Epidemiological evaluation (age, sex, mode of injury, organ injured) of two hundred and sixty two cases of trauma admitted through the emergency department of tertiary care centre and their relation to mortality

Moorat Singh Yadav, Vibhore Agarwal


Background: Trauma is a global phenomenon and a major cause of morbidity and mortality throughout the world. It is the disease of young and the leading cause of death in the first four decades of life. The aim of this study was to evaluate this developing country trauma centre in terms of treatment and outcome and compare it with centers around the world.

Methods: Two hundred and sixty two consecutive cases of polytrauma of adult age group admitted in casualty of Hamidia Hospital, Gandhi Medical College, Bhopal, Madhya Pradesh, India from 1 July 2014 to 1 December 2014.

Results: Trauma principally affects the young population. In our study 28.2% of the patients were between the age group 20-29 years. 29.8% of the patients were between the age group 30-39 years. In our study, males comprised 87.8% (232 out of the total 262 patients). In our study, traffic collisions were responsible for 91% of cases (238 cases out of 262). Region affected by trauma: head and neck accounted for 43.7% of injured patients followed by lower limb injuries (33.8%).

Conclusions: Out of the 262 patients included in our study 242 were discharged alive while 20 (7.6%) died. The analysis of effect of age on mortality in our study brought forward the fact that mortality increase with age and becomes nearly double for patients over 50 years of age (11.78% age specific mortality) of age for the same degree of injury severity as compared to patients below 50 years of age (5.2% of age specific mortality). 


Polytrauma, Epidemiological study, Mortality

Full Text:



Posaw LL, Aggarwal P, Bernstein SL. Emergency medicine in the New Delhi area, India. Ann Emerg Med. 1998;32:609-15.

Sidhu DS, Sodi GS, Bannerjee AK. Mortality profile in trauma victims. J Indian Med Assoc. 1993;91:16-8.

Mock CN, Adzotor KE, Conklin E, Denno DM, Jurkovich GJ. Trauma outcome in the rural developing world: comparison with an urban level 1 trauma center. J Trauma. 1993;35:518.

Mock CN, Jurkovich GJ, Kotei D, Arreola RC, Maier RV. Trauma mortality patterns in three nations at different economic levels: implications for global trauma system development. J Trauma. 1998;44(5):804-12.

Gumber A. Burden of injury in India. Econ Pol Wkly. 1997:1478-91.

Shackford SR, Mackersie RC, Hoyt DB, Baxt WG, Eastman AB, Hammill FN, Knotts FB, Virgilio RW. Impact of a trauma system on outcome of severely injured patients. Arch Surg. 1987;122(5):523-7.

Smith EJ, Ward AJ, Smith D. Trauma scoring methods. Br J Hosp Med. 1990;44:114-8.

Champion HR, Copes WS, Sacco WJ, Lawnick MM, Keast SL, Bain LW Jr, Flanagan ME, Frey CF. The major trauma outcome study: establishing national norms for trauma care. J Trauma. 1990;30:1356-65.

Champion HR, Sacco WJ, Hunt TK. Trauma severity scoring to predict mortality . World J Surg. 1983;7:4-11.

Joosse P, Soedarmo S, Luitse JSK, Ponsen KJ. Trauma outcome analysis of a Jakarta university hospital using the TRISS method. J Trauma. 1990;30:1356-65.