Background: Trauma remains a leading cause of morbidity and mortality worldwide,
particularly in low- and middle-income countries like India. Road traffic
accidents (RTAs), falls, and assaults constitute the major causes of traumatic
injuries, often affecting the young and productive population.
Objective: To assess the clinical profile, injury patterns, severity scores, and
outcomes of trauma patients presenting to a tertiary care hospital in North
India.
Methods: A prospective observational study was conducted over one year at the
Department of General Surgery, Dr. RPGMC, Kangra at Tanda. Fifty trauma
patients aged ≥16 years, admitted for at least 24 hours with blunt or
penetrating injuries, were included. Patients were evaluated clinically and
scored using the Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), and New
Trauma Score (NTS). Laboratory and radiological investigations were performed
as needed. Management was based on standard protocols, and outcomes were
recorded.
Results: The mean age was 41.54 ± 18.14 years, with the majority in the 20–29
year age group. Males constituted 76% of cases. RTAs were the most common mode
of injury (64%), followed by falls (20%). Blunt trauma (84%) predominated over
penetrating injuries (16%). The head and neck were most frequently injured
(40%), followed by limbs (30%). The mean GCS was 12.6 ± 2.9, RTS 6.5 ± 0.8, and
NTS 8.2 ± 1.1. The survival rate was 88%, while 12% of patients succumbed,
mostly due to severe head injuries or multi-organ trauma.
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