In Relation to Morbidity, Mortality, and Hospital Stay, Determine the Predictive Value of Injury Severity Scores in Road Traffic Accidents

2021 ◽  
Vol 15 (11) ◽  
pp. 3414-3416
Author(s):  
Hunain . ◽  
Muhammad Waqas Arshad ◽  
Farah Saleem ◽  
Abdul Sattar ◽  
Khurram Nadeem ◽  
...  
Keyword(s):  
Injury Severity Score ◽  
Hospital Stay ◽  
Predictive Value ◽  
Severity Score ◽  
Urban Areas ◽  
Traffic Accidents ◽  
Injury Severity ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Severity Scores

Objective: The purpose of this study is to calculate the predictive value of injury severity score in relation to morbidity; mortality and hospital stay of patients following road traffic accidents. Study Design: Retrospective cohort study Place and Duration: Study was conducted at the department of General Surgery, Saidu Teaching hospital Swat, Jinnah Hospital Lahore and Bakhtawar Amin Memorial Trust Hospital Multan for duration six months from June 2020 to December 2020. Methods: Total eighty patients of both genders were presented in this study. Patients with ages 18-70 years had injury because of road traffic accidents were included. Informed written consent was taken from all the patients for detailed demographics included age, sex, body mass index and type of injury. Patients were admitted in emergency ward for initial treatment. Outcomes were calculated in terms of predictive value of injury severity score in relation to morbidity, mortality and hospital stay of patients. Abbreviated injury scale (AIS) score was used to analyze severity score. SPSS 20.0 version was used to analyze complete data. Results: Majority of the patients 55 (68.8%) were males and 25 (31.2%) were females. Mean age of the patients was 30.17±3.55 years with mean BMI 24.13±6.71 kg/m2. 45 (56.3%) patients were literate and 60 (75%) cases were from urban areas. Motorcycle was the most common cause of trauma found in 48 (60%) patients followed by car accidents in 18 (22.5%) and 14 (17.5%) trauma were because of cycle or other traffic. Legs and arms fractures were the most common injuries found in 32 (40%) and 25 (31.3%) followed by head fractures in 23 (28.8%) cases. Mean injury severity score was 54.07±3.64. Mean hospital stay was 3.12±4.37 days. Rate of mortality was high found in 19 (23.8%) cases. Conclusion: We concluded in this study that the injury severity score among traumatic patients were significantly high with rate of mortality and limb fractures were the most common injury found. Injury severity score is becoming more widely accepted as a predictor of mortality. Keywords: Road Traffic Accident, Injury Severity Score, Mortality, Limb Fracture

scholarly journals Characteristics of Patients Injured in Road Traffic Accidents According to the New Injury Severity Score

2016 ◽  
Vol 40 (2) ◽  
pp. 288 ◽  
Author(s):  
Jung Soo Lee ◽  
Yeo Hyung Kim ◽  
Jae Sung Yun ◽  
Sang Eun Jung ◽  
Choong Sik Chae ◽  
...  
Keyword(s):  
Injury Severity Score ◽  
Severity Score ◽  
Traffic Accidents ◽  
Injury Severity ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
New Injury Severity Score

Non-Selective Thoracic Computed Tomography in Trauma Patients Results in Injury Severity Score Inflation

2021 ◽  
pp. 000313482110249
Author(s):  
Leonardo Alaniz ◽  
Omaer Muttalib ◽  
Juan Hoyos ◽  
Cesar Figueroa ◽  
Cristobal Barrios
Keyword(s):  
Computed Tomography ◽  
Injury Severity Score ◽  
Severity Score ◽  
Injury Severity ◽  
Treatment Plan ◽  
Mortality Prediction ◽  
Trauma Patients ◽  
Mortality Benefit ◽  
Severity Scores ◽  
Score Inflation

