ArticleCureus2026
Community-Based Household Survey Among Children Aged 5-18 to Identify Disability Burden and Health-Related Quality of Life Following Road Traffic Accidents in Ujjain, India.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionThe objective of the study was to report the health-related quality of life (HRQoL) following road traffic accidents (RTAs) among children.
methodsA community-based survey using the Hindi version of the European Quality-of-Life five-dimension questionnaire (EQ-5D-5L) was conducted to collect data from the community. The survey included 2,620 households from urban and rural areas of Ujjain, India.
resultsFrom these households, 229 children aged 5-18 years with a history of RTA in the past one year were identified, with 27%, 63%, and 10% reporting mild, moderate, and severe injuries, respectively, based on the length of hospitalization. Motorcycles, bicycles, and pedestrians constituted most RTAs. Helmet use was low (12%). EQ-5D-5L revealed that the most severe and extreme problem was pain and discomfort, whereas the least severe problem was usual activity and self-care. The most common (65%) injuries were either abrasion or fracture and dislocation. EQ-5D-5L severity index was maximum (mean 72) for lower extremity injuries.
conclusionsThe results highlight the feasibility and importance of using EQ-5D-5L to measure HRQoL in children following RTAs in low-resource settings. Pain/discomfort and lower extremity injuries significantly impair the quality of life, even one year after injury. The high burden from two-wheeler-related injuries and extremely low helmet use underscore the urgent need for creating awareness of road safety interventions, stricter enforcement of helmet laws, and child-focused rehabilitation programs in India.
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