Epidemiology of road traffic injuries in Nepal, 2001-2013: systematic review and secondary data analysis.
Epidemiology of road traffic injuries in Nepal, 2001-2013: systematic review and secondary data analysis.
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DOI：
10.1136/bmjopen-2015-010757
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发表时间：
2016-04-15
期刊：
影响因子：
2.9
通讯作者：
Lee AH
中科院分区：
文献类型：
--
作者：
Karkee R;Lee AH
调查2001-2013年期间尼泊尔道路交通伤害（RTI）的流行病学。采用二手资料分析和系统文献综述2种方法。RTI数据从交通警察记录中检索，并分析RTI的发病率。在电子数据库中检索描述尼泊尔RTI流行病学的已发表文章。在2001-2013年的12年期间，交通警察共记录了95 902起撞车事故，100 499人受伤，14 512人死亡。 死亡率从2001-2002年的4/100 000上升到2011-2012年的7/100 000。 与该国其他地区相比，加德满都山谷报告的撞车事故相对较多，但死亡人数较少。在20篇与RTI相关的文章中，只有11篇文章符合合格标准，但这些文章主要是描述性病例系列或基于医院的横断面研究。据报告，大多数RTI发生在摩托车手和行人中，男性和20-40岁的年龄组中。 损伤部位以下肢和上肢多见。只有3篇文章提到了事故的可能原因，包括行人的道路行为、饮酒和不当的公共汽车驾驶。尼泊尔的RTI负担很重，在加德满都山谷外的高速公路上，丘陵地区的公共汽车撞车事故造成的死亡人数更高。大多数已发表的关于呼吸道感染的研究是描述性的，以医院为基础，表明需要更彻底地调查呼吸道感染的原因，并系统地记录撞车事故，以制定有效的干预措施。
To investigate the epidemiology of road traffic injury (RTI) in Nepal for the period 2001–2013. 2 approaches, secondary data analysis and systematic literature review, were adopted. RTI data were retrieved from traffic police records and analysed for the incidence of RTI. Electronic databases were searched for published articles that described the epidemiology of RTI in Nepal. A total of 95 902 crashes, 100 499 injuries and 14 512 deaths were recorded by the traffic police over the 12-year period, 2001–2013. The mortality rate increased from 4/100 000 population in 2001–2002 to 7/100 000 population in 2011–2012. There were relatively more reported crashes yet fewer deaths in Kathmandu valley than the rest of the country. Of the 20 articles related to RTI, only 11 articles met the eligibility criteria, but these were mainly descriptive case series or cross-sectional hospital-based studies. The majority of RTI were reported to occur among motorcyclists and pedestrians, in males, and in the age group 20–40 years. The common sites of injury were lower and upper extremities. Only 3 articles mentioned possible causes of accidents that include pedestrian road behaviour, alcohol consumption and improper bus driving. Nepal suffers a heavy burden of RTI, with higher fatalities on highways out of Kathmandu valley caused by bus crashes in hilly districts. The majority of published studies on RTI are descriptive and hospital based, indicating the need for more thorough investigation of causes of RTI and systematic recording of crashes for the development of effective interventions.