Introduction Extensive research relying on Injury Severity Scores (ISS) reports a mortality benefit from routine non-selective thoracic CTs (an integral part of pan-computed tomography (pan-CT)s). Recent research suggests this mortality benefit may be artifact. We hypothesized that the use of pan-CTs inflates ISS categorization in patients, artificially affecting admission rates and apparent mortality benefit. Methods Eight hundred and eleven patients were identified with an ISS >15 with significant findings in the chest area. Patient charts were reviewed and scores were adjusted to exclude only occult injuries that did not affect treatment plan. Pearson chi-square tests and multivariable logistic regression were used to compare adjusted cases vs non-adjusted cases. Results After adjusting for inflation, 388 (47.8%) patients remained in the same ISS category, 378 (46.6%) were reclassified into 1 lower ISS category, and 45 (5.6%) patients were reclassified into 2 lower ISS categories. Patients reclassified by 1 category had a lower rate of mortality ( P < 0.001), lower median total hospital LOS ( P < .001), ICU days ( P < .001), and ventilator days ( P = 0.008), compared to those that remained in the same ISS category. Conclusion Injury Severity Score inflation artificially increases survival rate, perpetuating the increased use of pan-CTs. This artifact has been propagated by outdated mortality prediction calculation methods. Thus, prospective evaluations of algorithms for more selective CT scanning are warranted.

scholarly journals Improving the timeliness and accuracy of injury severity data in road traffic accidents in an emerging economy setting

2018 ◽  
Vol 31 (2) ◽  
pp. 140-146
Author(s):  
Carlos Lam ◽  
Chang-I Chen ◽  
Chia-Chang Chuang ◽  
Chia-Chieh Wu ◽  
Shih-Hsiang Yu ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Injury Severity ◽  
Road Traffic ◽  
Emerging Economy ◽  
Road Traffic Accidents

scholarly journals OUTCOME OF CEREBRAL CONTUSIONS DUE TO TRAUMATIC BRAIN INJURY

2020 ◽  
Vol 11 (1) ◽  
pp. 39-43
Author(s):  
Zubair Ahmed Khan ◽  
Habib sultan ◽  
Amir Aziz ◽  
Shahrukh Rizvi ◽  
Tauqeer Ahmed ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Hospital Stay ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Male And Female ◽  
Duration Of Hospital Stay ◽  
History Of ◽  
Age Range

ABSTRACT:BACKGROUND & OBJECTIVE: To compare the results of surgically operated vs conservatively treated patients of cerebral contusions due to traumatic brain injury. METHODOLOGY: This comparative study was conducted from January 2012 to December 2014 at the department of Neurosurgery, PGMI Lahore General Hospital, Lahore. A total of 50 patients were included in this study of both gender (male and female) and in the age range of 15-65 years. In our study 20 patients were managed conservatively while other 30 patients were operated for cerebral contusions. The mode of injury in our study was road traffic accidents and history of falls. RESULTS: Out of 50 patients, there were 41 (82%) males and 09 (18%) female patients. Their age ranged from 15 - 65 years. In this study the overall mean age is 38.36 years. The maximum numbers of patients were in their third and fourth decades of life. In our study the duration of hospital stay in conservatively managed patients was longer as compared to surgically treated patients who were discharged earlier. Mortality rate in surgically managed patients having a GCS ranged between 09 to 12 was very low contrary to the conservatively managed group, similarly the rate of delayed contusion formation and edema was also low in surgically managed patients as compared to those who were managed conservatively. CONCLUSION: Surgically managed patients of cerebral contusions in traumatic brain injury has better outcome and decreased hospital stay as compared to conservatively managed patients.

scholarly journals Profile of thoracic injury at College of Medical Sciences Teaching Hospital

2014 ◽  
Vol 9 (1) ◽  
pp. 30-39
Author(s):  
D Chapagain ◽  
D Jayapal Reddy ◽  
S Shah ◽  
KG Shrestha
Keyword(s):  
Prospective Study ◽  
Hospital Stay ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Flail Chest ◽  
Length Of Hospital Stay ◽  
Thoracic Injury ◽  
Road Traffic Accidents ◽  
Medical Sciences ◽  
Night Time

