A Retrospective Analysis of  Assault Admissions at a Regional Medical College in Jharkhand: Examining Factors that Impact Patient Outcome

Authors

DOI:

https://doi.org/10.37506/n6707a83

Keywords:

Assault patients, Hazaribag, Surgery admissions, Regional Medical College

Abstract

Abstract

Background:

Assault admissions pose a significant burden on healthcare systems worldwide. Understanding factors influencing surgical intervention for assault victims can improve resource allocation and patient care. This study aims to analyze a large dataset of assault admissions at a regional medical college to identify factors associated with surgical management.

Methods:

We conducted a retrospective analysis of admissions at Sheikh Bhikhari Medical College (SBMCH), Hazaribag, Jharkhand  India, between Jan 2023 and December 2023. We reviewed data for over 4,000 admissions and identified 1,339 cases admitted due to assault-related injuries. Logistic regression analysis was used to investigate the association between potential predictors (age category, length of stay, time of admission, and gender) and the likelihood of requiring surgical intervention. SPSS v29.0 was used while a p value of <0.05 was considered as of statistical significance. 

Result:

Assault admissions constituted approximately 30% of the total admissions during the study period. Time of admission significantly impacted the need for surgery. Patients admitted later (off-hours/) had slightly higher odds of requiring referrals. Gender also emerged as a significant predictor. Age category and length of stay did not show statistically significant associations with surgical intervention.

Conclusion:

This study highlights the high prevalence of assault admissions and the potential influence of time of admission and gender on surgical management. Additionally, the high referral rate to higher centers suggests a need for increased access to neurosurgical services within the region.  The challenge of patients leaving against medical advice (LAMA) warrants further investigation. Future research should explore specific injury types requiring surgery and potential gender differences in assault injuries.

 

  •  

 

Author Biographies

  • Sumegha Rana, SBMCH, Hazaribag

    Assistant Professor Department of Surgery

  • Vivek Bhasker, SBMCH, Hazaribag

    Assistant Professor, Department of Surgery

  • Rishabh Kumar Rana, SNMMCH, Dhanbad

    Assistant Professor , Department of Communiy Medicine

  • Ajay Kumar Choudhary, SBMCH, Hazaribag

    Associate Professor , Department of Surgery

  • Dharmendra Kumar, LCMCH, Bishrampur, Palamu

    Department of Physiology, Assistant Professor

References

Bhalla A.,Gogia V et al, Crime in India 2022 report. National Crime Records Bureau (NCRB).(2022) Pg 158. https://ncrb.gov.in/uploads/nationalcrimerecordsbureau/custom/1701607577CrimeinIndia2022Book1.pdf (Accessed: February 25, 2024).

Al Kuwari Hanan Mohamed et al, Estimates of rates of homicides (per 100 000 population). The global health observatory. World Health Organization. https://www.who.int/data/gho/data/indicators/indicator-details/GHO/estimates-of-rates-of-homicides-per-100-000-population (Accessed: February 25, 2024).

Felig, R. N., Courtney, E. P., Ligman, K. M., Lee, K. J., & Goldenberg, J. L. (2024). Objects Do Not Suffer: An Impact of Mechanistic Dehumanization on Perceptions of Women’s Suffering and Lack of Justice in Domestic Assault. Journal of Interpersonal Violence, 39(5-6), 1245-1267. https://doi.org/10.1177/08862605231204897

Bannon K, Carter H.,Dart Brian et al,GBD India compare.Institute for Health Metrics and Evaluation. ICMR. Available at: https://vizhub.healthdata.org/gbd-compare/india (Accessed: 25 February 2024).

Khurana, B., Prakash, J., & Loder, R. T. (2022). Assault related injury visits in US emergency departments: An analysis by weekday, month and weekday-by-month. Chronobiology International, 39(8), 1068-1077.

Bonatti H, Calland JF. Trauma. Emerg Med Clin North Am. 2008;26(3):625-vii. doi:10.1016/j.emc.2008.05.001

Barmparas G, Inaba K, Talving P, et al. Pediatric vs adult vascular trauma: a National Trauma Databank review. J Pediatr Surg. 2010;45(7):1404-1412. doi:10.1016/j.jpedsurg.2009.09.017.

Gannon CJ, Napolitano LM, Pasquale M, Tracy JK, McCarter RJ. A statewide population-based study of gender differences in trauma: validation of a prior single-institution study. J Am Coll Surg. 2002;195(1):11-18. doi:10.1016/s1072-7515(02)01187-0

Joestl J, Lang NW, Kleiner A, Platzer P, Aldrian S. The Importance of Sex Differences on Outcome after Major Trauma: Clinical Outcome in Women Versus Men. J Clin Med. 2019;8(8):1263. Published 2019 Aug 20. doi:10.3390/jcm8081263

Haider AH, Weygandt PL, Bentley JM, et al. Disparities in trauma care and outcomes in the United States: a systematic review and meta-analysis. J Trauma Acute Care Surg. 2013;74(5):1195-1205.

Downloads

Published

2025-01-07

How to Cite

A Retrospective Analysis of  Assault Admissions at a Regional Medical College in Jharkhand: Examining Factors that Impact Patient Outcome. (2025). Indian Journal of Public Health Research & Development, 16(1), 423-428. https://doi.org/10.37506/n6707a83