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印度北部三级护理医院创伤中心收治的道路交通事故病例的损伤模式。

Injury pattern of road traffic accident cases attending trauma centre of tertiary care hospital of North India.

作者信息

Singh Ranjana, Sachdeva Mandeep K, Koushal Vipin, Aggarwal Sameer, Kaman Lileswar, Singh Apinderpreet, Kumar Ashok, Bala Neetu, Ranjan Priyadarshi

机构信息

Department of Hospital Administration, PGIMER, Chandigarh, India.

Department of Orthopaedics, PGIMER, Chandigarh, India.

出版信息

J Family Med Prim Care. 2023 Oct;12(10):2434-2439. doi: 10.4103/jfmpc.jfmpc_789_23. Epub 2023 Oct 11.

Abstract

INTRODUCTION

Injury is a significant global health burden and can result in mortality if not attended to on time. Trauma system refers to a collection of services provided by various super-specialties. According to the WHO-World Bank Report, RTA will rise from ninth place to the third biggest cause of mortality.

MATERIALS AND METHODS

The study was done at Advanced Trauma Centre (ATC) at PGIMER, a teaching hospital of north India. Study included area from most of the patient come for treatment (rural/urban) and injury patterns seen in these patients, which included mode of injury, type of injury, type of road accidents and location of injury.

RESULTS AND OBSERVATIONS

In maximum cases, 60.2% (245) of the mode of injury was RTA. It was seen that the maximum number of patients, 44.4%, (115) had motorbike/scooter collisions with vehicles. In most patients, the type of injury seen was 35.9% (147) head, neck and back injuries, and in maximum cases, the location of the accident site was road/street 63.2%.

DISCUSSION

In our country, where the trauma delivery system is poorly developed, teaching hospitals have to bear the burden of treating many patients. No concept of emergency medicine or trauma care is in use, even in urban areas. As a result, teaching hospitals' emergency departments receive many referrals for emergency conditions.

摘要

引言

损伤是一项重大的全球健康负担,若不及时处理可能导致死亡。创伤系统是指由各个超级专科提供的一系列服务。根据世界卫生组织 - 世界银行报告,道路交通事故(RTA)将从第九位升至第三大死亡原因。

材料与方法

该研究在印度北部教学医院PGIMER的高级创伤中心(ATC)进行。研究涵盖了大多数患者前来治疗的区域(农村/城市)以及这些患者的损伤模式,包括受伤方式、损伤类型、道路交通事故类型和受伤部位。

结果与观察

在大多数病例中,60.2%(245例)的受伤方式为道路交通事故。可以看出,最多患者,即44.4%(115例),是摩托车/踏板车与车辆相撞。在大多数患者中,所见损伤类型为35.9%(147例)头部、颈部和背部损伤,并且在大多数病例中,事故发生地点为道路/街道,占63.2%。

讨论

在我国,创伤救治系统发展不完善,教学医院不得不承担治疗众多患者的负担。即使在城市地区,也没有使用急诊医学或创伤护理的概念。因此,教学医院的急诊科会收到许多紧急情况的转诊。

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