Head and neck injury in major trauma in Ireland: a multicentre retrospective analysis of patterns and surgical workload

Patterns of Head and Neck Injuries in Urban India: A Multicenter Study

“…First, most head and neck injuries do not warrant hospital admission and can be addressed in urgent or emergency care settings 19 . Second, because this study excluded patients with TBI, which often co‐occurs with otorhinolaryngologic injuries, 21,22 our numbers are lower than those reported by studies that did not exclude intracranial injuries 20,22 . Third, the 5% prevalence is likely an underestimate, as data collectors might not have coded every single minor head and neck injury in polytrauma patients with a more severe injury in another body region.…”

“…About 5% of all admitted Indian trauma patients had a head and neck injury, and 1% sustained an isolated head and neck injury. While the reported prevalence varies widely depending on study settings and populations, 1 study found that 27.5% of major trauma patients had a head and neck injury 20 . There are several potential reasons for these seemingly low figures.…”

“…While the reported prevalence varies widely depending on study settings and populations, 1 study found that 27.5% of major trauma patients had a head and neck injury. 20 There are several potential reasons for these seemingly low figures. First, most head and neck injuries do not warrant hospital admission and can be addressed in urgent or emergency care settings.…”

“… 19 Second, because this study excluded patients with TBI, which often co-occurs with otorhinolaryngologic injuries, 21 , 22 our numbers are lower than those reported by studies that did not exclude intracranial injuries. 20 , 22 Third, the 5% prevalence is likely an underestimate, as data collectors might not have coded every single minor head and neck injury in polytrauma patients with a more severe injury in another body region. Regardless, head and neck injuries alone are not a predominant cause of hospitalization in the Indian context.…”

“…The mortality rate of patients with isolated head and neck injuries in urban India is higher than what has been reported in the global literature, which ranges from less than 1% to 10%. 13 , 19 , 20 , 25 The wide range of mortality in the literature is ascribed to differences in eligibility criteria and patient populations, with some studies including intracranial injuries and polytrauma patients. The substantial burden of unspecified neck injury observed in our cohort further demonstrates the variability in inclusion, disease burden, and populations reported in these studies.…”