Tehran University of Medical Sciences Frontiers in Emergency Medicine 2717-3593 8 4 2024 10 07 e32 e32 Yogita Sharma Socio-Behavioural, Health Systems & Implementation Research Division, Indian Council of Medical Research, New Delhi, India. Ponnaiah Manickam ICMR - National Institute of Epidemiology, Chennai, India. Kamalabai John Apollo Institute of Medical Science & Research, Chittoor, Andhra Pradesh, India. Jugal Kishore Vardhman Mahavir Medical College &Safdarjung Hospital, New Delhi, India. Daya Mangal Indian Institute of Health Management Research, Jaipur, India. Rajesh Singh Garhwal Community Development and Welfare Society, Tehri-Garhwal, India Ashish Joshi Foundation for Health Technologies Society, New Delhi, India. Bontha Babu Socio-Behavioural, Health Systems & Implementation Research Division, Indian Council of Medical Research, New Delhi, India. 2024 02 23 2024 07 10 Objective: Road traffic injuries (RTIs) have been recognized globally as an important public health problem. Effective road safety initiatives should address the traffic system as a whole to find a solution and look at the traffic system as a collective to discuss interactions between vehicles, road users and road infrastructure. Therefore, epidemiological data from different geographies of the country should be available. Hence, an electronic-based comprehensive and integrated RTI surveillance system was established in five centres located across the country to assess the burden of RTIs, including the outcome. Methods: This paper is a cross-sectional multi-centric study conducted using an electronic-based comprehensive and integrated RTI surveillance system. Results: A total of 15,319 participants were enrolled under the surveillance of road traffic events for a period of one year. Self-fall/skid was the most common (34.87%) type of accident, followed by a crash between two vehicles (25.77%) and a crash with a pedestrian (16.59%). Among them, 88.94% were the injured, who were alive with or without rehabilitation, and 673 (4.43%) were dead. Mostly, two-wheelers (geared or non-geared) were involved in the accident as they shared a significant portion (75.54%) of the total accidents. Conclusion: The study highlights the epidemiological issues related to road accidents and RTIs that need to be addressed in order to find appropriate solutions for reducing the RTI burden. It gives an understanding of the manner of trauma, the pattern of injuries, and the outcome of road traffic accidents required to adopt efficient preventive and comprehensive trauma care. https://fem.tums.ac.ir/index.php/fem/article/view/1345 https://fem.tums.ac.ir/index.php/fem/article/download/1345/497