Evidence map›Paper›PMID 23959748›Full record

ArticleBMJ open2013

Road traffic injury mortality and its mechanisms in India: nationally representative mortality survey of 1.1 million homes.

Marvin Hsiao, Ajai Malhotra, J S Thakur, Jay K Sheth, Avery B Nathens, Neeraj Dhingra, Prabhat Jha, Million Death Study Collaborators

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
21.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 124 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Verbal autopsy instruments for 'causes and circumstances' surrounding drowning deaths in low- and middle-income countries: a scoping review.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2026
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  9. Economic Burden of Trauma-Related Injuries in Iran in 2019.Bulletin of emergency and trauma · 2024
    Article
  10. Article
  11. Article
  12. Observational
  13. Methodological considerations in MVC epidemiological research.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2021
    Article
  14. Article
  15. Analysis of Hospital Costs in Road Traffic Injuries.Bulletin of emergency and trauma · 2021
    Article
  16. Article
  17. Global injury morbidity and mortality from 1990 to 2017: results from the Global Burden of Disease Study 2017.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2020
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 3 countries.

Marvin HsiaoCentre for Global Health Research, Li Ka Shing Knowledge Institute, St Michael's Hospital, University of Toronto, Toronto, Canada.
Ajai Malhotra
J S Thakur
Jay K Sheth
Avery B Nathens
Neeraj Dhingra
Prabhat Jha
Million Death Study Collaborators
National AIDS Control Organisation · INPost Graduate Institute of Medical Education and Research · INSmt. N.H.L. Municipal Medical College · INSt. Michael's Hospital · CASunnybrook Research InstituteUniversity of Toronto · CAVirginia Commonwealth University Medical Center · US

Funding

Strengthening monitoring of Indian tobacco mortalityR01TW005991 · FIC · ST. MICHAEL'S HOSPITAL · PI JHA, PRABHAT · 2002 to 2006
$862k
Measuring Tobacco Mortality within the Million Death Study in IndiaR01TW007939 · FIC · ST. MICHAEL'S HOSPITAL · PI JHA, PRABHAT · 2007 to 2010
$540k
FIC NIH HHS R01 TW005991FIC NIH HHS R01 TW007939
6 · The paper itself

Abstract

objectivesTo quantify and describe the mechanism of road traffic injury (RTI) deaths in India.

designWe conducted a nationally representative mortality survey where at least two physicians coded each non-medical field staff's verbal autopsy reports. RTI mechanism data were extracted from the narrative section of these reports.

setting1.1 million homes in India.

participantsOver 122 000 deaths at all ages from 2001 to 2003. PRIMARY AND SECONDARY OUTCOME MEASURES: Age-specific and sex-specific mortality rates, place and timing of death, modes of transportation and injuries sustained.

resultsThe 2299 RTI deaths in the survey correspond to an estimated 183 600 RTI deaths or about 2% of all deaths in 2005 nationally, of which 65% occurred in men between the ages 15 and 59 years. The age-adjusted mortality rate was greater in men than in women, in urban than in rural areas, and was notably higher than that estimated from the national police records. Pedestrians (68 000), motorcyclists (36 000) and other vulnerable road users (20 000) constituted 68% of RTI deaths (124 000) nationally. Among the study sample, the majority of all RTI deaths occurred at the scene of collision (1005/1733, 58%), within minutes of collision (883/1596, 55%), and/or involved a head injury (691/1124, 62%). Compared to non-pedestrian RTI deaths, about 55 000 (81%) of pedestrian deaths were associated with less education and living in poorer neighbourhoods.

conclusionsIn India, RTIs cause a substantial number of deaths, particularly among pedestrians and other vulnerable road users. Interventions to prevent collisions and reduce injuries might address over half of the RTI deaths. Improved prehospital transport and hospital trauma care might address just over a third of the RTI deaths.

Indexed as

Indialow- and middle-income countriesroad traffic injuryverbal autopsy

Identifiers

PMID23959748
PMCPMC3753525
OpenAlexW2102322061

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.