Profile of Torso Trauma Following Road Traffic Accidents
Background The incidence of torso trauma has risen due to population growth industrialization and increased traffic. It is highly associated with significant morbidity and mortality. This study was conducted to identify the factors influencing thoracic and abdominal trauma outco...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Rajiv Gandhi University of Health Sciences
2025-01-01
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| Series: | RGUHS Journal of Medical Sciences |
| Online Access: | https://journalgrid.com/view/article/rjms/12434315 |
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| Summary: | Background The incidence of torso trauma has risen due to population growth industrialization and increased traffic. It is highly associated with significant morbidity and mortality. This study was conducted to identify the factors influencing thoracic and abdominal trauma outcomes aiming to reduce morbidity and mortality rates.Methods This retrospective cross-sectional study was conducted over a six-year period from April 2018 to March 2024. Details of all the patients with a history of torso trauma from road traffic accidents were analyzed. Data were collected on demographics injury characteristics presentation hemodynamic stability investigations treatments and outcomes.Results Among 500 trauma patients road traffic accidents involving four-wheelers were most common 38. Blunt trauma occurred in 77.6 of cases. Of 165 abdominal trauma cases splenic injuries were the most frequent solid organ injuries 63.6 while bowel injuries were the most common hollow viscous injuries 15.2. Thoracic injuries were seen in 335 patients with haemopneumothorax being the most frequent presentation 29.3. Surgical intervention was required in 13.6 of cases while 86.2 were managed conservatively. Mortality occurred in 1 primarily due to late presentation 60 hemodynamic instability 100 high-grade injuries 100 and surgical intervention 80 marking these as poor prognostic indicators.Conclusion Factors such as late presentation hemodynamic instability transfusion requirement penetrating injury high grade injury and surgical intervention are associated with poor outcomes. |
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| ISSN: | 2231-1947 2581-7248 |