Journal of Emergencies, Trauma, and Shock
Home About us Editors Ahead of Print Current Issue Archives Search Instructions Subscribe Advertise Login 
Users online:778   Print this pageEmail this pageSmall font sizeDefault font sizeIncrease font size   
Year : 2012  |  Volume : 5  |  Issue : 1  |  Page : 42-48

Injury-related mortality audit in a regional trauma center at Puducherry, India

1 Department of Surgery, Indira Gandhi Medical College and Research Institute, Puducherry, India
2 Health and Family Welfare, Government of Puducherry, Puducherry, India
3 Department of Community Medicine, Sikkim Manipal Institute of Medical Sciences, 5th Mile, Tadong, Gangtok, Sikkim, India
4 Department of Community Medicine, Indira Gandhi Medical College and Research Institute, Puducherry, India

Correspondence Address:
Angeline Neetha Radjou
Department of Surgery, Indira Gandhi Medical College and Research Institute, Puducherry
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-2700.93111

Rights and Permissions

Background: There is an alarming trend of injuries leading to poor outcome of victims in India. Objective: To study the profile of patients who died due to trauma and to identify factors involved in both pre-hospital and hospital care. Materials and Methods: A hospital-based study was performed at a trauma center in Puducherry from June 2009 to May 2010. Patients who had at least one sign of life on admission and later died were included. The demographic characteristics, injury mechanism, nature and site of injury, influence of alcohol, pre-hospital time and care, distance traveled, number of referrals, time spent in study hospital, cause of death, and missed injuries revealed at post mortem were noted. Results: Of the 204 fatal cases, most were between 25-65 years of age (77%); sustained injuries over weekends (36%) and between 4 pm and midnight (41%); had at least one halt in a medical facility before reaching definitive care (56%); and died within a week (63%). Adults (25-65 y) sustained most injuries (77%) on two wheelers. In those aged over 65 years, 79 percent were pedestrians. Road traffic injuries were responsible for 82 % of deaths; 16 percent were reportedly under the influence of alcohol at the time of injury. Mean delay from the time of accident to admission was 14.9 hours and median distance traveled was 30 kilometers. Head injury was the most common (66%) cause of death. Post mortem revealed skull fractures (37%), while missed injuries were noted in 8 percent, mostly involving the cervical spine and chest wall. Conclusion: The problem of trauma care needs to be addressed urgently in this part of southern India to reduce mortality and morbidity.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded23    
    Comments [Add]    
    Cited by others 3    

Recommend this journal