PATTERN OF SURGICAL TRAUMA- A RETROSPECTIVE STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 52
Abstract
BACKGROUND Surgical trauma is known to be an important public health problem throughout the world and so also in metropolitan cities in our country, due to erratic traffic and poor response by onlookers as well as poorly organised pre-hospital care and transportation to tertiary care centre. So, we have studied our hospital data for our introspection for improving overall management of surgical trauma victims. MATERIALS AND METHODS A total number of 2094 cases of surgical trauma patients admitted in Department of Trauma and Emergency Surgery at LLR Hospital, GSVM Medical College, Kanpur, UP, India from January 2015 to December 2015 were studied. The road traffic accidents and fall from height were included in our study. We analysed our data in relation to age and sex distribution, injury pattern, complexity of injuries with mortality. RESULTS 45% cases were in age group of 31 to 50 years with 20% between 51 to 70 years of age group. Males were predominant i.e. 64% were male and 36% were female. 85% cases were from road traffic accidents and 15% were height from fall. 4.5% were chest injuries and 5.2% were abdominal injuries. The head injuries were predominant (78.22%). Among the head injuries, cases of SDH were 15.75%, EDH were 12.82%, SAH were 12.57%, rest were cerebral concussion and scalp injuries. The overall mortality was 16.72% and maximum were from road traffic accidents (85%). CONCLUSION The complexity of surgical/traumatic injuries leads to major challenges which include involvement of multispecialty and dedicated trauma team along with diagnostic facilities and emphasis on pre-hospital care by trained paramedical staff in surgical trauma care, and earliest transportation to nearest hospital and further to tertiary care centres.
Authors and Affiliations
Raj Kumar Singh, Rajesh Kumar Maurya, Krishna Bahadur Mishra, Saurabh Singh
Keywords
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- EP ID EP220246
- DOI 10.14260/Jemds/2017/862
- Views 99
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