Analysis of Emergency Care of Trauma Patients with References to the Type of injuries, Treatment and Cost
Background: Muscuskeleton trauma (MST) is one of the most vital public health challenges in the new century. It is expec-ted that approximately one fifth of the entire universal burden of disease is due to trauma.1 The study was designed to see the mode, initial management and cost of trauma victim in our setup.
Study Design: Prospective Analytical study design.
Settings: Emergency department of Orthopedics Unit I (Formally Unit-II).
Methodology: In this study all patients were included who presented at Emergency department of Orthopedics with musculoskeletal trauma having age more or equal 14 years during 2004 and who did not require any neurosurgical or general surgical interventions.
Total number of patients: This was a time based study; the total number of patients was 1289 during the year of 2004.
Results: The average age of patients was 43.12 ± 10.20 years. There were 99% people who presented with fractures and 1% with dislocations. The most common mode of injury was road traffic accidents i.e. 51.66% and the proportion of closed fractures was 71%. The average cost of emergency was Rs1180.50 ± 300.86 per patient. 67.6% patients were treated and dis-charged in the emergency on the same day and 32.4% patients were admitted for the further treatment.
Conclusion: The major cause of trauma is road traffic accidents. The patients were treated and discharged; a few were admitted to the ward for further treatment(s). The most widely used procedures were application of POP, Back Slabs and fixation with NA external fixator. The average cost is Rs. 1180.50/patients.
Key Words: Road Accidents, Musculoskeletal Trauma and Cost Analysis.
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