Article

Pattern of injuries in trauma patients presenting in Accident and Emergency Department of Jinnah Hospital, Lahore

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Abstract

Objective: To observe the pattern of injuries in patients involved in different kinds of trauma presenting to the Accident and Emergency Department of Jinnah Hospital Lahore. Design: A prospective descriptive epidemiological study. Place and duration of study: Accident and emergency department of Jinnah Hospital Lahore. From 1st April 2005 to 30th September 2005. Subjects and methods: The study included patients presenting with different kinds of trauma to the emergency department of Jinnah Hospital, Lahore. They were further categorized into trauma of different regions of the body i.e. upper limb, lower limb, abdomen, head & neck, thorax and perineum. Then frequency of different types of trauma was determined. Results: During this period (1st April2005 to 30th September 2005), 111`413 patients presented in accident and emergency department and 4680 patients had traumatic injury. 1404 patients (30%) had blunt trauma, 134(2.86%) had penetrating firearms injury, 2433(51.99%) had penetrating sharp injury an d 709 patients (15.15%) had crush injury. Most patients got upper limb, lower limb, head & neck and abdominal injuries, in that order. Most patients received multiple injuries. 3340 patients (71.36%) got only minor surgery like stitching under local anaesthesia and 468 patients (10%) had no surgery at all. 872 patients (18.63%) underwent some kind of major surgical procedure like amputation, exploratory laparotomy, or stitching under GA etc. Conclusion: Trauma is a leading cause of morbidity and mortality among all age groups. Most of the trauma victims receiving minor injuries can be treated at primary heath care centers. This can decrease the load of tertiary care hospitals. Maximum impact in reducing the burden of trauma must come from injury prevention strategies.

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... Trauma mortalities constitute the tip of the iceberg because of millions of people seeking hospital care for trauma management [5]. Mortality from trauma accounts for most deaths compared with deaths of heart diseases and cancer [6]. ...
... In the present study, most patients reached the hospital within 30 min after trauma. The transport duration differed greatly among studies from 20 to 30 min [6] up to 50 min [27]. ...
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... Trauma mortalities constitute the tip of the iceberg because of millions of people seeking hospital care for trauma management [5]. Mortality from trauma accounts for most deaths compared with deaths of heart diseases and cancer [6]. ...
... In the present study, most patients reached the hospital within 30 min after trauma. The transport duration differed greatly among studies from 20 to 30 min [6] up to 50 min [27]. ...
Article
Full-text available
Objectives: This study aimed to determine the types, characteristics, and associated factors of trauma in Al-Jouf Region which is located in Northern part of Saudi Arabia. Methods: The present study was conducted in the Emergency Department of Prince Meteb Hospital in Al-Jouf Region. A total number of 382 patients were enrolled in the present study. A pre-organized data form were designed for each patient attended the Emergency Department of Prince Meteb Hospital from January 2017 to January 2018. It included data about sociodemographic characteristics, type of trauma, and trauma characteristics. Results: The mean age of the patients was 24.4±13.4 years. Most of the patients (75%) were <30 years old. Males (86.9%) were influenced by trauma more common than females. Most of the patients (84.8%) were from urban areas. Blunt trauma constituted 58.9% while, penetrating trauma 41.1%. The most common cause of trauma was road traffic accidents, which occurred among 40% of patients. The most frequent trauma site was head trauma (49%). Most of the patients (47.9%) reached the hospital within 30 min. Regarding the fate of patients, 46.1% discharged after management, 42.1% admitted to intensive care units, and only 11.8% died. Blunt trauma was significantly higher than penetrating trauma among the young age group. Patients with blunt trauma arrived hospital significantly earlier than patients with penetrating trauma. The fate of patients is significantly better in blunt trauma than penetrating trauma. Conclusion: Trauma is considered to be a major public health problem, particularly in the young population in Saudi Arabia. Blunt trauma is more common than penetrating trauma, with road traffic accidents representing the majority.
... Trauma is defined as physical injury caused by violence or other forces; in serious trauma the patient will be at risk of death or loss of function [1]. Trauma is a leading cause of morbidity and mortality among all age groups [2]. ...
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... 10-,12 and a similar age pre-dilection has been reported in other cities of Pakistan. 8,14 The most common methods of homicide world wide are stabbing, mechanical asphyxia, blunt head injury and firearms. In US the most frequent manner of death in cases of homicide and suicide is by use of firarms. ...
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Conference Paper
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