The Profile of Road Traffic Injury-Related Fracture Patient in the Emergency Department of H. Damanhuri Barabai General Hospital
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Background: Road traffic injuries (RTIs) are a major cause of fractures, posing significant challenges for healthcare systems especially in rural areas. Based on data from to Traffic Corps of the Indonesian National Police published by the Ministry of Transportation, the number of traffic accidents in Indonesia reached 103,645 cases in 2021. Understanding the profile of RTI-related fracture patients is crucial to improve emergency care and guide preventive strategies. This study aims to identify the profile of the RTI-related fracture patient in the emergency department of H. Damanhuri Barabai General Hospital.
Methods: This study was retrospective observational. We analysed the medical records of RTI-related fracture patients in Emergency Department of H. Damanhuri Barabai General Hospital during March – July 2023. We observed gender, age, mode of injury, type of fracture and bone involved.
Results: There were 91 RTI-related fracture patients from 146 orthopaedic patients recorded. Male had a higher incidence (74%). The highest incidence was observed in 41 – 60 ages group (32%) and 21 - 40 ages group (31%). The most common mode of injury was double traffic injuries (65%) involving motorcycle vs motorcycle (41%). The primary type of fracture was identified as closed fracture (63%). The bone most involved was tibia (27%).
Conclusions: Fractures are common among males during their productive years as a result of traffic injuries. This study provides insights that advance understanding to the prevalence of RTI-related fractures. Additional research is required to develop further overview of RTI-related fractures.
Ashley WB, Michael RW. Apley and Solomon’s System of Orthopaedics and Trauma. 10th ed. 2018.
Bergh C, Wennergren D, Möller M, Brisby H. Fracture incidence in adults in relation to age and gender: a study of 27,169 fractures in the Swedish Fracture Register in a well-defined catchment area. PLoS One. 2020;15(12):e0244291.1
Sembiring TE, Rahmadhany H. Characteristics of femur fracture patients due to traffic accidents at Haji Adam Malik Medan General Hospital in 2016–2018. Ibnu Sina Jurnal Kedokteran dan Kesehatan. 2022;21(1):123-8.
Road traffic injuries [Internet]. World Health Organization. [cited 2025 Apr 30]. Available from: [Insert specific URL for the WHO page on road traffic injuries]
Strengthening road safety legislation: a practice and resource manual for countries [Internet]. WHO Library Cataloguing. 2013;3(4). Available from: [Insert specific URL for the WHO manual]
Winkle T. Findings from traffic accident analysis. In: Product Development within Artificial Intelligence, Ethics and Legal Risk. 2022.
Bittar CK, Cliquet Junior A, Da CostaA VSDA, Pacheco ACDF, Ricci RL. Epidemiological profile of motorcycle accident victims in university hospital. Acta Ortop Bras. 2020;28(2):97-9.
Soehodho S. Public transportation development and traffic accident prevention in Indonesia. IATSS Res. 2017;40(2):76-80.
Dihni VA. Traffic accident rates in Indonesia increased in 2021, highest from motorcycle accidents. 2022;33(1).
Hulu Sungai Tengah Regency in Figures [Internet]. Central Bureau of Statistics of Hulu Sungai Tengah Regency. 2022 [cited 2025 Apr 30]. Available from: [Insert specific URL for the statistics report]
Jhonet A, Armin MF, Mandala Z, Sudiadnyani NP, Sari HM. Incidence of tibial fractures based on age, gender, and fracture classification according to trauma mechanism at H. Abdul Moeloek Bandar Lampung General Hospital. J Ilmu Kedokteran dan Kesehatan. 2022;9(1).
Court-Brown CM, Caesar B. Epidemiology of adult fractures: a review. Injury. 2006;37(8):691-7.
González-Sánchez G, Olmo-Sánchez MI, Maeso-González E, Gutiérrez-Bedmar M, García-Rodríguez A. Traffic injury risk based on mobility patterns by gender, age, mode of transport and type of road. Sustainability. 2021;13(18):10112.2
Mannocci A, Saulle R, Villari P, La Torre G. Male gender, age and low income are risk factors for road traffic injuries among adolescents: an umbrella review of systematic3 reviews and meta-analyses.4 J Public Health (Oxf). 2019;41(3):557-67.
Oppenheim I, Parmet Y, Oron-Gilad T. Can driver behavior be traced to gender role, sex and age? In: Plant K, Praetorius G, editors. Human Factors in Transportation. AHFE Open Access. 2022;60:535-42.
Lakhan R, Pal R, Baluja A, Moscote-Salazar LR, Agrawal A. Important aspects of human behavior in road traffic accidents. Indian J Neurotrauma. 2020;17(2):175-80.
Duhita K, Asmara AAGY, Wiguna IGLNAA. Characteristics of metacarpal fracture patients at Sanglah Denpasar General Hospital in January 2018–June 2019. E-Jurnal Medika Udayana. 2021;10(3):103. Indonesian.
Alhadhoud MA, Alsiri NF. The epidemiology of traumatic musculoskeletal injuries in Kuwait: prevalence and associated risk factors. J Taibah Univ Med Sci. 2022;17(4):685-93.5
Pan RH, et al. Epidemiology of orthopedic fractures and other injuries among inpatients admitted due to traffic accidents: a 10-year nationwide survey in Taiwan. Sci6 World J. 2014;2014:637872.
Mengistu Z, Ali A, Abegaz T. The pattern of orthopedic fractures and visceral injury in road traffic crash victims, Addis Ababa, Ethiopia. PLoS One. 2021;16(9):e0253690.7
Kraft S, Mrkvička T, Petříček J, Blažek V. Modelling the road network riskiness for motorcycle transport: the use of accident probability and accessibility to emergency medical service. Moravian8 Geogr Rep. 2023;31(2):144-59.
Nurain SZ, Razelan ISM. Study of young motorcyclists’ risk behaviours towards road accidents in Kuantan. Int J Humanit Technol Civiliz. 2022;7(2):1-10.
Putri F, Arifin M, Djakfar L. Prediction model of motorcycle accident in economic and driving behaviour factors. East Eur J Enterp Technol. 2022;4(3-118):4-12.
Widyastuti H, Adriana L. Analysis of motorcycle traffic accident based on the riders’ characteristics in Kupang, East Nusa Tenggara. J Civil Eng. 2022;37(1):1-8.
Rusman AA, Aflah LN, Kusuma AA. Description of injury to the victim of motorcycle traffic accident. ACTA Med Health Sci. 2022;1(2):97-104.
Huang BX, et al. Epidemiology and the economic burden of traumatic fractures in China: a population-based study. Front Endocrinol (Lausanne). 2023;14:1104202.
Barros AVG, et al. Automobile accidents attended by mobile emergency care service. Int Arch Med. 2017;10:1-6.
Pouramin P, Li CS, Sprague S, Busse JW, Bhandari M. A multicenter observational study on the distribution of orthopaedic fracture types across 17 low- and middle-income countries. OTA Int.9 2019;2(3):e026.
Noorisa R, Apriliawati D, Bayusentono S. The characteristic of patients with femoral fracture in Department of Orthopaedic and Tra
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