Abdominal injuries in road traffic accidents – an autopsy study

Background/Aim. Traffic accident injuries are a major public health problem worldwide, with millions of people dying every year. Although the improvement of traffic safety is based on preventive action, it is necessary to conduct an analysis of victims in traffic in order to prevent future traffic a...

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Main Authors: Slović Živana S., Vitošević Katarina, Mihajlović Filip, Trifunović Aleksandar, Todorović Miloš
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2023-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502200042S.pdf
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author Slović Živana S.
Vitošević Katarina
Mihajlović Filip
Trifunović Aleksandar
Todorović Miloš
author_facet Slović Živana S.
Vitošević Katarina
Mihajlović Filip
Trifunović Aleksandar
Todorović Miloš
author_sort Slović Živana S.
collection DOAJ
description Background/Aim. Traffic accident injuries are a major public health problem worldwide, with millions of people dying every year. Although the improvement of traffic safety is based on preventive action, it is necessary to conduct an analysis of victims in traffic in order to prevent future traffic accidents with the help of such findings. The aim of the study was to determine the manner of occurrence of abdominal injuries (AIs), gender differences, and the sitting position in the vehicle that affects the severity of AIs, as well as which AIs lead more often to fatalities in traffic accidents. Methods. Materials for the present study were collected from the medico-legal autopsies, showing AIs that occurred in road traffic accidents. The total number of people who died from sustained injuries or complications of the injuries after road traffic accidents was 525. Results. In the study sample, 38.3% of subjects sustained abdominal trauma. Men were more likely to have AIs, and passengers in the front seat and motorcycle drivers were identified as the most vulnerable category of these types of injuries. The liver was the most commonly injured abdominal organ. Liver destructions, liver lacerations, spleen lacerations, intestinal injuries, the simultaneous occurrence of head, chest, and AIs, or the simultaneous occurrence of head and AIs in a higher percentage led to death at the scene. Conclusion. The results of this study represent the basis for creating educational content for all traffic participants as well as the legislation in the field of traffic safety.
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spelling doaj.art-4ca79a502f034fd49c179ae85b30a04d2023-06-09T10:44:51ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202023-01-0180321522210.2298/VSP221118042S0042-84502200042SAbdominal injuries in road traffic accidents – an autopsy studySlović Živana S.0https://orcid.org/0000-0001-6327-2888Vitošević Katarina1https://orcid.org/0000-0001-5131-4761Mihajlović Filip2Trifunović Aleksandar3https://orcid.org/0000-0002-4839-8105Todorović Miloš4https://orcid.org/0000-0002-6166-7103University of Kragujevac, Faculty of Medical Sciences, Department of Forensic Medicine, Kragujevac, Serbia + University Clinical Center Kragujevac, Department of Forensic Medicine and Toxicology, Kragujevac, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Department of Forensic Medicine, Kragujevac, Serbia + University Clinical Center Kragujevac, Department of Forensic Medicine and Toxicology, Kragujevac, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Department of Pharmacy, Kragujevac, SerbiaUniversity of Belgrade, Faculty of Transport and Traffic Engineering, Belgrade, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Department of Forensic Medicine, Kragujevac, Serbia + University Clinical Center Kragujevac, Department of Forensic Medicine and Toxicology, Kragujevac, SerbiaBackground/Aim. Traffic accident injuries are a major public health problem worldwide, with millions of people dying every year. Although the improvement of traffic safety is based on preventive action, it is necessary to conduct an analysis of victims in traffic in order to prevent future traffic accidents with the help of such findings. The aim of the study was to determine the manner of occurrence of abdominal injuries (AIs), gender differences, and the sitting position in the vehicle that affects the severity of AIs, as well as which AIs lead more often to fatalities in traffic accidents. Methods. Materials for the present study were collected from the medico-legal autopsies, showing AIs that occurred in road traffic accidents. The total number of people who died from sustained injuries or complications of the injuries after road traffic accidents was 525. Results. In the study sample, 38.3% of subjects sustained abdominal trauma. Men were more likely to have AIs, and passengers in the front seat and motorcycle drivers were identified as the most vulnerable category of these types of injuries. The liver was the most commonly injured abdominal organ. Liver destructions, liver lacerations, spleen lacerations, intestinal injuries, the simultaneous occurrence of head, chest, and AIs, or the simultaneous occurrence of head and AIs in a higher percentage led to death at the scene. Conclusion. The results of this study represent the basis for creating educational content for all traffic participants as well as the legislation in the field of traffic safety.https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502200042S.pdfabdominal injuriesaccidents, trafficautopsy deathrisk assessmentsex factors
spellingShingle Slović Živana S.
Vitošević Katarina
Mihajlović Filip
Trifunović Aleksandar
Todorović Miloš
Abdominal injuries in road traffic accidents – an autopsy study
Vojnosanitetski Pregled
abdominal injuries
accidents, traffic
autopsy death
risk assessment
sex factors
title Abdominal injuries in road traffic accidents – an autopsy study
title_full Abdominal injuries in road traffic accidents – an autopsy study
title_fullStr Abdominal injuries in road traffic accidents – an autopsy study
title_full_unstemmed Abdominal injuries in road traffic accidents – an autopsy study
title_short Abdominal injuries in road traffic accidents – an autopsy study
title_sort abdominal injuries in road traffic accidents an autopsy study
topic abdominal injuries
accidents, traffic
autopsy death
risk assessment
sex factors
url https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502200042S.pdf
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AT trifunovicaleksandar abdominalinjuriesinroadtrafficaccidentsanautopsystudy
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