One year study of epidemiology of trauma patients admitted in the main tertiary care hospital of the hilly state of Himachal Pradesh
DOI:
https://doi.org/10.18203/2349-2902.isj20192145Keywords:
Epidemiology, Trauma, Himachal PradeshAbstract
Background: Trauma in Himachal Pradesh is an increasingly significant problem, particularly in light of rapid development and increasing motorization. In the state of Himachal due to the predominantly hilly terrain people are more vulnerable to accidents, resulting in various injuries. Moreover, an increase in industrialization, ongoing construction of hydel projects and subsequent increase in accidents have also affected an increase in the incidence of trauma. Social and environmental changes are resulting in alterations in epidemiology of trauma. The present study was done to study the pattern, cause, mode and burden of trauma in patients presenting to IGMC Shimla.
Methods: This prospective study was done on 4267 patients of trauma admitted to various departments of IGMC, Shimla during the period from June 2014 to May 2015. Detailed history of the patient, mode of injury was collected. Complete trauma profile and blood investigations were done in all patients. Postmortem findings of the trauma victims who died in IGMC or who were brought dead due to trauma were recorded.
Results: The mean age of the patients in the study was 33.56 years. Male preponderance was noted (M:F-2.7:1). The commonest mode of injury was due to fall (75.60%). Of the total, 72.39% patients admitted with isolated injuries confined to one particular region, 11.72% patients with multiple injuries with in a single region, 13.01% patients with polytrauma, and 2.44% patients with burns. The rate of mortality was 2.06% (n=88).
Conclusions: Improved infrastructure, behavior patterns of the individuals, can decrease the rate of trauma in the state. Development of strong and supportive management policies by the emergency departments in hospitals can reduce the mortality rate related with trauma.
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References
Krug EG, Sharma GK, Lozano R. The Global Burden of Injuries. Am J Public Health. 2000;90(4):523–6.
Murray C, Lopez A. Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study. Lancet. 1997;349(9064):1498-504.
Global status report on road safety 2018: Summary. Available at: https://apps.who.int/iris/bitstream/handle/10665/277370/WHO-NMH-NVI-18.20-eng.pdf?ua=1. Accessed on 10 January 2019.
Rastogi D, Meena S, Sharma V, Singh GK. Epidemiology of patients admitted to a major trauma centre in northern India. Chin J Traumatol. 2014;17(2):103-7.
Asher M. Kinnaur's Curse? Environmental Threat from Hydroelectric Projects. Economic & Political Weekly. 2015;50 (18).
Uthkarsh PS. Profile of Injury Cases Admitted To A Tertiary Level Hospital In South India. International Journal of Injury Control and Safety Promotion. 2012;19(1): 47-51.
Swarnkar M, Singh P, Dwivedi S. Pattern of Trauma in Central India: An Epidemiological Study with Special Reference to Mode of Injury. IJE. 2009;9(1).
Dsouza C. Epidemiological Trends of Trauma in Tertiary Care Centre in Dakshina Kannada District of Karnataka, India. JCDR. 2014 ;8(3):66-8.
Samuel JC, Akinkuotu AC, Villaveces A, Charles A. Epidemiology of Injuries at A Tertiary Care Center In Malawi. World J Surg. 2009:33(9): 1836-41.
Wui LM, Shaun GE, Ramalingam G, Wai KMS. Epidemiology of Trauma in an Acute Care Hospital in Singapore. J Emergencies Trauma Shock. 2014;7(3):174-9.
Alexandrescu R, O'Brien SJ, Lecky FE. A review of injury epidemiology in the UK and Europe: Some methodological considerations in constructing rates. BMC Public Health. 2002;9:226.
Padalino P, Intelisano A, Traversone A, Marini AM, Castellotti N, Spagnoli D, et al. Analysis of quality in a first level trauma center in Milan, Italy. Ann Ital Chir. 2006;77:97-106.
Kalaiselvan G, Dongre AR, Mahalakshmy T. Epidemiology of Injury in Rural Pondicherry, India. J Injury Violence Res. 2011;3(1):61-6.
Ghimire A, Nagesh S, Jha N, Niraula S, Devkota S. An Epidemiological Study of Injury among Urban Population. Kathmandu University Med J. 2010;7(4):402-7.
Verma PK, Tiwari KN. Epidemiology of road traffic injuries in Delhi. Results of a survey. Regional Health Forum. 2004;8:6–14.
Equabal MZ, Rizvi SJ, Husain M, Srivastava VK. A study of the pattern of head injury in district Aligarh. U.P. India. JIAFM. 2005;27(2):103-7.
Allorto NL, Oosthuizen GV, Clarke DL, Muckart DJ. The spectrum and outcome of burns at a regional hospital in South Africa. Burns. 2009;35(7):1004-8.
Shankar G, Powar R, Naik VA. Epidemiological Study Of Burn Patients Admitted In A District Hospital Of North Karnataka, India. Indian J Burns. 2014;22(1): 83.
Sogut O, Sayhan MB, Gokdemir MT, Boleken ME, Al B, Kose R, et al. Analysis of Hospital Mortality and Epidemiology in Trauma Patient: A Multi-Center Study. J Curr Surg. 2011;1:19-24.
Sanddal TL, Esposito TJ, Whitney JR, Hartford D, Taillac PP, Mann NC, et al. Analysis of preventable trauma deaths and opportunities for trauma care improvement in utah. J Trauma. 2011;70:970-7.
