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Epidemiology and patterns of road traffic fatalities in India pre- and post-motor vehicle (Amendment) act 2019: An autopsy-based study

BACKGROUND: Road traffic accidents (RTAs) are a preventable cause of death. The government of India enacted the motor vehicle amendment (MVA) act on September 01, 2019, to curtail the alarming trend of RTAs and their associated fatality. The study objective was to compare the epidemiology and patter...

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Autores principales: Sahu, Manas Ranjan, Mohanty, Manoj Kumar, Sasmal, Prakash Kumar, Radhakrishnan, Rakesh Vadakkethil, Mohanty, Chitta Ranjan, Shaji, Ijas Muhammed, Naveen, Alagarasan, Parida, Madhusmita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8725808/
https://www.ncbi.nlm.nih.gov/pubmed/35070908
http://dx.doi.org/10.4103/ijciis.ijciis_51_21
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author Sahu, Manas Ranjan
Mohanty, Manoj Kumar
Sasmal, Prakash Kumar
Radhakrishnan, Rakesh Vadakkethil
Mohanty, Chitta Ranjan
Shaji, Ijas Muhammed
Naveen, Alagarasan
Parida, Madhusmita
author_facet Sahu, Manas Ranjan
Mohanty, Manoj Kumar
Sasmal, Prakash Kumar
Radhakrishnan, Rakesh Vadakkethil
Mohanty, Chitta Ranjan
Shaji, Ijas Muhammed
Naveen, Alagarasan
Parida, Madhusmita
author_sort Sahu, Manas Ranjan
collection PubMed
description BACKGROUND: Road traffic accidents (RTAs) are a preventable cause of death. The government of India enacted the motor vehicle amendment (MVA) act on September 01, 2019, to curtail the alarming trend of RTAs and their associated fatality. The study objective was to compare the epidemiology and pattern of fatal RTAs before and after the MVA Act 2019 of India. METHODS: An autopsy-based cross-sectional study was conducted at the Department of Forensic Medicine and Toxicology (FMT) of a tertiary-care hospital from March 2019 to February 2020. The sample comprised 75 fatal RTA victims who underwent postmortem at FMT. Patients were studied in two groups: One pre-MVA group (n = 47) and one Post-MVA group (n = 28). The data were obtained from medical records and inquest reports with autopsy correlation. Data pertaining to sociodemographic profile, mechanism, injury profile including injury-severity-score (ISS) and survival-time was recorded. RESULTS: There was a 40.4% decline in mortality among RTA victims (P = 0.057) in the post-MVA group. The case fatality rate also declined during post-MVA implementation months compared to pre-MVA months (1.61 vs. 1.96). A significant correlation was noted between the ISS and survival-time of victims (P < 0.001, r = −0.522). The mean age of patients was 39.87 ± 17.44 years. Heavy motor vehicles along with motorized two-wheeler were the most common offending-vehicle. The median ISS of all victims was 41 (33–57). Head injury was the most common cause of death (60%). CONCLUSION: Study results signal-toward early triumph of the new MVA act, probably due to enhanced adherence to safety gears and constructive behavioral change.
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spelling pubmed-87258082022-01-20 Epidemiology and patterns of road traffic fatalities in India pre- and post-motor vehicle (Amendment) act 2019: An autopsy-based study Sahu, Manas Ranjan Mohanty, Manoj Kumar Sasmal, Prakash Kumar Radhakrishnan, Rakesh Vadakkethil Mohanty, Chitta Ranjan Shaji, Ijas Muhammed Naveen, Alagarasan Parida, Madhusmita Int J Crit Illn Inj Sci Original Article BACKGROUND: Road traffic accidents (RTAs) are a preventable cause of death. The government of India enacted the motor vehicle amendment (MVA) act on September 01, 2019, to curtail the alarming trend of RTAs and their associated fatality. The study objective was to compare the epidemiology and pattern of fatal RTAs before and after the MVA Act 2019 of India. METHODS: An autopsy-based cross-sectional study was conducted at the Department of Forensic Medicine and Toxicology (FMT) of a tertiary-care hospital from March 2019 to February 2020. The sample comprised 75 fatal RTA victims who underwent postmortem at FMT. Patients were studied in two groups: One pre-MVA group (n = 47) and one Post-MVA group (n = 28). The data were obtained from medical records and inquest reports with autopsy correlation. Data pertaining to sociodemographic profile, mechanism, injury profile including injury-severity-score (ISS) and survival-time was recorded. RESULTS: There was a 40.4% decline in mortality among RTA victims (P = 0.057) in the post-MVA group. The case fatality rate also declined during post-MVA implementation months compared to pre-MVA months (1.61 vs. 1.96). A significant correlation was noted between the ISS and survival-time of victims (P < 0.001, r = −0.522). The mean age of patients was 39.87 ± 17.44 years. Heavy motor vehicles along with motorized two-wheeler were the most common offending-vehicle. The median ISS of all victims was 41 (33–57). Head injury was the most common cause of death (60%). CONCLUSION: Study results signal-toward early triumph of the new MVA act, probably due to enhanced adherence to safety gears and constructive behavioral change. Wolters Kluwer - Medknow 2021 2021-12-18 /pmc/articles/PMC8725808/ /pubmed/35070908 http://dx.doi.org/10.4103/ijciis.ijciis_51_21 Text en Copyright: © 2021 International Journal of Critical Illness and Injury Science https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Sahu, Manas Ranjan
Mohanty, Manoj Kumar
Sasmal, Prakash Kumar
Radhakrishnan, Rakesh Vadakkethil
Mohanty, Chitta Ranjan
Shaji, Ijas Muhammed
Naveen, Alagarasan
Parida, Madhusmita
Epidemiology and patterns of road traffic fatalities in India pre- and post-motor vehicle (Amendment) act 2019: An autopsy-based study
title Epidemiology and patterns of road traffic fatalities in India pre- and post-motor vehicle (Amendment) act 2019: An autopsy-based study
title_full Epidemiology and patterns of road traffic fatalities in India pre- and post-motor vehicle (Amendment) act 2019: An autopsy-based study
title_fullStr Epidemiology and patterns of road traffic fatalities in India pre- and post-motor vehicle (Amendment) act 2019: An autopsy-based study
title_full_unstemmed Epidemiology and patterns of road traffic fatalities in India pre- and post-motor vehicle (Amendment) act 2019: An autopsy-based study
title_short Epidemiology and patterns of road traffic fatalities in India pre- and post-motor vehicle (Amendment) act 2019: An autopsy-based study
title_sort epidemiology and patterns of road traffic fatalities in india pre- and post-motor vehicle (amendment) act 2019: an autopsy-based study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8725808/
https://www.ncbi.nlm.nih.gov/pubmed/35070908
http://dx.doi.org/10.4103/ijciis.ijciis_51_21
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