Epidemiology of Trauma Victim Deaths among Patients Admied to a Trauma Center of Northern India
Journal Title: Journal of Bone and Joint Diseases - Year 2018, Vol 0, Issue 0
Abstract
Introduction: There is significant one year mortality among trauma victims admitted to a trauma centre. Epidemiology of these deaths may be helpful in identifying such patients that may die. Aim: To describe the epidemiology of trauma victims that died during a one year follow up period after being admitted to the trauma centre of KGMU. Material and Methods: This observational study enrolled trauma victims over a 1‑year period. Characteristics recorded were age, sex, systolic blood pressure at admission, respiratory rate at admission, Glasgow Coma Scale score at the time of admission, time since injury to admission, referral, specific injury, Injury Severity Score, chronic medical condition, mechanism of injury, and the regions involved. Patients were followed up for a period of one year to record one year mortality. Results: Two thousand two hundred eighty eight patients were enrolled in the study. Five hundred seventy two patients died during the follow up period of one year since injury. Mean age was 38.12 years and 79.02% of the dead were males. The mean injury severity score was 20.22. Mean respiratory rate was 24.80; mean systolic BP 110 mm of Hg; mean GCS was 7.21; abnormal APTT was present in 44.28% of 569 fatalites. Common regions involved were isolated head injury, neuro-polytrauma, and other polytrauma. Neurological injuries and orthopaedic injuries constituted a vast majority of the total of 800 injuries recorded in the 572 fatalities. 66.48% sustained injuries due to a road traffic accident. Of these cases, 86.58% involved pedestrians, cyclists or motorcyclists. 22.37% patients sustained injury due to a fall. Mechanism found to be significantly positively associated with mortality were pedestrian or bicycle being hit by a speeding vehicle other than motor cycle, pillion rider slipping from a moving motorcycle, and fall from greater than body height. Mean time to death was 12 days. Conclusion: Head injury and polytrauma are the common regions involved in victims of trauma deaths. Neurological injuries and orthopaedic injuries are commonly sustained by victims of trauma deaths. Mechanism significantly positively associated with mortality are pedestrian or bicycle being hit by a speeding vehicle other than motor cycle, pillion rider slipping from a moving motorcycle, and fall from greater than body height.
Authors and Affiliations
Vikas Verma, Santhosh Kumar, Girish Kumar Singh
Keywords
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