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Trauma care in India and Germany.
Hans-Joerg Oestern1, Bhavuk Garg, Prakash Kotwal
1Department of Traumatology, Orthopaedics, and Neurotraumatology, AO Foundation, Schubertstraße 12, D-29223, Celle, Germany. hans-joerg.oestern@t-online.de
Clinical Orthopaedics and Related Research
|May 7, 2013
Summary
India faces rising road traffic deaths despite increased vehicles, unlike Germany. This highlights critical gaps in India
Area of Science:
- Public Health
- Trauma Surgery
- Transportation Safety
Background:
- Road traffic accidents (RTAs) are a leading cause of death globally for individuals under 45.
- Both India and Germany have seen a significant increase in registered motor vehicles.
- Despite rising vehicle numbers, India experiences a sustained increase in RTA fatalities, contrasting with Germany's decline.
Purpose of the Study:
- Compare vehicular infrastructure and trauma causes in India and Germany.
- Analyze the burden of trauma and current trauma care systems.
- Propose enhancements for trauma care and prevention in India and similar nations.
Main Methods:
- Utilized federal statistical databases, automobile club data, and trauma registries from Germany.
- Accessed data from India's Ministry of Road Transport and Highways.
- Conducted a standardized literature search on PubMed for both countries using keywords related to RTAs, prevention, and trauma care.
Main Results:
- Vehicle registration increased 473-fold in India and 100-fold in Germany (1951-2011).
- Road traffic deaths declined in Germany post-1970 (3606 in 2012) but rose in India (142,485 in 2011).
- Discrepancies attributed to country size, population, and differences in prevention, prehospital care, and hospital trauma systems.
Conclusions:
- Enhancing trauma care requires focus on prevention via infrastructure and traffic laws.
- Establishing a comprehensive prehospital care system is crucial.
- Developing regional trauma centers and a national trauma registry is essential for improvement.
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