Abstract

Introduction: Road Traffic Accidents (RTAs) are a major cause of unnatural deaths, especially in developing countries. It is necessary to consider the limitation of human body for designing safety equipment necessary to safeguard human life. This study aims to analyse the pattern of injuries and the survival period of victims amongst the other objectives to increase the awareness about fatal injuries resulting from road traffic accidents. Methodology: This prospective cross-sectional study analysed 242 fatal RTA cases autopsied at HIMS Teaching Hospital, Hassan, between January 2023 and June 2024. Results: The majority of victims were males (87.6%) in the 41–50-year age group (21.5%), with two-wheeler drivers being most common victims (41.7%). Maximum victims died (48.8%) before any first aid was made available. A combined Sub dural hemorrhage and Sub arachnoid hemorrhage (88.5%) was most frequently noticed pattern of intracranial hemorrhages. Head injuries sustained (61.6%) was the leading cause of death. Conclusion: The age group of victims commonly affected suggests the socioeconomic status of the place, and their need for using two wheelers for commuting during evening time. This highlights the need for improved trauma care, lack of awareness about the need for using helmets. Targeted preventive strategies, public awareness campaigns and strategies for stricter enforcement of law are recommended.

• 1.   World Health Organization. Global status report on road safety 2023 [Internet]. Geneva: World Health Organization; 2023 [cited 2025 Sep 9]. Available from: https://www.who. int/teams/social-determinants-of-health/ safety-and-mobility/global-status-report-onroad-safety-2023.
• 2.   World Health Organization. Injuries and violence: the facts [Internet]. Geneva: World Health Organization; 2022 [cited 2025 Sep 9]. Available from: https://www.who.int/newsroom/fact-sheets/detail/injuries-and-violence.
• 3.   World Health Organization. International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10) [Internet]. Geneva: World Health Organization; 2019 [cited 2025 Sep 9]. Available from: https://icd.who.int/browse10/2019/ en#/XX.
• 4.   Ministry of Road Transport and Highways, Government of India. Road accidents in India 2020 [Internet]. New Delhi: Transport Research Wing; 2020 [cited 2025 Sep 9]. Available from: https://morth.nic.in/sites/default/files/ RA_2020.pdf.
• 5.   Ministry of Road Transport and Highways, Government of India. Road accidents in India 2021 [Internet]. New Delhi: Transport Research Wing; 2021 [cited 2025 Sep 9]. Available from: https://morth.nic.in/sites/default/files/ RA_2021_Compressed.pdf.
• 6.   World Health Organization. Global Status Report on Road Safety 2018. Geneva: World Health Organization; 2018.
• 7.   Ministry of Road Transport and Highways, Government of India. The Motor Vehicles (Amendment) Act, 2019. New Delhi: Ministry of Road Transport and Highways; 2019.
• 8.   Indian Institute of Technology Delhi. Road safety in India: Status Report 2021 [Internet]. New Delhi: Indian Institute of Technology Delhi; 2021 [cited 2025 Sep 9]. Available from: https://www.chronicleindia.in/year-book/ chronicle-year-book-2023/road-safety-inindia-status-report-2020.
• 9.   Kumar S., Toshniwal D. A data mining framework to analyze road accident data. J Big Data. 2015; 2(1): 1–9.
• 10.   United Nations. Road safety strategy: For the United Nations system and its personnel [Internet]. New York: United Nations Department of Safety and Security; 2019 [cited 2025 Sep 9]. Available from: https://www. un.org/sites/un2.un.org/files/2020/09/ road_safety_strategy_booklet.pdf.
• 11.   Mohan D., Tiwari G., Bhalla K. Road Safety in India: Status Report. New Delhi: Indian Institute of Technology Delhi; 2020.
