Study Of Mechanism Of Injury, Pattern Of Injury And Mode Of Transport Influencing Outcome Of Trauma Patients At Level I Trauma Center: A Retrospective And Prospective Observational Study
DOI:
https://doi.org/10.52783/jns.v14.2578Abstract
Approximately 1.19 million people die each year as a result of road traffic crashes. Road traffic injuries are the leading cause of death for children and young adults aged 5–29 years. 92%t of the world's fatalities on the roads occur in low- and middle-income countries, even though these countries have around 60% of the world's vehicles.In this we understand major mechanism of injury and to correlate with anatomical injury and to study pattern of injuries and their outcome. This retrospective prospective observational study was done in department of Emergency Medicine in of Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow. It was carried out for 18 months. All trauma patients attending surgical causality, department of trauma surgery, orthopedic, male and female both were included.Patient leaves against medical advice, absconded patient, referred to another center were excluded.150 retrospective and 150 prospectivepatients taken in this study.Male were more common in our study. Only 33.63% patients were used safety device. Two wheelers and drivers were more affected in RTA. In our study maximum patients were reach our hospital after 24 hours and mode of transportation was use Government Ambulance or private vehicle. Most of the patients given first add in Government Hospital/Clinic by paramedical staff or doctor and referred from government hospital. Head was the most injured part observed in our study. Most of the patients were admitted and thereafter discharged from our hospital. We observed no differences in hospital complications between patients. Further investigation is warranted to identify the underlying causes of complications to facilitate reduction and improve patient outcomes. Increasing awareness of the EMS contact number may increase EMS utilization. Finally, effective preventive programs to prevent MVC are desperately needed reduce associated complications and improve population health.
IED: Improvised Explosive Devices, ATLS: Advanced Trauma Life Support, CO: Cardiac Output, SNS:Sympathetic Nervous System, SVR: Systemic Vascular Resistance, BAC: Blood Alcohol Concentration, GSW: Gunshot Wounds, LOS: Length of Stay, TCD: Transcranial Doppler
Downloads
Metrics
References
Mehmood A, Agrawal P, Allen KA, Al-Kashmiri A, Al-Busaidi A, Hyder AA. Childhood injuries in Oman: retrospective review of a multicentre trauma registry data. BMJ Paediatrics Open. (2018) 2:e000310. 10.1136/bmjpo-2018-000310 [DOI] [PMC free article] [PubMed] [Google Scholar]
Sleet DA. The global challenge of child injury prevention. Int J Environ Res Public Health. (2018) 15(9):1921. 10.3390/ijerph15091921 [DOI] [PMC free article] [PubMed] [Google Scholar]
Peden M, Oyegbite K, Ozanne-Smith J, Hyder AA, Branche C, Rahman AKMF, et al. editors. World Report on Child Injury Prevention. Geneva: World Health Organization; (2008). [PubMed] [Google Scholar]
Alyafei KA, Toaimah F, El Menyar A, Al Thani H, Youssef B, Mollazehi M, et al. Analysis of pediatric trauma data from a hospital based trauma registry in Qatar. Int J CritIllnInj Sci. (2015) 5(1):21–6. 10.4103/2229-5151.152312 [DOI] [PMC free article] [PubMed] [Google Scholar]
Consunji R, Malik S, El-Menyar A, Mollazehi M, Al-Thani H, Peralta R. Pediatric road traffic injuries in Qatar: evidence for a developmental stage approach to road safety. Qatar Med J. (2020) 2020(1):3. 10.5339/qmj.2020.3 [DOI] [PMC free article] [PubMed] [Google Scholar]
