Prevalence and Nature of Trauma and Injuries in Karachi National Trauma Registry of Pakistan “The Need of the Hourâ€

Authors

  • Muhammad Saeed Minhas Department of Orthopaedics, Jinnah Postgraduate Medical Center, Karachi Pakistan
  • Muhammad Muzzammil Jinnah Postgraduate Medical Center, Karachi Pakistan
  • Jahanzeb Effendi Jinnah Postgraduate Medical Center, Karachi Pakistan
  • Syed Jahanzeb Jinnah Postgraduate Medical Center, Karachi Pakistan
  • Anisuddin Bhatti Jinnah Postgraduate Medical Center, Karachi Pakistan

Keywords:

Prevalence, trauma, road traffic accidents, first aid care, trauma registry.

Abstract

ABSTRACT

Objective: To assess the prevalence, nature of trauma, reason(s) behind these trauma and first-aid care provided during transportation to hospital in Karachi Pakistan. Study also presents the framework of a national trauma registry and comparatively analyzes data between other registries.

Method: This cross sectional observational / descriptive study was conducted from July 2015 to Dec 2015. An informed verbal consent was taken and preformed questionnaire was filled. Patient brought dead and who did not give consent were excluded. Data was analyzed using SPSS 21 for statistical significance.

Results:  The study conducted on 1500 patients includes 1030 males (68.7%) and 470 females (31.3%). Mean age was 45 SD 28.69Maximum injuries occurred in age group of 11-20 year. By occupation most were found to be students & children 350(23.3%). Most traumas occurred on road 919(61.3%) and other occurred in home 349(22.7%). Road traffic accidents are found to be major cause of injuries 730(48.7%) and rest was due to other causes 630(42.0%).The vehicle involved in majority of cases was motorcycle 340(22.7%). In most of the cases emergency medical service 72148.0% was used for the transportation of the patients. During transportation (100%) of victims were not provided with first aid, breathing care/ bleeding care/iv fluids and splints/slabs. Severity at emergency room of patients was mainly moderate (52.7%) while severe condition was suffered by (32.0%) of patients and mild (14.7%).

Conclusion: This study concluded that the transport accidents are the major health problems especially in young population in Karachi. For better transportation of patients it is needed to upgrade facilities of ambulances and other emergency medical services. Emergency medical care facilities (including emergency trauma centers) establishment at district level, sub-divisional level are needed to provide good and quality care to trauma patients. Improvement in trauma care depends on the establishment of functioning trauma care systems, of which a trauma registry is a crucial component

Author Biography

  • Muhammad Saeed Minhas, Department of Orthopaedics, Jinnah Postgraduate Medical Center, Karachi Pakistan

