Prevalence and Nature of Trauma and Injuries in Karachi National Trauma Registry of Pakistan “The Need of the Hourâ€
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2017, Vol 29, Issue 03
Abstract
Objective: To assess the prevalence, nature of trauma, reason(s) behind these trauma and first-aid care provided during transportation to hospital in Karachi Pakistan. Study also presents the framework of a national trauma registry and comparatively analyzes data between other registries. Method: This cross sectional observational / descriptive study was conducted from July 2015 to Dec 2015. An informed verbal consent was taken and preformed questionnaire was filled. Patient brought dead and who did not give consent were excluded. Data was analyzed using SPSS 21 for statistical significance. Results: The study conducted on 1500 patients includes 1030 males (68.7%) and 470 females (31.3%). Mean age was 45 SD 28.69Maximum injuries occurred in age group of 11-20 year. By occupation most were found to be students & children 350(23.3%). Most traumas occurred on road 919(61.3%) and other occurred in home 349(22.7%). Road traffic accidents are found to be major cause of injuries 730(48.7%) and rest was due to other causes 630(42.0%).The vehicle involved in majority of cases was motorcycle 340(22.7%). In most of the cases emergency medical service 72148.0% was used for the transportation of the patients. During transportation (100%) of victims were not provided with first aid, breathing care/ bleeding care/iv fluids and splints/slabs. Severity at emergency room of patients was mainly moderate (52.7%) while severe condition was suffered by (32.0%) of patients and mild (14.7%). Conclusion: This study concluded that the transport accidents are the major health problems especially in young population in Karachi. For better transportation of patients it is needed to upgrade facilities of ambulances and other emergency medical services. Emergency medical care facilities (including emergency trauma centers) establishment at district level, sub-divisional level are needed to provide good and quality care to trauma patients. Improvement in trauma care depends on the establishment of functioning trauma care systems, of which a trauma registry is a crucial component
Authors and Affiliations
Muhammad Saeed Minhas,Muhammad Muzzammil, Jahanzeb Effendi, Syed JahanzebAnisuddin Bhatti
Keywords
Related Articles
- EP ID EP741726
- DOI -
- Views 17
- Downloads 0
Open Tibial Fractures, (Its Management by Fasciocutaneous Flaps and Prevention)
Most traumatic injuries to the tibia are caused by motor cycle or automobile accidents. Motor cycle related tibial injuries have high incidence of skin and soft tissues loss. To decrease this burden, spectrum of activiti...
Incidence of Early Surgical Site Infection (SSI) in Elective Orthopaedic Implant Surgeries
Objective: To evaluate the frequency of SSI and isolated infectious micro-organisms with length of hospital stay. Methods: Patients with closed fractures planned for elective surgeries admitted in Orthopaedic departme...
COVID-19 and Practice of Orthopaedic Surgery: Pakistan Perspective.
The Global pandemic of COVID-19 has affected the health care system worldwide. Hospitals in Pakistan are getting overcrowded with COVID-19 patients and healthcare workers are getting infected with virus in increased numb...
Effect of Plasma Enriched with Platelets in Mild to Moderate Osteoarthritis of Knee Joint.
Objective: To determine the effectivity of Plasma enriched with platelets in early knee articular-arthritis Methodology: 125 patients who were added in the study, were of either gender with early knee osteoarthritis (...
Minimally Invasive Dynamic Hip Screw for Fixation of Stable Intertrochanteric Fractures of The Femur
Objective: To determine outcome of minimal invasive dynamic hip screw procedure for fixation of stable intertrochanteric fractures of the femur. Methodology: A total of 40 patients with closed stable intertrochanteric fe...