Location and causes of road traffic accidents related to motorcycle riders and three-wheeler drivers brought to Colombo North Teaching Hospital, Ragama

Abstract

INTRODUCTION & OBJECTIVES: Road traffic accidents (RTAs) is a leading cause of morbidity and mortality in low and middle income countries. Human, vehicle and environmental factors are identified as causative agents. The objective was to identify location and causes of RTA related to motorcycle and three-wheeler drivers brought to Colombo North Teaching Hospital (CNN). METHODS: A descriptive cross sectional study was conducted from 15/12/2018 to 10/12/2019 at the CNTH. 104 motorcycle riders and 49 three-wheeler drivers following an accident were included. Data related to human, vehicle, road factors and demographic details were collected using an interviewer administered questionnaire. The location of accident was mapped using Google earth with colour coding for category of hurt, to identify geographical distribution. RESULTS: Motorcycle Accidents: 17.3% were under the influence of alcohol at the time of accident. Mean speed of vehicle at the time of accident was 42.2 kmph. 42.3% of riders who did not wear the helmet properly sustained grievous injuries. 42.5% of employed riders experienced an income loss. Three-wheeler Accidents: 22.4% were under the influence of alcohol at time of accident. Mean speed of vehicle at the time of accident was 46.94 kmph. 49% of accidents took place at a turn. 63.6% of employed drivers experienced an income loss. Mean income loss for motorcycle and three-wheeler drivers were Rs. 2326 and Rs.2816, respectively. CONCLUSION: Human and environmental factors have been responsible for majority of accidents. There are areas in Ragama where drivers should be cautious.