A study to determine the pattern and outcome of trauma victims in a tertiary care hospital in rural setting of Central Uttar Pradesh

  • Naresh Pal Singh UPUMS, SAIFAI, ETAWAH, UP
  • Ramit Chandra Singh
  • Vikas Singh


Background: In the present scenario of unprecedented population growth and development in India, we are also facing tremendous increase in cases of trauma victims and this burden is not only in economic terms, but also has significant physical, mental and social impacts. Aim and objectives: To determine the pattern and outcome of trauma victims in a tertiary care hospital in rural setting. Material and methods: A longitudinal study was carried out on trauma victims reporting the hospital at Uttar Pradesh University of medical sciences in Etawah district of Uttar Pradesh for a duration of one and half year. A general demographic profile of the study subjects along with specific details like mechanism and type of injuries, interval of presentation of trauma victims to the hospital and outcome of the injury was recorded. The data was analysed using spss software 21st version. Results: Study revealed that nearly two-thirds (63.43%) of the studied trauma victims were in the 10-40 years of age-group with three-fourth of them being males (75.57%). Road traffic accidents were the most common mechanism of injury (68.86%). Majority (88.0%) of trauma victims needed admission for management of injuries. The association between type of injuries in the studied trauma victims and the outcome of injury management was found to be statistically significant (p<0.05). Conclusion: RTA is the major form of trauma received by the people and that too in majority by the youths hence proper behaviour change communication and health education regarding safety measures should be provided to the youths at schools and college level.

Author Biographies

Ramit Chandra Singh

Assistant Professor, Surgery department

Vikas Singh

Professor, Surgery Department


1. A decade of action for road safety a brief planning document. Available from: http://who.int/roadsafety/Decade_of_action.pdf.
2. Cave EF. Past and present of trauma. SCNA 1963; 43:317–327.
3. Krishnan M. India has the highest number of road accidents in the world. Deutsche Welle. Apr 29, 2010. Available from: www.dw.de/india-has-the-highest-number-of-road-accidents-in-the-world/a-5519345-1.
4. Kenjen Y, Renard A. Road safety in India: Insights and Analysis. India transport portal 2012. Available from: http://indiatransportportal.com/wp-contents/uploads/2012/11/Road_safety_2012.pdf.
5. Farooqui JM, Chavan KD, Bangal RS, Syed MM, Thacker PJ, Alam S et al. Pattern of injury in fatal road traffic accidents in a rural area of western Maharashtra, India. Australas Med J. 2013 Sep 30; 6(9): 476-82. doi: 10.4066/AMJ.2013.1839. eCollection 2013. PubMed PMID: 24133540; PubMed Central PMCID: PMC 3794418. [PubMed]
6. Mundi R, Chaudhry H, Flores-Miranda N, Puthukudy N, Petrisor B, Schemitsch EH et al. Roads in India: safety and knowledge cross-sectional evaluation. J Orthop Trauma. 2014; 28(1): 30-2. doi: 10.1097/BOT.0000000000000115. PubMed PMID: 248579995. [PubMed].
7. Sir Ratan Tata Trust and Navajbai Ratan Tata Trust. Epidemiology of Road Traffic Accidents in India. A Review of Literature. Available from: http://www.srtt.org/road_traffic_accidents.htm.
8. Krishnan V. Taking note of road death in India. Live mint. Sep 18, 2013. Available from: www.livemint.com/Opinion/D8illQDQkx8RGRdzros9tl/ Taking_note _of_road_accidents_in_India.html.
9. Dsouza C, Rao VV, Kumar A, Diaz E. Epidemiological trends of trauma in tertiary care centre in dakshina Kannada district of Karnataka, India. J Clin Diagn Res. 2014 Mar; 8(3):66-8. doi: 10.7860/JCDR/2014/8643.4109. Epub 2014 Mar 15. PubMed PMID: 24783084; PubMed Central PMCID: PMC4003689.[PubMed].
10. A 5-year WHO Strategy for Road Traffic Injury. Available from: http://www.searo.who.int/en/Section1243/Section1310/Section1343/Section1344/Section1836/Section1837_8158.html
11. Mishra B, Mishra ND, Shukla S, Sinha A. Epidemiological study of road traffic injury cases in Western Nepal. Indian J Community Med. 2010 Jan; 35(1):115-21.
12. Ganveer GB, Tiwari RR. Injury pattern among non-fatal road traffic accident cases: A cross sectional study in Central India. Indian J Med Sci. 2005 Jan; 59(1):9-12.
13. Ghosh PK. Epidemiological study of the victims of vehicular accidents in Delhi. J Indian Med Assoc, 1992; 90: 309-312.
14. Jha N, Srinivasa DK, Roy G, Jagdish S. Injury pattern among Road traffic accident cases: A study from South India. Indian Journal of Community Medicine, 2003; 28 (2): 85-90.
15. Banerjee KK, Agarwal BB, Kohli A, Agarwal NK. Study of head injury victims in fatal road traffic accident in Delhi. Ind J Med Sci 1998 Sept; 52 (9): 395-398.
16. Singh R, Bhatnagar M, Singh HK, Singh GP, Kumar Y. An epidemiological study of victims of road traffic accident cases: A study from National capital region (Ghaziabad), India. Ind J Prev and Social Med, 2011; 42 (1): 28-33.
17. Gissane W, Bull J. A study of motorway (M1) fatalities. BMJ 1964; 102: 75-80.
18. World Health Organization. Road traffic accidents in developing countries. Technical Report Series No. 73. WHO, Geneva 1984.
19. Sharma D, Singh US, Mukherjee S. A study on road traffic injuries in Anand-Gujrat. Health line ISSN. 2011 Dec; 2(2):12
How to Cite
SINGH, Naresh Pal; SINGH, Ramit Chandra; SINGH, Vikas. A study to determine the pattern and outcome of trauma victims in a tertiary care hospital in rural setting of Central Uttar Pradesh. Indian Journal of Community Health, [S.l.], v. 29, n. 4, dec. 2017. ISSN 2248-9509. Available at: <http://www.iapsmupuk.org/journal/index.php/IJCH/article/view/1893>. Date accessed: 23 mar. 2018.
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