Epidemiological characteristics of elderly population receiving pre-hospital emergency care after road traffic injuries in Punjab, Pakistan
Dublin Core
Title
Epidemiological characteristics of elderly population receiving pre-hospital emergency care after road traffic injuries in Punjab, Pakistan
Subject
Every year, 1.3 million lives are lost to road traffic injuries (RTIs).
Description
Abstract
Background Every year, 1.3 million lives are lost to road traffic injuries (RTIs). 90% of these deaths disproportionately
occur in Lower-Middle Income Countries (LMICs). Due to frailty and reduced physiological resilience, elderly
populations are at higher risk of RTIs and poor outcomes, versus younger populations. Further, according to the World
Health Organization (WHO), the global elderly population will double by 2050, indicating that this group will be at an
even higher risk of RTIS.
Objectives Our study aims to utilize Emergency Medical Services (EMS) data to better understand the trends, types,
injuries, patient characteristics, and outcomes of RTIs involving the elderly, ultimately contributing to more targeted
and effective road safety policies and interventions.
Methods We analyzed secondary EMS data during 2022 and 2023 from the Emergency Services Department (Rescue
1122) in the province of Punjab, Pakistan. RTI data in patients aged≥65 years was extracted from the database for age,
gender, education, response time, injury type, RTI victim type, location of injury, and victim outcome. Multivariable
analysis was carried out using multiple logistic regression to obtain an adjusted odds ratio with a 95% confidence
interval for on-scene mortality.
Results From 4.2 million EMS activations, data on 34,345 RTIs in elderly patients was analyzed. Patients had a mean
age of 70.12 years, and 77% (26,608) were males. The most common injury type was soft tissue injury (24,166; 70.36%),
followed by limb injury (5,126; 14.9%), and head injury (2,590; 7.5%). Most victims suffered injuries as passengers
(11,396; 37.2%). The mean response time was 7.19 minutes, and the on-scene mortality rate was 1.3% (443). The odds
of on-scene mortality increased with increasing response time (AOR: 1.05, CI: 1.04–1.07), while an increase in the
degree of urbanization was associated with decreasing odds of on-scene mortality (AOR: 0.99, CI: 0.98–0.99). Head
Background Every year, 1.3 million lives are lost to road traffic injuries (RTIs). 90% of these deaths disproportionately
occur in Lower-Middle Income Countries (LMICs). Due to frailty and reduced physiological resilience, elderly
populations are at higher risk of RTIs and poor outcomes, versus younger populations. Further, according to the World
Health Organization (WHO), the global elderly population will double by 2050, indicating that this group will be at an
even higher risk of RTIS.
Objectives Our study aims to utilize Emergency Medical Services (EMS) data to better understand the trends, types,
injuries, patient characteristics, and outcomes of RTIs involving the elderly, ultimately contributing to more targeted
and effective road safety policies and interventions.
Methods We analyzed secondary EMS data during 2022 and 2023 from the Emergency Services Department (Rescue
1122) in the province of Punjab, Pakistan. RTI data in patients aged≥65 years was extracted from the database for age,
gender, education, response time, injury type, RTI victim type, location of injury, and victim outcome. Multivariable
analysis was carried out using multiple logistic regression to obtain an adjusted odds ratio with a 95% confidence
interval for on-scene mortality.
Results From 4.2 million EMS activations, data on 34,345 RTIs in elderly patients was analyzed. Patients had a mean
age of 70.12 years, and 77% (26,608) were males. The most common injury type was soft tissue injury (24,166; 70.36%),
followed by limb injury (5,126; 14.9%), and head injury (2,590; 7.5%). Most victims suffered injuries as passengers
(11,396; 37.2%). The mean response time was 7.19 minutes, and the on-scene mortality rate was 1.3% (443). The odds
of on-scene mortality increased with increasing response time (AOR: 1.05, CI: 1.04–1.07), while an increase in the
degree of urbanization was associated with decreasing odds of on-scene mortality (AOR: 0.99, CI: 0.98–0.99). Head
Creator
Kantesh Kumar1
, Sheza Hassan2
, Muhammad Bazil Musharraf1
, Komal Abdul Rahim1
, Sijal Akhtar Sheikh1
, Huba Atiq1
,
Muhammad Waqas Ahmed1,4, Rameez-ur-Rehman Siddiqui1
, Rizwan Naseer3
, Shahnaz Akhter3
, Yasir Shafiq1
and
Junaid Razzak1,2*
, Sheza Hassan2
, Muhammad Bazil Musharraf1
, Komal Abdul Rahim1
, Sijal Akhtar Sheikh1
, Huba Atiq1
,
Muhammad Waqas Ahmed1,4, Rameez-ur-Rehman Siddiqui1
, Rizwan Naseer3
, Shahnaz Akhter3
, Yasir Shafiq1
and
Junaid Razzak1,2*
Source
https://doi.org/10.1186/s12245-025-00898-0
Date
2025
Contributor
Peri Irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Kantesh Kumar1
, Sheza Hassan2
, Muhammad Bazil Musharraf1
, Komal Abdul Rahim1
, Sijal Akhtar Sheikh1
, Huba Atiq1
,
Muhammad Waqas Ahmed1,4, Rameez-ur-Rehman Siddiqui1
, Rizwan Naseer3
, Shahnaz Akhter3
, Yasir Shafiq1
and
Junaid Razzak1,2*, “Epidemiological characteristics of elderly population receiving pre-hospital emergency care after road traffic injuries in Punjab, Pakistan,” Repository Horizon University Indonesia, accessed April 11, 2026, https://repository.horizon.ac.id/items/show/12802.