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LETTER TO EDITOR
Year : 2020  |  Volume : 9  |  Issue : 4  |  Page : 2136  

In reply to article "A cross-sectional study of epidemiological factors related to road traffic accidents in a metropolitan city"


1 Department of Trauma and Emergency, AIIMS, Bhubaneswar, Odisha, India
2 Department of Orthopedics, AIIMS, Bhubaneswar, Odisha, India
3 College of Nursing, AIIMS, Bhubaneswar, Odisha, India
4 Department of Anesthesia, IMS and SUM Hospital, Bhubaneswar, Odisha, India

Date of Submission28-Feb-2019
Date of Decision19-Mar-2020
Date of Acceptance20-Mar-2020
Date of Web Publication30-Apr-2020

Correspondence Address:
Dr. Mantu Jain
106, Mahadev Orchid, Cosmopolis Road, Dumduma, Bhubaneswar, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_323_20

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How to cite this article:
Mohanty CR, Jain M, Radhakrishnan RV, Sriramka B. In reply to article "A cross-sectional study of epidemiological factors related to road traffic accidents in a metropolitan city". J Family Med Prim Care 2020;9:2136

How to cite this URL:
Mohanty CR, Jain M, Radhakrishnan RV, Sriramka B. In reply to article "A cross-sectional study of epidemiological factors related to road traffic accidents in a metropolitan city". J Family Med Prim Care [serial online] 2020 [cited 2021 Feb 27];9:2136. Available from: https://www.jfmpc.com/text.asp?2020/9/4/2136/283428



Dear editor,

We read the article by Hadaye et al. in your recent issue with a lot of interest.[1] The subject of their study is a matter of apprehension for all, and they have brought out some important conclusion. However, there are some concerns which we would like to raise.

Firstly, a scoring system such as injury severity score (ISS) could have been better to describe the severity of trauma patients instead of categorizing as "fatal" and "nonfatal" injury". The authors have defined their groups but not in terms of ISS, which is more universal. There is also no reference source where the authors have used to categorised their groups if the same has been described in past. ISS can predict the severity and risk of mortality from trauma, as polytrauma patients (ISS >16) have a higher risk of mortality.[2] The authors have operationally defined "fatal group" as death within 30 days of the accident. However, it remains unclear in the methodology how they included when follow-up is missing and study is cross-sectional. The characteristic profile of fatal injury patients is missing so as of how they were different from the non-fatal injuries, like were there more numbers of "no helmet users"or was the speed of vehicle were more in the fatal group? An association among these variables and fatality could be statistically attempted. The speed of vehicles during the impact of the accident is difficult to measure. We apprehend a lot of concealment among the users.

Thank you

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Hadaye RS, Rathod S, Shastri S. A cross-sectional study of epidemiological factors related to road traffic accidents in a metropolitan city. JFamilyMed Prim Care 2020;9:168-72.  Back to cited text no. 1
    
2.
Boyd CR, Tolson MA. Evaluating trauma care: The TRISS method, trauma score and injury severity scores. J Trauma1987;27:370-8.  Back to cited text no. 2
    




 

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