    Department of Orthopaedics, Jinnah Postgraduate Medical Center, Karachi Pakistan

References

1. “Trauma.” Merriam-Webster.com, Merriam-Webster. (online) (cited on 10 jan 2016). Available from URL: http://www.merriam-webster.com/dictionary/trauma.
2. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web–based Injury Statistics Query and Reporting System (WISQARS) (online). (cited on 10 jan 2016). Available from URL: https://www.cdc.gov/injury/wisqars/index.html.
3. Y Holder, M Peden, E Krug, J Lund, G Gururaj, O Kobusingye. Injury surveillance guidelines. Geneva, World Health Organization, 2001. (online) (cited on 10 jan 2016). Available from URL: http://apps.who.int/iris/bitstream/10665/42451/1/9241591331.
4. World Health Organization. Global status reports on road safety: Time for action 2010. (Online). (Cited 2012 Feb 28). Available from URL: http://whqlibdoc.who.int/publications/2009/9789241563840_eng.
5. Suriyanwongpaisal P, Kanchanasut S. Road traffic injuries in Thailand: trends, selected underlying determinants and status of intervention. Inj Control Saf Promot. 2003 Mar-Jun;10(1-2):95-104.
6. Yang BM, Kim J. Road traffic accidents and policy interventions in Korea. Inj Control Saf Promot. 2003 Mar-Jun;10(1-2):89-94.
7. Ghaffar A, Hyder AA, Masud TI. The burden of road traffic injuries in developing countries: the 1st National Injury Survey of Pakistan. Public Health. 2004 Apr;118(3):211-7.
8. Chalya P, Mabula JB, Ngayomela IH, Kanumba ES, Chandika AB, Giiti G. et al. Motorcycle injuries as an emerging public
health problem in Mwanza City, north-western Tanzania. Tanzan J Health Res 2010, Oct:12:214-221.
9. Vestrup JA. Update on trauma care in Canada. 6. Update on trauma registries and trauma scoring. Can J Surg. 1990 Dec;33(6):461-3.
10. Boyd DR, Rappaport DM, Marbarger JP, Baker RJ, Nyhus LM. Computerized trauma registry: a new method for categorizing physical injuries. Aerosp Med.1971 Jun;42:607–615.
11. Shapiro MJ, Cole KE, Jr, Keegan M, Prasad CN, Thompson RJ. National survey of state trauma registries – 1992. Journal of Trauma-Injury Infection & Critical Care: July 1993 - Volume 35 - Issue 1 - ppg 170.
12. Nwomeh BC, Lowell W, Kable R, Haley K, Ameh EA. History and development of trauma registry: lessons from developed to developing countries. World Journal of Emergency Surgery. 2006 Oct; 1:32. Doi: 10.1186/1749-7922-1-32.
13. Junaid Abdul Razzak, Muhammad Shahzad Shamim, Amber Mehmood, Syed Ameer Hussain, Mir Shabbar Ali, Rashid Jooma. A successful model of road traffic injury surveillance in a developing country: process and lessons learnt. BMC Public Health 2012 May: 12:357. doi: 10.1186/1471-2458-12-357.
14. Nantulya, V. M, Reich MR. Equity dimensions of road traffic injuries in low and middle-income countries: Injury Control and Safety Promotion. 2003 Mar-Jun;10(1-2):13-20.
15. Nantulya VM, Muli-Musiime F. Kenya. Uncovering the social determinants of road traffic accidents. In: Evans T, Whitehead M, Diderichsen F, Bhuiya A, Wirth M, editors. Challenging inequities: from ethics to action. Oxford: Oxford University Press; 2001.
16. Shamim S, Razzak JA, Jooma R, Khan U. Initial results of Pakistan's first road traffic injury surveillance project. Int J Inj Contr Saf Promot 2011 Sep; 18: 213-7.
17. Minhas MS, Khan KM, Effendi J, Bhatti A, Jamali S. Improvised explosive devise bombing police bus: Pattern of injuries, patho-physiology and early management. J Pak Med Assoc, 2014 Dec: 64 (12 Suppl 2 ): S49-S53.
18. Kobusingye OC, Lett RR. Hospital-based trauma registries in Uganda. J Trauma 2000 Mar;48:498-502.
19. Anderson RN. Deaths: leading causes for 1999. Natl Vital Stat Rep 2001 Oct 12;49(11):1-87
20. Murray C, Lopez A: The Global Burden of Disease. Volume 1. Cambridge, MA: Harvard University Press; 1996
21. Kumar R, Muzzamml M, Minhas MS. Frequency of motor bike injuries, helmet vs non helmet wearing in Karachi Pakistan. Trauma International Oct-Dec 2015;1(2):12-16.
22. Moore L, Clark DE. The value of trauma registries.Injury. 2008. Jun;39(6):686-95.
23. Rutledge R. The goals, development, and use of trauma registries and trauma data sources in decision making in injury. SurgClin North Am. 1995;75:305–326.
24. Mock C, Acheampong F, Adjei S, Koepsell TD. The effect of recall on estimation of incidence rates for injury in Ghana. Int J Epidemiol. 1999 Aug; 28(4):750-5
25. London J, Mock C, Abantanga FA, Quansah RE, Boateng KABull. Using mortuary statistics in the development of an injury surveillance system in Ghana. World Health Organ. 2002; 80(5):357-64.
26. Pollock DA, McClain PW. Trauma registries. Current status and future prospects. JAMA. 1989 Oct 27; 262(16):2280-3.

Downloads

Published

2017-12-22

Issue

Vol. 29 No. 03 (2017): Journal of Pakistan Orthopaedic Association

Section

Original Articles

How to Cite

Prevalence and Nature of Trauma and Injuries in Karachi National Trauma Registry of Pakistan “The Need of the Hour”. (2017). Journal of Pakistan Orthopaedic Association, 29(03), 80-85. http://jpoa.org.pk/index.php/upload/article/view/26

Similar Articles

1-10 of 166

You may also start an advanced similarity search for this article.