Clinical and anatomical characteristics of road traffic injuries in a metropolitan area. The fifth report: mortality of victims as a practical implementation of clinical outcome risks

Abstract

Objective. To identify and verify the risks of negative outcomes of the trauma process in victims with road traffic injuries as the most severe medical and health consequences of an emergency.
 Materials and methods. The mortality rates of victims with road traffic injuries in a metropolitan area were studied using the method of full–scale modelling. The scope of the study was 1139 observations of road traffic injuries. The actual research material was analysed using parametric and non–parametric statistical methods.
 Results. It was found that the mortality rate of victims with road traffic injuries in a metropolitan area is 4.39%. The mortality rate of men is higher (4.97%) than that of women (3.38%). The highest mortality rates are observed in the age groups over 70 years old – 16.41% and under 20 years old – 8.11%. The mortality rate for drivers is 3.02%, for passengers – 1.56%, and for pedestrians – 7.62%. In the total study population and among all road users, the highest mortality rates were observed for abdominal injuries, followed by pelvic injuries.
 Conclusions. The mortality rate of victims with road traffic injuries in a metropolitan area is 4.39% and depends on the sign of participation in traffic and clinical factors, namely, the volume and clinical and nosological form of the lesion and the severity of the injury. Active road users (pedestrians) have the highest mortality rate (7.62%), and passive road users (passengers) have the lowest (1.56%).