TY  - JOUR
PY  - 2022//
TI  - Patterns of head and neck injuries in urban India: a multicenter study
JO  - OTO Open
A1  - Kim, Eric K.
A1  - Suri, Deepak
A1  - Mahajan, Anshul
A1  - Bhandarkar, Prashant
A1  - Khajanchi, Monty
A1  - Gadgil, Anita
A1  - Ranganathan, Kavitha
A1  - Gerdin Wärnberg, Martin
A1  - Roy, Nobhojit
A1  - Raykar, Nakul P.
SP  - e2473974X221128217
EP  - e2473974X221128217
VL  - 6
IS  - 4
N2  - OBJECTIVE: The pattern of head and neck injuries has been well studied in high-income countries, but the data are limited in low- and middle-income countries, which are disproportionately affected by trauma. We examined a prospective multicenter database to describe patterns and outcomes of head and neck injuries in urban India. STUDY DESIGN: Retrospective review of trauma registry. SETTING: Four tertiary public hospitals in Mumbai, Delhi, Kolkata. <br><br>METHODS: We identified patients with isolated head and neck injuries using International Classification of Diseases, 10th Revision (ICD-10) codes and excluded those with traumatic brain and/or ophthalmic injuries and injuries in other body regions. <br><br>RESULTS: Our cohort included 171 patients. Most were males (80.7%) and adults aged 18 to 55 years (60.2%). Falls (36.8%) and road traffic accidents (36.3%) were the 2 predominant mechanisms of injury. Overall, 35.7% required intensive care unit (ICU) admission, and 11.7% died. More than 20% of patients were diagnosed with "unspecified injury of neck." Those with the diagnosis had a higher ICU admission rate (51.4% vs 31.3%, P =.025) and mortality rate (27.0% vs 7.5%, P =.001) than those without the diagnosis. <br><br>CONCLUSION: Isolated head and neck injuries are not highly prevalent among Indian trauma patients admitted to urban tertiary hospitals but are associated with high mortality. Over a fifth of patients were diagnosed with "unspecified injury of neck," which is associated with more severe clinical outcomes. Exactly what this diagnosis entails and encompasses remains unclear.<p />  <p>Language: en</p>
LA  - en
SN  - 2473-974X
UR  - http://dx.doi.org/10.1177/2473974X221128217
ID  - ref1
ER  -