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Table of Contents
LETTER TO EDITOR
Year : 2021  |  Volume : 11  |  Issue : 1  |  Page : 47-48

Epidemiology and outcome of trauma victims admitted in trauma centers of tertiary care hospitals – A multicentric study in India: A comment


1 Department of Critical Care Medicine, Trauma Centre and Central Emergency, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
2 Department of Critical Care Medicine, Orchid Medical Centre, Ranchi, Jharkhand, India
3 Department of Intensive Care Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India

Date of Submission23-Apr-2020
Date of Acceptance25-Sep-2020
Date of Web Publication27-Mar-2021

Correspondence Address:
Dr. Jay Prakash
C/O.R.P.Sinha, HI.166, Harmu Housing Colony, Ranchi - 834 002, Jharkhand
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJCIIS.IJCIIS_54_20

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How to cite this article:
Khan MS, Prakash J, Kujur R, Kharwar RK. Epidemiology and outcome of trauma victims admitted in trauma centers of tertiary care hospitals – A multicentric study in India: A comment. Int J Crit Illn Inj Sci 2021;11:47-8

How to cite this URL:
Khan MS, Prakash J, Kujur R, Kharwar RK. Epidemiology and outcome of trauma victims admitted in trauma centers of tertiary care hospitals – A multicentric study in India: A comment. Int J Crit Illn Inj Sci [serial online] 2021 [cited 2021 Dec 4];11:47-8. Available from: https://www.ijciis.org/text.asp?2021/11/1/47/312265



Dear Editor,

The original research entitled, “Epidemiology and outcome of trauma victims admitted in trauma centers of tertiary care hospitals – A multicentric study in India”[1] is a great piece of academic research which creates an elite snapshot of current trauma set up in the country and enumerates various epidemiological factors associated with negative outcome in such population of patients. However, we would like to draw your attention to the following points which we have noted while reading article.

In the methodology section, injuries were excellently classified into four groups (head injury/ortho/orthoneuro and polytrauma). However, in the result and discussion sections, we could not find any description of these group of patients. We fail to understand the purpose of classifying into groups when they were not statistically studied.

Severely injured patients require intensive care for many reasons.[2] This study showed that about 40% of trauma victims had blood pressure in the hypotensive range (systolic blood pressure <90 mmHg). However, in the article, we could not trace any mention about intensive care unit (ICU) admission and ICU related mortality.

Data were collected from three geographically isolated trauma centers in India. There is no description of the levels of trauma center. This information is crucial as the level of trauma center affects the outcome of seriously injured patients.[3],[4]

Hemorrhage is the common cause of mortality and morbidity in trauma patients.[5] Again, in this research article, there is no mentioning of the total number of patients requiring blood transfusion and whether tranexemic acid was used in the first 3 h of bleeding patients.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Kashid M, Rai SK, Nath SK, Gupta TP, Shaki O, Mahender P, et al. Epidemiology and outcome of trauma victims admitted in trauma centers of tertiary care hospitals-A multicentric study in India. Int J Crit Illn Inj Sci 2020;10:9-15.  Back to cited text no. 1
  [Full text]  
2.
Balogun JA, Akwada O, Awana E, Balogun FM. Access to the intensive care unit by severe head injury patients. J Neurosci Rural Pract 2019;10:666-71.  Back to cited text no. 2
    
3.
Faul M, Sasser SM, Lairet J, Mould-Millman NK, Sugerman D. Trauma center staffing, infrastructure, and patient characteristics that influence trauma center need. West J Emerg Med 2015;16:98-106.  Back to cited text no. 3
    
4.
Demetriades D, Martin M, Salim A, Rhee P, Brown C, Chan L. The effect of trauma center designation and trauma volume on outcome in specific severe injuries. Ann Surg 2005;242:512-7.  Back to cited text no. 4
    
5.
Dutton RP, Stansbury LG, Leone S, Kramer E, Hess JR, Scalea TM. Trauma mortality in mature trauma systems: Are we doing better? An analysis of trauma mortality patterns, 1997-2008. J Trauma 2010;69:620-6.  Back to cited text no. 5
    




 

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