@article{ref1,
title="Demographic study of orthopedic trauma among patients attending the accident and emergency department in a tertiary care hospital",
journal="Indian journal of orthopaedics",
year="2019",
author="Rohilla, Rajesh Kumar and Kumar, Sumit and Singh, Roop and Devgan, Ashish and Meena, Hari Singh and Arora, Varun",
volume="53",
number="6",
pages="751-757",
abstract="BACKGROUND: Trauma causes a major burden on the health system and economy of the country. A better understanding of the epidemiology of trauma can be of great help in planning preventive and curative strategies. <br><br>MATERIALS AND METHODS: A total of 4834 patients of trauma presenting during 1 year were included in this observational study. Demographic profile and other related criteria were noted, and data were statistically analyzed. <br><br>RESULTS: Male to female ratio was 5:1; most affected age group was 25-44 years in males and 45-64 years in females; 23.2% were illiterate; and professionals and students were most commonly affected. Road traffic accident (RTA), fall, and assault were the three most common causes; two wheelers were the most common accident causing vehicle. Nearly 17.7% were below poverty line and 67.6% reached hospital within 12 h. Medicolegal cases were 29.7%; only 29.3% reached hospital by ambulance and 3.72% were hemodynamically unstable. Only 3.6% received prehospital care and 16.23% were under alcohol influence. About 23.18% of RTA victims were pedestrians; city roads were the most common accident site. Head injury (25.85%) was the most common associated injury. Fractures were most common in hand (9.72%). The injury severity score (ISS) and New ISS were worse in the patients who were not using seat belt/helmet or were under influence of alcohol. The rate of death and associated injuries was also higher in this group. <br><br>CONCLUSION: Trauma is a major preventable cause of mortality and morbidity mainly affecting the productive age group of the society.<br><br>Copyright: © 2019 Indian Journal of Orthopaedics.<p /> <p>Language: en</p>",
language="en",
issn="0019-5413",
doi="10.4103/ortho.IJOrtho_161_19",
url="http://dx.doi.org/10.4103/ortho.IJOrtho_161_19"
}