A Retrospective analysis of the profile of trauma victims presenting to an emergency department in South India

被引:1
作者
Kundavaram, Paul Prabhakar Abhilash [1 ]
Jindal, Anmol [1 ]
Hazra, Darpanarayan [1 ]
Biju, Albin [1 ]
Raju, Feema [1 ]
Samarpit, C. C. [1 ]
机构
[1] Christian Med Coll & Hosp, Dept Emergency Med, Vellore, Tamil Nadu, India
关键词
Accidents; emergency department; profile of trauma; road traffic accidents; trauma; CARE; MORTALITY; LOCKDOWN; PATTERNS; WEEKEND;
D O I
10.4103/jfmpc.jfmpc_1896_21
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background:Trauma is a leading cause of morbidity and mortality in both developed and developing countries.Methodology:This retrospective observational study was done in the Emergency Department (ED) of a tertiary care trauma center in Southern India in 2018 (January to December).Results:During the study period of 1 year, the ED attended 74,466 patients which included 7675 (10.3%) trauma patients. The mean age was 35.3 (SD: 18.5) years with three-fourth (76.6%) being males. Pediatric/adolescents (age <= 18 years) and geriatric age groups (age >= 60 years) comprised 16.7% and 11.8% cases, respectively. Road traffic accidents (RTA) (66%) were the predominant mode of injury followed by falls (fall from height: 8.6% and fall on level ground: 7.8%). Among the RTAs, the majority were two-wheelers related (73.8%), followed by pedestrian injuries (9.4%) and four-wheelers injuries (7.2%). Bivariate and multivariate logistic regression analysis showed pedestrian injuries, low Glasgow Coma Scale (GCS), and hypotension at arrival as independent predictors of hospital mortality. The in-hospital mortality rate was 0.7%. A quarter (24%; n = 1841) of the patient's population was solely managed by the ED team and discharged stable, while 2179 (28.4%) victims required hospital admission.Conclusion:Trauma is a major cause of mortality especially among the breadwinners of families in India with almost half being due to two-wheeler accidents. Efficient ED professionals and a multispecialty team of trauma surgeons, neurosurgeons, and orthopedics handle the major load of acute trauma. Pedestrian injuries, low GCS, and hypotension at arrival are independent predictors of in-hospital mortality.
引用
收藏
页码:1907 / 1912
页数:6
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