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Audit of Motor Vehicle Accidents at a Trauma Center
Shaurav Ghosh1, Farah Naaz Kazi2, J V Pranav Sharma1
1General Surgery, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, IND.
Abstract:
Background Motor vehicle accidents (MVAs) are the leading cause of accidental deaths in India. An audit of trauma cases is required in order to improve hospital policy and patient care, as well as to change the attitude and perspective of healthcare staff. Methods A retrospective observational study was performed on MVA trauma victims admitted to a tertiary trauma care center. Parameters included mean age with range, gender distribution, length of hospital stay (LOS), anatomical location of injuries, and the percentage of age groups and number of patients undergoing a nonoperative approach versus those with exploration and intervention. The correlation of body mass index (BMI) and co-morbidities with trauma, whole-body CT scan (WBCT) versus selective scanning, readmissions and revisits, and blood transfusion requirements were studied. Results The majority of patients were young male adults and females having a higher LOS than males. Prolonged hospitalization is linked to a higher risk of complications and a higher expense. Individuals who suffered severe injuries recovered more slowly 12 months after the accident. The majority of patients had a brief hospitalization. Sixty-two point three (62.3) percent of patients suffered a head injury, with men accounting for the majority. Men were worst-affected, necessitating surgery. Obesity and BMI, regardless of gender, are not associated with trauma outcomes. Our studies found no link between co-morbidities and length of stay in MVA patients. Although the majority of patients did not require surgery, 28.8% required a blood transfusion. Our research found no link between BMI and injury severity score (ISS). Conclusion Obese people sustaining MVAs had the same injured body regions as patients who were normal weight. They had a lower ISS than normal-weight individuals but a lengthier in-hospital stay.
Insights
Motor vehicle accidents (MVAs) are a major cause of death in India. This study found obese individuals with MVAs had similar injury patterns but longer hospital stays, despite a lower injury severity score.
Area of Science:
- Trauma surgery
- Public health
- Emergency medicine
Background:
- Motor vehicle accidents (MVAs) are the leading cause of accidental deaths in India.
- Auditing trauma cases is crucial for improving hospital policies, patient care, and healthcare staff perspectives.
- Tertiary trauma centers play a vital role in managing MVA victims.
Purpose of the Study:
- To audit MVA trauma cases admitted to a tertiary trauma care center.
- To analyze patient demographics, injury patterns, and treatment approaches.
- To investigate the correlation of body mass index (BMI) and comorbidities with trauma outcomes.
Main Methods:
- Retrospective observational study of MVA trauma victims.
- Analysis of parameters including age, gender, length of hospital stay (LOS), injury location, and treatment (nonoperative vs. operative).
- Investigation of BMI, comorbidities, whole-body CT scans (WBCT), readmissions, and blood transfusion requirements.
Main Results:
- Young male adults were the majority of MVA patients; females had a longer LOS.
- Head injuries were most common (62.3%), predominantly in males who also required more surgeries.
- Obesity and BMI were not associated with trauma outcomes or injury severity score (ISS), but obese patients had longer hospital stays.
Conclusions:
- Obese patients sustaining MVAs exhibit similar injury regions as normal-weight individuals.
- Despite a lower ISS, obese patients experienced a lengthier in-hospital stay.
- Further research may be needed to understand the implications of obesity in MVA trauma management.
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