Background Road traffic accidents (RTA) are an important yet preventable cause of death and disability in developing countries like Pakistan.
Yet accurate epidemiological data on injuries in developing country injuries is often difficult to obtain.
We applied the capture-recapture method to estimate the death and injury rates due to RTA in Karachi.
Methods We applied the two-sample capture-recapture method using traffic police records as one source of capture and the logs of a non-government ambulance service as the second capture source for the same 10 months and 20 days for which 1994 data were available.
We generated a conservative adjusted estimate of injuries and deaths by considering entries in the two sources as matched if they reported the same date, time, and place, and at least one of the other matching variables, of name, vehicle registration number, vehicle types or patient outcome.
We then compared the estimated rates with the police rates.
Results In 1994 police reported 544 deaths and 793 injuries due to RTA while ambulance records noted 343 deaths and 2048 injuries.
The capture-recapture analysis estimated at least 972 (95% Cl : 912-1031) deaths and 18 936 (95% CI : 15 50722 342) injuries attributable to RTA during the study period.
Official sources counted only 56% of deaths and 4% of serious injuries.
The estimated rates for the year 1994 were 185 injuries and 11.2 deaths per 100 000 population. (...)
Mots-clés Pascal : Accident circulation, Accident corporel, Mortalité, Méthode capture recapture, Epidémiologie, Taux, Méthodologie, Analyse statistique, Homme, Pakistan, Asie, Traumatisme
Mots-clés Pascal anglais : Traffic accident, Personal injury, Mortality, Capture recapture method, Epidemiology, Rate, Methodology, Statistical analysis, Human, Pakistan, Asia, Trauma
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0001889
Code Inist : 002B16M. Création : 31/05/1999.