Demographics in trauma: a prospective observational study in a tertiary care zonal hospital

Authors

  • Shrikant Manwatkar Department of Surgery, 7 Air Force Hospital, Kanpur, Uttar Pradesh, India
  • Aniket Sharma Department of Surgery, 7 Air Force Hospital, Kanpur, Uttar Pradesh, India
  • Anurakshat Gupta Department of Surgery, 7 Air Force Hospital, Kanpur, Uttar Pradesh, India
  • Amit Chhikara Department of Surgery, 7 Air Force Hospital, Kanpur, Uttar Pradesh, India
  • Vikram Trehan Department of Surgery, 7 Air Force Hospital, Kanpur, Uttar Pradesh, India
  • Rajiv Ranjan Department of Surgery, 7 Air Force Hospital, Kanpur, Uttar Pradesh, India
  • Dheeraj Yadav Department of Surgery, 7 Air Force Hospital, Kanpur, Uttar Pradesh, India
  • Harimohan Sharma Department of Surgery, 7 Air Force Hospital, Kanpur, Uttar Pradesh, India
  • Tinku Antony Department of Surgery, 7 Air Force Hospital, Kanpur, Uttar Pradesh, India
  • Nagakishore Karuparthy Department of Surgery, 7 Air Force Hospital, Kanpur, Uttar Pradesh, India
  • Pallavi Dhanvijay Department of Surgery, 7 Air Force Hospital, Kanpur, Uttar Pradesh, India
  • Vishy Chaudhary Fellow, Mayo Clinic, Rochester Minnesota, USA

DOI:

https://doi.org/10.18203/2349-2902.isj20195951

Keywords:

Trauma, Road traffic accidents, Surgical emergency

Abstract

Background: Trauma represents a major challenge worldwide and is the leading cause of morbidity and mortality in young population. There is significant change in trauma related injuries due to urbanization, motorization, industrialization and the socioeconomic changes in India. Road traffic accidents (RTA) pose the largest threat to human lives and have become the number one public hazard all across the world causing morbidity and mortality. The aim of this study is to find out the demographics and to determine the injury pattern of surgical trauma cases presenting to this tertiary care zonal hospital.

Methods: A prospective observational study was conducted in a tertiary care zonal hospital from June 2018 to December 2018. Data was collected for 105 patients presented with trauma in surgical emergency centre of this hospital were included in the study which excluded only orthopaedic trauma cases. The data collected was analysed.

Results: Out of 105, 76 (72.38%) were male and 29 (27.61%) were female with 21 (20%) in the 31-40 age group. The average age of cases was 40.2 years.  RTA was the major cause of trauma i.e. (77.14%) followed by accidental fall and slips (18.09%) and assaults (4.76%). Contusion was the common injury sustained (45.71%) followed by laceration (38.09%), abrasion (35.23%) and fracture (17.14%).

Conclusions: There is a need for trauma registries which can help to formulate strategies towards decreasing the burden of trauma and improved outcomes at hospital as well as in public health.

Author Biography

Shrikant Manwatkar, Department of Surgery, 7 Air Force Hospital, Kanpur, Uttar Pradesh, India

Classified Specialist Surgery,

Department of Surgery.

References

Seidenberg P, Cerwensky K, Brown RO, Hammond E, Mofu Y, Lungu J, et al. Epidemiology of injuries, outcomes, and hospital resource utilisation at a tertiary teaching hospital in Lusaka, Zambia. Afr J Emerg Med. 2014;4:115-22.

Rastogi D, Meena S, Sharma V, Singh GK. Epidemiology of patients admitted to a major trauma centre in Northern India. Chin J Traumatol. 2014;17:103-7.

Aubakirova A, Kossumov A, Igissinov N. Road traffic accidents in Kazakhstan. Iran J Public Health. 2013;42:231-9.

World Health Organization, 2004. Road safety is no accident: A brochure for World Health, 2004. Geneva. 2004 Available at: http://www.who.int/ mediacentre/news/release/2004/pr24/en/. Accessed on 25 July 2009.

Uthkarsh PS, Suryanarayana SP, Gautham MS, Shivraj NS, Murthy NS, Pruthvish S. Profile of injury cases admitted to a tertiary level hospital in south India. Int J Inj Contr Saf Promot. 2012;19:47-51.

Pruthi N, Ashok M, Kumar VS, Jhavar K, Sampath S, Devi BI. Magnitude of pedestrian head injuries and fatalities in Bangalore, South India: A retrospective study from an apex neurotrauma center. Indian J Med Res. 2012;136:1039-43.

Jadaan KS. The epidemiology of road traffic accidents in Jordan. J R Soc Health. 1989;109:141-4.

Verma PK, Tewari KN. Epidemiology of road traffic injuries in Delhi: Result of a survey. Regional Health Forum WHO South-East Asia Region. 2004: 8.

Herbert HK, van As AB, Bachani AM, Mtambeka P, Stevens KA, Millar AJW, et al. Patterns of pediatric injury in South Africa: an analysis of hospital data between 1997 and 2006. J Trauma Acute Care Surg. 2012;73:168-74.

Govender I, Matzopolous R, Makanga P, Corrigall J. Piloting a trauma surveillance tool for primary emergency healthcare centres. S Afr Med J. 2012;102(5):303-6.

Seedat M, Van Niekerk A, Jewkes R, Suffla S, Ratele K. Violence and injuries in South Africa: prioritising an agenda for prevention. The Lancet. 2009;374:1011-22.

Bisht R, Pitchforth E, Murray SF. Understanding India, globalisation and health care systems: a mapping of research in the social sciences. Glob Health. 2012;8:32.

Sahdev P, Lacqua MJ, Singh B, Dogra TD. Road traffic fatalities in Delhi: causes, injury patterns, and incidence of preventable deaths. Accid Anal Prev. 1994;26:377-84.

Jagnoor. Road traffic injury prevention: A public health challenge. Indian J community Med. 2006;31:129-31.

Mishra B, Sinha ND, Sukhla SK, Sinha AK. Epidemiological study of road traffic accident cases from Western Nepal. Indian J Community Med. 2010;35:115-21.

Siviroj P, Peltzer K, Pengpid S, Morarit S Helmet use and associated factors among Thai motorcyclists during Songkran festival. Int J Environ Res Public Health. 2012;9:3286-97.

Kudebong M, Wurapa F, Nonvignon J, Norman I, Awoonor-Williams JK, Aikins M. Economic burden of motorcycle accidents in Northern Ghana. Ghana Med J. 2011;45(4):135-42.

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Published

2019-12-26

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Original Research Articles