=338) males. In 77.1% (n=286) cases, emergency medical services responded in less than one hour and first aid was provided by doctor to 95.7% (n=355) at hospital. In 82.5% (n=306) cases, private vehicles were involved, with 46.1% (n=171) motorcycles. In 79.8% (n=296) cases, bone injury was prevalent, with 57.1% (n=212) leg injuries, which was the most frequently affected body part. Majority, 56.2% of the study participants who did not wear seat belts had chest area affected (p=0.006).  Conclusion It is concluded that males of 15-35 years who were motorcyclists were more prone to RTAs with lower limbs more frequently being affected. Safety precautions like wearing seatbelts provide protection against RTAs.  
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