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J Emerg Trauma Shock. 2018 Oct-Dec;11(4):282-287. doi: 10.4103/JETS.JETS_55_17.

Epidemiological and Clinical Profile of Fatality in Vulnerable Road Users at a High Volume Trauma Center.

Author information

Department of Surgery, Pondicherry Institute of Medical Sciences, Puducherry, India.
Medical Superintendent, Indira Gandhi Government General Hospital and Post Graduate Institute, Puducherry, India.



Motorized two-wheelers, pedestrians, and cyclists are termed vulnerable road users (VRUs).Globally up to 50% of road deaths involve VRU and up to 80% in developing and rapidly motorizing economies.


The objective of this study is to study the prehospital and clinical profile of fatally injured VRU. This would help in informed decision-making regarding prevention and trauma care infrastructure.

Materials and Methods:

A hospital-based study was performed at a Trauma Centre in Puducherry from January 2013 to June 2014 (18 months). Puducherry is a union territory of India in the state of Tamil Nadu. A total of 193 deaths due to Road traffic accident were included in this study. The demographics, prehospital findings, and the clinical progress of fatally injured VRU are described.


More than 80% of road traffic collision/crash deaths involved VRU of which the elderly comprised a significant proportion. Alcohol was a serious issue even in the elderly pedestrian. This study revealed specific injury patterns and severity. Head injury was the most common cause of death. Early deaths, that is within 24 h of injury was common at 50%.


The majority of deaths were in the early phase of trauma hence mandating a strong call for prevention, along with strengthening of trauma care.


Alcohol; early deaths; vulnerable road users

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