Study of Blunt trauma to abdomen and associated mortality after admission in a tertiary care hospital in Moradabad District.
DOI:
https://doi.org/10.37506/54ze9732Keywords:
: Road traffic accident, blunt trauma, abdomen, mortality.Abstract
Introduction:- The abdomen area is the 3rd most common area which is injured and surgery required in almost about 25% of civilian cases(1). Blunt abdominal trauma (BAT) is one of the most important causes of mortality among trauma victims. It is the main cause of death in people under 35 years of age in worldwide. (2) Most common cause of blunt trauma abdomen in our country (India) is road traffic accident which is followed by abdominal blows and fall from heights. This ever-expanding out break targeting the youth and useful generations is likely to take a serious burden on theirsocioeconomic growth and quality of life.
Material & Method: - All the cases admitted in the Casualty of T.M.M.C & R.C from district Moradabad and its adjoining area from 1stJanuary 2014 to 30thDecember 2015 with history of blunt trauma to the abdomen were included in the study. All data were compared to similar studies.
Result: - Highest number of patients i.e. 36 (32.7%) belonged to 21-30 years age group. There were 91 (82.7%) male patients and 19 (17.3%) female patients. There were 82 (74.5%) accidental deaths and 23 (20.9%) homicidal deaths while only 5 (4.5%) suicidal deaths. In present study, majority of patients in accidental victims in males belongs to rural community 50 (61%) followed by urban community 12 (14.6%)
References
Hemmila MR, Wahl WL. Management of the Injured Patient. In: Doherty GM, editor. Current Surgical Diagnosis and Treatment. McGraw-Hill Medical; 2008. p. 227–8.
Fazili MS, Nazir MB. Clinical Profile and Operative Management Of Blunt Abdominal Trauma (Bat): A Retrospective One Year Experience At SMHS Hospital, Kashmir, In
dia. JK Practitioner. 2001;8:219–21.
Burke MP. Forensic medical investigation of motor vehicle incidents. 1st ed. New York: Taylor and Francis; 2007.4. Jurkovich GJ, Carrico CJ. Trauma. Management of Acute injuries. In: Sabiston DC, editor. Textbook of Surgery. 14th ed. Philadelphia: W.B. Saunders Company; 1991. p. 258-297.
World Health Organization. Nepal. Annual Report of the Department of Health Services. Nepal: World Health Organization; 2001. Available from: http://www.searo.who.int/LinkFiles/Nepal_nepal.pdf.
Saukko P, Knight B. Knight’s Forensic Pathology. 3rd ed. New York: Oxford University Press; 2002.
Modi JP. Regional Injuries. In: Mathiharan K, Patnaik AK, editors. Modi’s Medical Jurisprudence and Toxicology. 23rd ed. Lexis Nexis Butterworths; 2005.
Manson JK. The Pathology of Trauma. 3rd ed. London: Arnold; 2000.
Adelson L. The Pathology of Homicide. Homicide by Blunt Violence. Springfield: Charles C Thomas Publisher; 1974.
Nandy A. Principles of Forensic Medicine. 2003 ed. New Central Book Agency (P) Ltd.; 2003.
Aldemir M, Tacyildiz I, Girgin S. Predicting factors for mortality in the penetrating abdominal trauma. Acta Chir Belg. 2004;104:429–34.
Reddy NB, Madithati HP, Reddy NN, Sainarasimha Reddy C. Journal of Emergency, Trauma, Shock. 2014 Apr;7(2):116-20.
Chanchlani R, Krisnanand, Mahawar P, Sinha U. External injury pattern of road traffic accidents- an epidemiological study in a tertiary care setting, Bhopal. J Evol Med Dent Sci. 2013;2(32):6050-6055.
Arif M, Maqsood M, Shaheen A. Pattern of abdominal organ injuries in non-fatal blunt trauma. Pak J Med Health Sci. 2014;8(1).
Singh M, Kumar A, Verma AK, Kumar S, Singh AK. Abdominal organ involvement in blunt injuries. J Indian Acad Forensic Med. 2012 Jan-Mar;34(1):ISSN 0971-0973.
Shruthi P, Venkatesh VT, Viswakanth B, Ramesh C, Sujatha PL, Dominic IR. Analysis of Fatal Road Traffic Accidents in a Metropolitan City of South India. J Indian Acad Forensic Med. 2013;35(4):317-320.
Jha N, Srinivasa DK, Roy G, Jagdish S. Epidemiological study of road traffic accident cases: a study from South India. Indian J Community Med. 2004 Jan-Mar;29(1):20-24.
Govekar G, Patel G, Rajdev B, Tailor C, Shilajiya D. Trends of road traffic accidents in Surat city. J Indian Acad Forensic Med. 2007;31(4):326-330.
Singh YN, Bairagi KK, Das KC. An epidemiological study of road traffic accident victims in medicolegal autopsies. J Indian Acad Forensic Med. 2005;27(3):166-169.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
https://creativecommons.org/licenses/by-nc/2.0/deed.en