Trauma in surgery and its incidence, circumstances as well as clinical consequences.

ABSTRACT

This study was conducted from 10.02.08 to 23.05.09 in general surgery wards of Chittagong Medical College Hospital, Bangladesh with multi-factorial views of clinical aspects and an alarming model image in such relation was depicted. 188 (72.9 %) patients in this study out of 258 were male it was and found that different types of trauma had been relatively higher in 51-70 yrs (35.1 %) age group followed by 31-50 yrs (28.7 %) age group in case of male subjects. On the contrary, in female, those were quite higher in 11-30 yrs (31.4 %) age group followed by 51-70 yrs (24.8 %) age group. As for the mortality, this study suggest that it was significantly higher in case of female subjects (31.4 %) (22) in relation to male subjects (18.1 %) (34). But to our knowledge probably it has no clinical significance at all. Rather, it may have socio-economic associations, as for instance- traditional negligence to female in developing countries like Bangladesh. Another remarkable observation that was clear in this study was variation in different levels of morbidity. In male, 30.9 % patients had morbidity from 1 week to 1 month; followed by 28.7 % patients with morbidity less than 1 week, whereas, in case of female, it was 25.7 % and 20 %, respectively. With regard to morbidity over 1 month 23.4 % male and 22.9 % female were found in this group and in case of both male and female, the so called p-values were quite significant. This study also reflects that majority of trauma occurred due to road traffic accidents (RTAs) (24.5 %) followed by natural disasters (21.3 %) and assault (17 %) in case of male, whereas, in female 34.3 % trauma occurred by assault and homicidal attempts followed by 20 % due to natural disaster. One of the most remarkable associations of traumatic patients was that 82.3 % (28) of all deaths occurred in the first 24 hours of injury in male and on the other hand, it was 72.7 % (16) in case of female patients (Tab. 3, Fig. 7, Ref. 31).