@article{ref1,
title="A retrospective analysis of the profile of trauma victims presenting to an emergency department in South India",
journal="Journal of family medicine and primary care",
year="2022",
author="Kundavaram, Paul Prabhakar Abhilash and Jindal, Anmol and Hazra, Darpanarayan and Biju, Albin and Raju, Feema and Samarpit, C. C.",
volume="11",
number="5",
pages="1907-1912",
abstract="BACKGROUND: Trauma is a leading cause of morbidity and mortality in both developed and developing countries. <br><br>METHODOLOGY: This retrospective observational study was done in the Emergency Department (ED) of a tertiary care trauma center in Southern India in 2018 (January to December). <br><br>RESULTS: During the study period of 1 year, the ED attended 74,466 patients which included 7675 (10.3%) trauma patients. The mean age was 35.3 (SD: 18.5) years with three-fourth (76.6%) being males. Pediatric/adolescents (age ≤18 years) and geriatric age groups (age ≥60 years) comprised 16.7% and 11.8% cases, respectively. Road traffic accidents (RTA) (66%) were the predominant mode of injury followed by falls (fall from height: 8.6% and fall on level ground: 7.8%). Among the RTAs, the majority were two-wheelers related (73.8%), followed by pedestrian injuries (9.4%) and four-wheelers injuries (7.2%). Bivariate and multivariate logistic regression analysis showed pedestrian injuries, low Glasgow Coma Scale (GCS), and hypotension at arrival as independent predictors of hospital mortality. The in-hospital mortality rate was 0.7%. A quarter (24%; n = 1841) of the patient's population was solely managed by the ED team and discharged stable, while 2179 (28.4%) victims required hospital admission. <br><br>CONCLUSION: Trauma is a major cause of mortality especially among the breadwinners of families in India with almost half being due to two-wheeler accidents. Efficient ED professionals and a multispecialty team of trauma surgeons, neurosurgeons, and orthopedics handle the major load of acute trauma. Pedestrian injuries, low GCS, and hypotension at arrival are independent predictors of in-hospital mortality.<p /> <p>Language: en</p>",
language="en",
issn="2249-4863",
doi="10.4103/jfmpc.jfmpc_1896_21",
url="http://dx.doi.org/10.4103/jfmpc.jfmpc_1896_21"
}