Objectives: Thoracic injury is a challenge to the thoracic surgeon practicing in developing countries. This prospective study was conducted to see the mode of injury, injury types and overall outcome of thoracic injury in our settings. Materials and methods: This prospective study was conducted in 100 thoracic injury patients between December 2011 to June 2012. The demographic features, type of the trauma, radiological assessment, associated organ injuries, management of the injury, surgical interventions, morbidity, mortality, length of hospital stay were analysed. Results: In this study the ages ranged from 7 to 84 years. There were 73 (73%) males and 27 (27%) females. The majority of patients (83%) were injured during the evening and night time. The majority of patients 92(92%) sustained blunt chest injuries. The mechanism of injury was not significantly associated with length of hospital stay (P > 0.05) and mortality (P > 0.05).Road traffic accident was the most common cause of injuries affecting 68(68%) of patients followed by fall injury of 19(19%). Rib fractures, haemothorax, pneumothorax and lung contusion were the most common type of injuries accounting for 83.0%, 57%,34% and 33% respectively. Associated extra-thoracic injuries were noted in 64.0% of patients. 45(45%) of the cases of haemothorax, pneumotharax and haemopneumothorax were treated by tube thoracotomy. Four patients (04%) had undergone thoracotomy. There were 09(09%) patients of flail chest and treated conservatively. Fourty six patients (46%) were admitted in the ICU. Eleven (11%) patients were treated with ventilator support. Seventeen (17%) patients had complication. The overall length of hospital stay ranged from 0 to 25 days. Conclusion: Road traffic accidents and fall from height are the major public health problems. Preventive measures at reducing road traffic accidents and timely management with closed tube thoracotomy are the main factors to be considered in the thoracic injury. Journal of College of Medical Sciences-Nepal, 2013, Vol-9, No-1, 30-39 DOI: http://dx.doi.org/10.3126/jcmsn.v9i1.9671

scholarly journals Road Traffic Accidents by 'Nasimon' and 'Karimon'-A Study in Faridpur

2012 ◽  
Vol 7 (1) ◽  
pp. 6-9
Author(s):  
ASMJ Chowdhury ◽  
MS Alam ◽  
SK Biswas ◽  
RK Saha ◽  
AR Mondal ◽  
...  
Keyword(s):  
Low Socioeconomic Status ◽  
Urban Areas ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Accident ◽  
Motor Vehicles ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
College Hospital ◽  
Medical College

Road traffic accidents in Bangladesh have been rapidly increasing with huge mortality through road accidents each year. There are many causes of road accidents in recent years; one important cause is running of locally made improvised three wheelers (flat bed tricycle) in the urban areas and also on the highways, popularly known as 'Nasimon' and 'Karimon'. This prospective study was carried out in Faridpur Medical College Hospital from January through June 2011, to study the accident patients caused by 'Nasimon' and 'Karimon'. Fifty six (12%) patients were of RTA by 'Nasimon' and 'Karimon' out of a total of 468 patients admitted into our hospital during this period. Most patients (41, 73.21%) were male, highest accidents (24, 42.86%) were observed among 21-30 years age group and most victims (33, 58.93%) were belonged to low socioeconomic status. Commonest (31, 55.36%) victims were passengers of 'Nasimon' and 'Karimon' while maximum number of accidents (46, 82.14%) took place in the urban areas and on the highways. Injury pattern of victims were similar to that found in any other road accident patients. These three wheelers 'Nasimon' and 'Karimon' are run in violating of Bangladesh Motor Vehicles Act (1983) as they are totally unfit for plying on the highways. Strict surveillance against these illegal and risky vehicles on the highways and in the urban areas by law enforcing agencies is required as a measure to reduce the burden of road accidents in our country.DOI: http://dx.doi.org/10.3329/fmcj.v7i1.10289Faridpur Med. Coll. J. 2012;7(1): 06-09

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