N 3 (184) 2023. P. 30–33

ANALYSIS OF CLINICAL AND ANATOMICAL CHARACTERISTICS OF ROAD TRANSPORT INJURIES IN A RURAL LOCATION: SCOPE OF INJURY

S. O. Guryev, V. A. Kushnir

State Institution “Ukrainian Scientific and Practical Center for Emergency Care and Disaster Medicine of the Ministry of Health of Ukraine”, Kyiv, Ukraine

DOI 10.32782/2226-2008-2023-3-6

Traffic injuries remain the third most important cause of mortality among the working-age population of European countries, including Ukraine.

Objective. Determine and verify the extent of damage in road accident victims in rural areas.

Materials and methods. The study was conducted in the order of an epidemiological experiment on a natural type model, which was formed according to the law of large numbers and has typical features for rural areas of Ukraine. The array of the study is 315 cases of victims as a result of a road accident, which exceeds the estimated volume of the necessary. The results. It was established that among the victims who survived, there are victims with damage to two anatomical and functional areas (AFA) 47.12%, in the second place are victims with damage to three AFA – 40.38%. In the last, 5th place, there are victims with five AFA injuries of 0.48%. Among the dead, the highest specific weight is occupied by victims with damage to two AFAs, 61.68%, then a linear trend of decreasing the specific weight of victims is observed as the number of damaged AFAs increases. Damage to two AFAs is most common in the array of victims due to participation in traffic (drivers – 45.10%; passengers – 51.35%; pedestrians – 54.21%).

Conclusions. The extent of injury to victims of road accidents in rural areas indicates that victims with an average extent of injury prevail – two to three AFAs, 86.03%. Isolated damage (one AFA) occurs only in 0.95%, i.e. in 99.05% of victims in rural areas receive polytrauma. The dependence of the amount of damage in rural victims on the sign of participation in traffic was established, and the most severe damage (more than three AFAs) is received by pedestrians, whose specific weight is from 50% to 58%. There is no clear dependence of the occurrence of a negative result of the course of the traumatic process on the extent of the lesion, that is, there is an influence of other factors, including the quality and timeliness of the provision of medical care.

Key words: traffic accident, traffic injury, clinical and nosological characteristics, extent of damage, rural area.

REFERENCES

  1. Official Website Analytical portal “Slovo i Dilo” “Road accidents in Ukraine: how many people are injured and killed on the roads”. Analytical portal “Slovo i Dilo”. 2021. Available from: https://www.slovoidilo.ua/2021/07/21/infografika/ suspilstvo/dtp-ukrayini-skilky-lyudej-travmuyetsya-hyne-dorohax.
  2. Road safety in the EU: fatalities below pre-pandemic levels but progress remains too slow. Available from: https:// transport.ec.europa.eu/news-events/news/road-safety-eu-fatalities-below-pre-pandemic-levels-progress-remains-too-slow-2023-02-21_en.
  3. Hareru HE, Negassa B, Kassa Abebe R, Ashenafi E, Zenebe GA, DebelaBG, Ashuro Z, Eshete Soboksa N. The epidemiology of road traffic accidents and associated factors among drivers in Dilla Town, Southern Ethiopia. Front Public Health. 2022; Nov 10; 10:1007308. doi: 10.3389/fpubh.2022.1007308.
  4. Sarayev OV. Analysis of modern indicators of road traffic accidents. Bulletin of Kharkiv National Automobile and Road University. 2013; Nov. 63:. 101–106.
  5. Gozhenko AI, Bila YS. Problems of road traffic accidents and road traffic injuries in Ukraine. Possible ways to solve them. Current problems of transport medicine. 2012; № 3: 11‒22.
  6. Guri ev SE, Natsevych RO, Palahniuk KV. Standardization of indicators of severity of damage and the st atus of victims depending on t he durat ion of care road hospitals in the prehospital and early hospit al stages. Biomedical and biosocial anthropology. 2017; № 28: 116–120.
  7. Huriev SO, Kushnir VA, Grebeniuk VI, Biltsan OV. Clinical and epidemiological characteristics of road traffic injuries in the conditions of regional city. Сlinical and experimental pathology. 2023; Vol. 22, No 1 (83): 9–14. DOI:10.24061/1727-4338. XXII.1.83.2023.02.
  8. Guryev SO, Kushnir VA. Clinic–anatomical characteristic of the traffic–transport trauma in the megapolis environment First communication: the damage volume. The Ukrainian Journal of Clinical Surgery. (2022); 89(9–10): 29–33. Available from: https://doi.org/10.26779/2522-1396.2022.9-10.29
View article PDF