• 12.   National Crime Records Bureau, Ministry of Home Affairs. Accidental Deaths & Suicides in India 2020 [Internet]. New Delhi: National Crime Records Bureau; 2020 [cited 2025 Sep 9]. p. 133. Available from: https://www. ncrb.gov.in/sites/default/files/ADSI_2020_ full_report.pdf.
• 13.   Yogesh G. Pattern of injuries in fatal road traffic accidents: autopsy based study. J Evid Based Med Healthc. 2015;2(4):321–7.
• 14.   Gupta A., Kumar A., Gupta P., Verma A., Kumar R. A study of pattern of fatal head injuries sustained during road traffic accidents in Western Uttar Pradesh. J Indian Acad Forensic Med. 2018; 40(4): 418–23. doi:10.5958/0974-0848.2018.00093.3.
• 15.   Bhatt SB, Gupta BD, Jani CB. Study of patterns & profile of road traffic accidents in Saurashtra region of Gujarat. J Indian Acad Forensic Med. 2017; 39(4): 361–6.
• 16.   Narayan S., Balakumar S., Kumar S., Bhuvanesh M., Hassan A., Rajaraman R., et al. Characteristics of fatal road traffic accidents on Indian highways. Accid Anal Prev. 2011; 43(3): 1130–5.
• 17.   Bavadiya G.L., Solanki J.H., Shah J.P., Parmar A.P., Moga H.K. A record-based study of death due to road traffic accident brought for postmortem examination at tertiary care center Bhavnagar. J Indian Acad Forensic Med. 2022; 44(2): 51–5.
• 18.   Farooqui J.M., Chavan K.D., Syed MMA, Bangal R.S., Bhat A.M., Dongre A.P., et al. Sujay V.K., Vishwanath D., Aramani S.C., et al. Pattern and Distribution of Injuries in Fatal Road Traffic Accidents Autopsied at Mortuary of HIMS Teaching Hospital, Hassan: A Prospective Study.262 Indian Journal of Forensic Medicine and Pathology IJFMP/Volume 18 Number 4 October–December 2025 Pattern of injury in fatal road traffic accidents in a rural area of western Maharashtra, India. Australas Med J. 2013; 6(9): 476–82.
• 19.   Marak F., Sangma M.B., Kumar G, Priyadharshini M. Pattern of injuries associated with deaths following road traffic accidents as seen in a tertiary care hospital in Puducherry. Ind J Forensic Com Med. 2016; 3(4): 257–62.
• 20.   Narayan K.A. Study of pattern & distribution of injuries in fatal road traffic accident cases autopsied at MIMS, Mandya. Ind J Forensic Med Toxicol. 2020; 14(3): 358–61.
• 21.   Husain B.N., Dixit P.G., Niyabani S. Demographic profiles of victims of fatal road traffic accidents in central Indian population: A cross-sectional study. Ind J Forensic Com Med. 2020; 7(1): 33–7.
• 22.   Gupta A., Siddesh R., Singh B. Pattern and distribution of injuries in fatal motorized twowheeler accident cases: A prospective study. J Ind Acad Forensic Med. 2022; 44(2): 67–71.
• 23.   Reddy A., Tejas J., Balaraman R. Strategic Analysis of injuries and causes of death in fatal two-wheeled vehicle accidents – an autopsyoriented study in Southern India. Medico Legal Update. 2016; 16(1): 108–14.
• 24.   Gupta A., Kumar A., Gupta P., Verma A., Kumar R. A study of pattern of fatal head injuries sustained during road traffic accidents in Western Uttar Pradesh. J Indian Acad Forensic Med. 2018; 40(4): 418–23. doi:10.5958/0974-0848.2018.00093.3.
• 25.   Rathod J.S., Pithadiya N.R., Chaudhari K.R., Kyada H.C. Study of road traffic accidental (RTA) deaths in and around Jamnagar region of Gujarat. Ind J Forensic Com Med. 2019; 6(4): 250–4.
• 26.   Hasini B.R.C. Death due to road traffic accidents: A forensic study. Ind J Forensic Med Pathol. 2019; 12(2): 67–71.
• 27.   Punpale S.B., Taware A.A., Vaidya H.V., Tatiya H.S. Profile of fatal road traffic accidents in Pune region, Maharashtra: A cross-sectional autopsy study. J Ind Acad Forensic Med. 2019; 41(2): 111–3.
• 28.   National Institute for Mental Health and Neuro Sciences. Advancing Road Safety in India [Internet]. Bengaluru: NIMHANS; 2017 [cited 2025 Sep 9]. Available from: https://nimhans. ac.in/wp-content/uploads/2019/02/UL_BR_ m010-11_Main-rprt_final.pdf.

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