Title

Evolution of trauma management at a tertiary care hospital: a cohort study.

Document Type

Article

Department

Orthopaedic Surgery

Abstract

Objective:To analyze the characteristics of polytrauma Patients and to assess the outcome of trauma care as this specialty has evolved over the years at a university hospital.

Methods:

The study included all polytrauma Patients treated between January 1998 and September 2005 at a tertiary care hospital in a megacity. Data of 1009 Patients was collected prospectively and analyzed retrospectively. Patients were divided into two groups A and B, based on their presentation before and after the introduction of a formal trauma training course in 2002. The analysis included demographic data, injury severity score, vital signs including hemodynamics and GCS on admission, intubation rates, mortality and complications.

Results:

435 Patients were included in group A (1998-2001) whereas group B (2002-2005) comprised of 574 Patients. The proportion of Patients with accidental versus intentional injuries was similar in both groups. The mean injury severity score of group A was 11.9 whereas that of group B was 11.7. Almost 50% of Patients were transferred from other hospitals. Transferred Patients had significantly lower GCS (p

Publication

International Journal of Surgery (London, England)