Publication:

Epidemiological evaluation (age, sex, mode of injury, organ injured) of two hundred and sixty two cases of trauma admitted through the emergency department of tertiary care centre and their relation to mortality

Background Trauma is a global phenomenon and a major cause of morbidity and mortality throughout the world. It is the disease of young and the leading cause of death in the first four decades of life. The aim of this study was to evaluate this developing country trauma centre in terms of treatment and outcome and compare it with centers around the world.

Methods Two hundred and sixty two consecutive cases of polytrauma of adult age group admitted in casualty of Hamidia Hospital, Gandhi Medical College, Bhopal, Madhya Pradesh, India from 1 July 2014 to 1 December 2014.

Results Trauma principally affects the young population. In our study 28.2% of the patients were between the age group 20-29 years. 29.8% of the patients were between the age group 30-39 years. In our study, males comprised 87.8% (232 out of the total 262 patients). In our study, traffic collisions were responsible for 91% of cases (238 cases out of 262). Region affected by trauma: head and neck accounted for 43.7% of injured patients followed by lower limb injuries (33.8%).

Conclusions Out of the 262 patients included in our study 242 were discharged alive while 20 (7.6%) died. The analysis of effect of age on mortality in our study brought forward the fact that mortality increase with age and becomes nearly double for patients over 50 years of age (11.78% age specific mortality) of age for the same degree of injury severity as compared to patients below 50 years of age (5.2% of age specific mortality).