Profile of trauma patients in the emergency department of a tertiary care hospital in South India

Abhilash, Kundavaram Paul Prabhakar; Chakraborthy, Nilanchal; Pandian, Gautham Raja; Dhanawade, Vineet Subodh; Bhanu, Thomas Kurien; Priya, Krishna

doi:10.4103/2249-4863.197279

Cited by 40 publications

(35 citation statements)

References 8 publications

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“…Similarly, the mean age of the multiple trauma patients in the study is 41.34 ± 19.41 years. This is consistent with the earlier reports which were conducted in other regions such as India 17 and Iran, which are also recognized as developing regions. 14 Concerning the clinical characteristics of the patients, RTA is observed to be the most primary source of trauma among the patients.…”

Section: Discussionsupporting

confidence: 93%

<p>Relationship Between Initial Arterial Blood Gases and Coagulation Profiles – Analyzing the Prognosis and Outcomes in Patients with Multiple Injuries/Trauma</p>

Raffee

Alawneh

Alustath

2020

OAEM

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Purpose: Trauma is recognized as a significant health concern across the world. The increase in the mortality rate of multiple trauma (MT) patients serves as a major issue for health-care providers. The study investigates the relationship between the initial arterial blood gases and coagulation profiles among the multiple injured/trauma patients. Results: The results showed that patients were mainly male (79.6%) and had RTA (71.5%). They had a normal pH (50.4%) and pCO2 (68.6%) while decreasing HCO3 (51.1%). An increasing level of pCO2 (45%) along with PT (28%), PTT (17%) and INR (23%) is observed. It also showed a decreasing level of platelets (39%). The overall findings showed a close association of the blood gases and coagulation indicators. Conclusion: The study concludes that to control the coagulation markers, the blood gases of the patients should be screened and monitored.

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Section: Discussionsupporting

confidence: 93%

<p>Relationship Between Initial Arterial Blood Gases and Coagulation Profiles – Analyzing the Prognosis and Outcomes in Patients with Multiple Injuries/Trauma</p>

Raffee

Alawneh

Alustath

2020

OAEM

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“… 4 – 6 Among patients with trauma, FFH is the second most common cause of injury-associated mortality after road traffic accidents in India. 7 Literature review from the West suggests that the injuries caused by falls are more likely to be life-threatening than most other types of injuries. 8 , 9 These incidents mainly include occupational accidents in the construction industry and may lead to permanent disabilities and a high rate of fatalities.…”

Section: Introductionmentioning

confidence: 99%

An Elucidation of Pattern of Injuries in Patients with Fall from Height

Aparna

Hazra

Jyothirmayi

et al. 2020

Indian Journal of Critical Care Medicine

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A bstract Background Fall from height (FFH) is the second most common cause of trauma presenting to the emergency department (ED). They account for majority of the polytrauma cases. This study was done to determine the pattern of injuries sustained due to FFH and outcome. Materials and methods This was a retrospective observational study of all patients with history of FFH presenting to the ED of a large tertiary care hospital in South India. Details of the incident, fall height, injuries, and outcome were noted and analyzed. Results This study cohort included 861 patients with a mean age was 36.2 (SD 20.8) years. A male predominance (74%) was noted. Majority of the patients, i.e., 62%, were triaged as priority 2, depending on the hemodynamic stability. Approximately a quarter (26%) sustained injury to the lower limbs with 18% sustaining spinal cord injury (SCI). Among the patients suffering SCI (35%), patients were further categorized in the American Spinal cord Injury Association (ASIA) classification. New Injury Severity Score (NISS) was more than 8 in 47% of the total study population. Majority of the patients, i.e., 62%, were discharged stable from ED after primary care with a plan of follow-up in the outpatient department. One-third (30%) of the total patients required hospital admission and among them 20% of the patients had to undergo major surgical intervention. The rest were either discharged stable or left against medical advice (LAMA) after primary care. The in-hospital mortality rate was 1.04%. Conclusion This study has expressed the pattern of injuries in patients with FFH. An alarmingly high number of young adults with significant lower limbs and spinal injuries were noted. We observed that with increase in fall height there was a proportional increase in SCI and decrease in lower limb injuries. How to cite this article Lohanathan A, Hazra D, Jyothirmayi CA, Kundavaram AP. An Elucidation of Pattern of Injuries in Patients with Fall from Height. Indian J Crit Care Med 2020;24(8):683–687.

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“…In the present study RTAs were the predominant cause of trauma, a result consistent with other studies from India and abroad. 7,15 Four wheel vehicles offer a fair amount of protection to those inside unlike two wheeler passengers and pedestrians who are directly exposed to the elements of the road. This explains the overwhelming majority of the accidents involving two wheelers and pedestrians, consistent with other Indian studies.…”

Section: Resultsmentioning

confidence: 99%

“…A study done in North Ireland found the mean duration of presentation after hand injury to be 2.9 hours while a study from hospital in southern India found the mean duration to arrival at hospital to be 3 hours. 7 In low income countries like India, pedestrians, cyclists, motorized two wheeler vehicle users are exposed to a higher risk for hand injuries than 4 wheeler users. 4 Risk factors contributing to the higher rate of incidence were found to be excessive speed, use of alcohol and drugs, young male, poor visibility on roads, non-use of seat belts and helmets etc.…”

Section: Introductionmentioning

confidence: 99%

A descriptive study of patterns of traumatic hand injury cases in a tertiary care hospital

et al. 2020

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Background: All patients who presented to the emergency and trauma with a clinical evidence of hand injury were assessed based on the history and examination, mechanism of injury, common patterns of the injuries, management of the injuries and their functional outcome. The aim and objective were to study the mode, pattern, management and early outcome of hand injury cases attending Department of Emergency Medicine and trauma.Methods: This was a hospital based descriptive study, of patients presenting with hand injuries to the emergency department. The management plan was formulated and the outcomes of the treatment were assessed by limb function loss and Quick DASH 9 score.Results: Majority of our study population belonged to 16 to 35 years age group comprising of mostly males. Most of the incidents occurred within 50 km from our hospital. The mean duration to arrival at our hospital from site of injury was 2.71±2.61 hours. Road traffic accident in males and thermal burns in females were common. Fractures to phalanges of index and middle fingers were the most common type of injury. The average calculated Quick DASH 9 score was found to be 51.24±9.89.Conclusions: Hand injuries were found to be more prevalent in lower socioeconomic strata of the society with education status and occupation as major risk factors. Increased awareness and better implementation of traffic rules and better safety measures at workplace environment are the need of the hour to decrease the burden of hand injury.

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Profile of trauma patients in the emergency department of a tertiary care hospital in South India

Cited by 40 publications

References 8 publications

<p>Relationship Between Initial Arterial Blood Gases and Coagulation Profiles – Analyzing the Prognosis and Outcomes in Patients with Multiple Injuries/Trauma</p>

<p>Relationship Between Initial Arterial Blood Gases and Coagulation Profiles – Analyzing the Prognosis and Outcomes in Patients with Multiple Injuries/Trauma</p>

An Elucidation of Pattern of Injuries in Patients with Fall from Height

A descriptive study of patterns of traumatic hand injury cases in a tertiary care hospital

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