Surgical Emergencies in a Tertiary Care Hospital: A Brief Overview
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 3
Abstract
Introduction: Emergency admissions form a major bulk of total surgical admissions. This study was done to look for the current spectrum of surgical emergencies in a tertiary care hospital. Material and methods: This study was a prospective analysis of patients reported in June 2010 in Accident and Emergency department, Pt. B.D. Sharma PGIMS, Rohtak. Result: A total of 2349 patients reported, 1501 (63.89%) patients were of trauma, 848 (36.11%) were of non trauma. Out of 1501 trauma patients, most common mode of injury was road side accidents (62.23%) and most of the patients (57.76%) were non referred. Males patients (78.22%) outnumbered female patients (21.78%). Most common injury was soft tissue injury limbs (22.88%) and most of them were managed conservatively. Orthopedics operations were most commonly performed procedure and maximum number of the patients were (44.83%) admitted in ward for definitive treatment.Mortality of trauma patients during the study period was 4.13%.Out of 848 non trauma patients most of the patients were non referred (84.78%). Most common diagnosis were colics (42.92%) and most of them (82.40%) were managed conservatively.Laparotomy (41.22%) was the commonest procedure doneand most of the patients were discharged without admission (71.58%) after successful treatment. Mortality in nontrauma patients was 0.7%. Conclusion: The study showed that major workload of an accident and emergency department deals with cases of trauma and among non trauma colic came out to be the most common cause.
Authors and Affiliations
Anjali Verma, Surender Verma, Pradeep Garg, Rajesh Godara, RK Karwasra, Naveen Verma
Keywords
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