PMID- 35368882
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220405
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 14
IP  - 4
DP  - 2022 Apr
TI  - Audit of Motor Vehicle Accidents at a Trauma Center.
PG  - e23729
LID - 10.7759/cureus.23729 [doi]
LID - e23729
AB  - Background Motor vehicle accidents (MVAs) are the leading cause of accidental 
      deaths in India. An audit of trauma cases is required in order to improve 
      hospital policy and patient care, as well as to change the attitude and 
      perspective of healthcare staff. Methods A retrospective observational study was 
      performed on MVA trauma victims admitted to a tertiary trauma care center. 
      Parameters included mean age with range, gender distribution, length of hospital 
      stay (LOS), anatomical location of injuries, and the percentage of age groups and 
      number of patients undergoing a nonoperative approach versus those with 
      exploration and intervention. The correlation of body mass index (BMI) and 
      co-morbidities with trauma, whole-body CT scan (WBCT) versus selective scanning, 
      readmissions and revisits, and blood transfusion requirements were studied. 
      Results The majority of patients were young male adults and females having a 
      higher LOS than males. Prolonged hospitalization is linked to a higher risk of 
      complications and a higher expense. Individuals who suffered severe injuries 
      recovered more slowly 12 months after the accident. The majority of patients had 
      a brief hospitalization. Sixty-two point three (62.3) percent of patients 
      suffered a head injury, with men accounting for the majority. Men were 
      worst-affected, necessitating surgery. Obesity and BMI, regardless of gender, are 
      not associated with trauma outcomes. Our studies found no link between 
      co-morbidities and length of stay in MVA patients. Although the majority of 
      patients did not require surgery, 28.8% required a blood transfusion. Our 
      research found no link between BMI and injury severity score (ISS). Conclusion 
      Obese people sustaining MVAs had the same injured body regions as patients who 
      were normal weight. They had a lower ISS than normal-weight individuals but a 
      lengthier in-hospital stay.
CI  - Copyright (c) 2022, Ghosh et al.
FAU - Ghosh, Shaurav
AU  - Ghosh S
AD  - General Surgery, Vydehi Institute of Medical Sciences and Research Centre, 
      Bangalore, IND.
FAU - Kazi, Farah Naaz
AU  - Kazi FN
AD  - Surgery, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, 
      IND.
FAU - Sharma, J V Pranav
AU  - Sharma JVP
AD  - General Surgery, Vydehi Institute of Medical Sciences and Research Centre, 
      Bangalore, IND.
LA  - eng
PT  - Journal Article
DEP - 20220401
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC8973247
OTO - NOTNLM
OT  - fall
OT  - in-hospital length of stay
OT  - injury severity score
OT  - mortality
OT  - obesity
COIS- The authors have declared that no competing interests exist.
EDAT- 2022/04/05 06:00
MHDA- 2022/04/05 06:01
PMCR- 2022/04/01
CRDT- 2022/04/04 05:14
PHST- 2022/03/30 00:00 [accepted]
PHST- 2022/04/04 05:14 [entrez]
PHST- 2022/04/05 06:00 [pubmed]
PHST- 2022/04/05 06:01 [medline]
PHST- 2022/04/01 00:00 [pmc-release]
AID - 10.7759/cureus.23729 [doi]
PST - epublish
SO  - Cureus. 2022 Apr 1;14(4):e23729. doi: 10.7759/cureus.23729. eCollection 2022 Apr.