Original Research Article
Year: 2018 | Month: November | Volume: 5 | Issue: 11 | Pages: 190-195
Prevalence, Pattern and Outcome of Trauma Patients in North India: A Descriptive Study
Sharma Rajni1*, Bhartiya SK1, Gupta S1, Shukla VK1, Mishra SP2, Hakim M Z2, Sharma S2, Singh P1*
1*Trauma Nursing Coordinator, Trauma Centre and Superspeciality Hospital, Institute of Medical Sciences, BHU, India.
1Department of General Surgery, Trauma Centre and Superspeciality Hospital, Institute of Medical Sciences, BHU, India.
2Department of General Surgery, Trauma Centre and Superspeciality Hospital, Institute of Medical Sciences, BHU, India.
Corresponding Author: Sharma Rajni
ABSTRACT
The prospective study aims to evaluate the prevalence of Trauma its pattern, causes, management and outcome of Trauma victims admitted in Trauma centre, BHU, Varanasi.
On an average 70-80 Trauma patients were reporting to Emergency Department every day at Trauma centre BHU. In the study detailed history and examination of all patients were done like age, sex, injury type (blunt/ penetrating) and mechanism of injury, prehospital care. Apart from the injury patterns and Trauma scoring, causes and clinical condition were assessed at the time of arrival. Follow up of the in hospital Trauma cases and their definitive management had been assessed.
During the study period of six month ( 1 March 2018 to 31 August 2018) total 10200 patient reported to the Trauma Emergency Department , The incidence of Trauma were found more among male with 76.61% with male: female ratio 2:7, Adult with age group of 11-30yrs reported maximum injuries(43%) , Also only 61.47% of the Trauma cases has received Pre hospital care before arrival and 38.52% of the cases reported directly, 64.91% were stable 34.50% of the cases were unstable at the time of arrival and 0.588% of the patients were brought dead to ED. Road traffic accidents/Motor vehicle accidents (RTA/MVA) is found to be the major cause of Trauma followed by Falls, Miscellaneous (Machinery, others), Physical assault, Fire arms and Animal induced injuries. The Injury severity scoring (ISS) ranges from 1-15 is 57.09% followed by 24.08% (ISS16-24), 14.85%( ISS 25-49), 3.97 %( ISS50-75)
Out of 10200 casualties only 3031 cases were admitted for definitive management out of which 30.88% of the cases were recovered and perform activity of daily living, 50.68% recovered but disabled,11.36% Expired, 4.77% of patients went DAMA(Discharge against medical advice ) and 2.27% of the patients were absconded.
Key words: Trauma, Motor Vehicle Accident (MVA)
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