El-Menyar A, Consunji R, Asim M, Abdelrahman H, Zarour A, Parchani A, et al. Underutilization of occupant restraint systems in motor vehicle injury crashes: a quantitative analysis from Qatar. Traffic Inj Prev. (2016) 17(3):284–91. 10.1080/15389588.2015.1069820 [DOI] [PubMed] [Google Scholar]
El-Menyar A, Mekkodathil A, Asim M, Consunji R, Strandvik G, Peralta R, et al. Maturation process and international accreditation of trauma system in a rapidly developing country. PLoS One. (2020) 15(12):e0243658. 10.1371/journal.pone.0243658 [DOI] [PMC free article] [PubMed] [Google Scholar]
De Freitas Caires N, Gaudet A, Portier L, Tsicopoulos A, Mathieu D, Lassalle P. Endocan, sepsis, pneumonia, and acute respiratory distress syndrome. Crit Care. (2018) 22:280. 10.1186/s13054-018-2222-7 [DOI] [PMC free article] [PubMed] [Google Scholar]
Palmer C. Major trauma and the injury severity score–where should we set the bar? Annu Proc AssocAdvAutomot Med. (2007) 51:13–29. [PMC free article] [PubMed] [Google Scholar]
Brown JB, Gestring ML, Leeper CM, Sperry JL, Peitzman AB, Billiar TR, et al. The value of the injury severity score in pediatric trauma: time for a new definition of severe injury? J Trauma Acute Care Surg. (2017) 82(6):995–1001. 10.1097/TA.0000000000001440 [DOI] [PMC free article] [PubMed] [Google Scholar]
Consunji RJ, Peralta RR, Al-Thani H, Latifi R. The implications of the relative risk for road mortality on road safety programmes in Qatar. Inj Prev. (2015) 21(e1):e105–8. 10.1136/injuryprev-2013-040939 [DOI] [PubMed] [Google Scholar]
Grivna M, Eid HO, Abu-Zidan FM. Pediatric and youth traffic-collision injuries in Al Ain, United Arab Emirates: a prospective study. PLoS One. (2013) 8(7):e68636. 10.1371/journal.pone.0068636 [DOI] [PMC free article] [PubMed] [Google Scholar]
lnaami I, Alshehri S, Alghamdi S, Ogran M, Qasem A, Medawi A, et al. Patterns, types, and outcomes of head injury in aseer region, kingdom of Saudi Arabia. Neurosci J. (2019) 2019:2782146. 10.1155/2019/2782146 [DOI] [PMC free article] [PubMed] [Google Scholar]
Gad A, AL-Eid R, Al-Ansary S, Saeed AB, Kabbash A. Pattern of injuries among children and adolescents in Riyadh, Saudi Arabia: a household survey. J Trop Pediatr. (2011) 57(3):179–84. 10.1093/tropej/fmq073 [DOI] [PubMed] [Google Scholar]
Alghnam S, Towhari JA, Al Babtain I, Al Nahdi M, Aldebasi MH, Alyami M, et al. The associations between injury mechanism and extended hospital stay among pediatric patients: findings from a trauma center in Saudi Arabia. BMC Pediatr. (2019) 19(1):177. 10.1186/s12887-019-1559-7 [DOI] [PMC free article] [PubMed] [Google Scholar]
AlAteeq MA, Alsulayhim AK, AlHargan F, AlSamaani IS, Alyousef M, AlDossari A. Morbidity patterns of non-traffic unintentional injuries among the pediatric age group attending the emergency department at king Abdul-Aziz medical city, Riyadh, Saudi Arabia. Cureus. (2020) 12(7):e9258. 10.7759/cureus.9258 [DOI] [PMC free article] [PubMed] [Google Scholar]
Alkhamis KN, Abdulkader RS. Assessment of unintentional childhood injuries and associated factors in the pediatric clinics of a tertiary care hospital in Riyadh, Saudi Arabia. J Family Community Med. (2020) 27(3):168–77. 10.4103/jfcm.JFCM_75_20 [DOI] [PMC free article] [PubMed] [Google Scholar]
Al-Sarheed S, Alwatban J, Alkhaibary A, Babgi Y, Al-Mohamadi W, Masuadi EM, et al. Cervical spine clearance in unconscious pediatric trauma patients: a level l trauma center experience. Childs Nerv Syst. (2020) 36(4):811–7. 10.1007/s00381-019-04440-5 [DOI] [PubMed] [Google Scholar]
Alhabdan S, Zamakhshary M, AlNaimi M, Mandora H, Alhamdan M, Al-Bedah K, et al. Epidemiology of traumatic head injury in children and adolescents in a major trauma center in Saudi Arabia: implications for injury prevention. Ann Saudi Med. (2013) 33(1):52–6. 10.5144/0256-4947.2013.52 [DOI] [PMC free article] [PubMed] [Google Scholar]
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
