ANALYSIS OF CLINICAL AND ANATOMICAL CHARACTERISTICS OF ROAD TRANSPORT INJURIES IN A RURAL LOCATION: SCOPE OF INJURY

Abstract

Objective. Determine and verify the extent of damage in road accident victims in rural areas. Materials and methods. The study was conducted in the order of an epidemiological experiment on a natural type model, which was formed according to the law of large numbers and has typical features for rural areas of Ukraine. The array of the study is 315 cases of victims as a result of a road accident, which exceeds the estimated volume of the necessary. The results. It was established that among the victims who survived, there are victims with damage to two anatomical and functional areas (AFA) 47.12%, in the second place are victims with damage to three AFA – 40.38%. In the last, 5th place, there are victims with five AFA injuries of 0.48%. Among the dead, the highest specific weight is occupied by victims with damage to two AFAs, 61.68%, then a linear trend of decreasing the specific weight of victims is observed as the number of damaged AFAs increases. Damage to two AFAs is most common in the array of victims due to participation in traffic (drivers – 45.10%; passengers – 51.35%; pedestrians – 54.21%). Conclusions. The extent of injury to victims of road accidents in rural areas indicates that victims with an average extent of injury prevail – two to three AFAs, 86.03%. Isolated damage (one AFA) occurs only in 0.95%, i.e. in 99.05% of victims in rural areas receive polytrauma. The dependence of the amount of damage in rural victims on the sign of participation in traffic was established, and the most severe damage (more than three AFAs) is received by pedestrians, whose specific weight is from 50% to 58%. There is no clear dependence of the occurrence of a negative result of the course of the traumatic process on the extent of the lesion, that is, there is an influence of other factors, including the quality and timeliness of the provision of medical care.