A Retrospective Cross‑Sectional Study of Profile Severity and Outcome of Pedestrian Road Traffic Trauma Patients Presenting to the Emergency Department in South India during 2018–2019


Department of Emergency Medicine, Christian Medical College, Vellore, Tamil Nadu, India


Background and Objectives: Pedestrian injuries are a common mode of trauma presenting to the emergency department (ED). This study analyzes the profile, severity, and hospital outcome of these victims. Methods: We conducted a retrospective cross-sectional analysis of pedestrian trauma victims who presented to our ED from January 2017 to December 2018. Results: During the 2-year study period, our ED received 463 patients with pedestrian trauma. The mean age was 39 (standard deviation: 22.72) years, with a male (309/463: 66.6%) predominance. Based on their hemodynamic stability, majority were triaged as Priority 2 (279/463: 60.2%). Injuries included fractures (49.5%; n = 229), lacerations (46.4%; n = 215), abrasions: (38.9%; n = 179) and brain contusions (23.1%; n = 107). Extremities were the most injured (66.6%), followed by the scalp/head (39.9%) and face/neck injuries (20.3%) patients. A New Injury Severity Score of more than or equal to 14 was noted in 64 (13.9%) patients. Most of the victims required surgical (major/minor) intervention as part of their treatment which accounted for 63.9% (n = 296) patients. The ED mortality rate was 0.4% (n = 2), whereas the in-hospital mortality rate was 2.2% (n = 8). Conclusions: Middle-aged males were the leading demographic affected by most events taking place in the evening. Extremities were the most injured body part with fractures being the principal type of injury. A significant number of victims had injuries that were grievous and required hospital admission.


1. Mohan D. Road safety in less‑motorized environments: Future concerns.Int J Epidemiol 2002;31:527‑32.
2. Chen S, Kuhn M, Prettner K, Bloom DE. The global macroeconomicburden of road injuries: Estimates and projectionsfor 166 countries.Lancet Planet Health 2019;3:e390‑8.
3. Retting RA, Ferguson SA, McCartt AT. A review of evidence‑based traffic engineering measures designed to reduce pedestrian‑motor vehicle crashes. Am J Public Health 2003;93:1456‑63.
4. Pedestrians. Injury Facts. Available from: https://injuryfacts.nsc.org/motor‑vehicle/road‑users/pedestrians/. [Last accessed on 2021 Sep 27].
5. Narváez YV, Parra Sierra V, Peña Cárdenas F, Ruíz Ramos L, Zamorano González B, Vargas Martínez JI, et al. Road risk behaviors: Pedestrian experiences. Traffic Inj Prev 2019;20:303‑7.
6. Injuries and Violence. Available from: https://www.who.int/news‑room/fact‑sheets/detail/injuries‑and‑violence. [Last accessed on 2021 Oct 10].
7. Dandona R, Kumar GA, Raj TS, Dandona L. Patterns of road traffic injuries in a vulnerable population in Hyderabad, India. Inj Prev 2006;12:183‑8.
8. Sam EF, Akansor J, Agyemang W. Understanding road traffic risks from the street hawker’s perspective. Int J Inj Contr Saf Promot 2019;26:92‑8.
9. Baker SP, O’Neill B, Haddon W Jr., Long WB. The injury severity score: A method for describing patients with multiple injuries and evaluating emergency care. J Trauma 1974;14:187‑96.
10. Demographics of India. In: Wikipedia; 2020. Available from: https://en.wikipedia.org/w/index.php?title=Demographics_of_India&oldid=996787942. [Last accessed on 2020 Dec 28].
11. Pal R, Ghosh A, Kumar R, Galwankar S, Paul SK, Pal S, et al. Public health crisis of road traffic accidents in India: Risk factor assessment and recommendations on prevention on the behalf of the academy of family physicians of India. J Family Med Prim Care 2019;8:775‑83.
12. Abhilash KP, Chakraborthy N, Pandian GR, Dhanawade VS, Bhanu TK, Priya K. Profile of trauma patients in the emergency department of a tertiary care hospital in south India. J Family Med Prim Care 2016;5:558‑63.
13. Gautam D, Hazra D, Nekkanti A, Abhilash KP. Retrospective study on cost accounting of trauma patients presenting to the emergency department in a tertiary care hospital in south India. Curr Med Issues 2020;18:14.
14. Li H, Ma YF. New injury severity score (NISS) outperforms injury severity score (ISS) in the evaluation of severe blunt trauma patients. Chin J Traumatol 2021;24:261‑5.
15. Smith BP, GoldbergAJ, Gaughan JP, Seamon MJ. Acomparison of injury severity score and new injury severity score after penetrating trauma: A prospective analysis. J Trauma Acute Care Surg 2015;79:269‑74.
16. Prabhakar Abhilash KP, Lath D, Kowshik J, Jose A, Chandy GM. Blood alcohol levels in road traffic accidents: Factors associated and the relationship between history of alcohol consumption and blood alcohol level detection. Int J Crit Illn Inj Sci 2019;9:132‑7.