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An evaluation of association between pre-hospital care with injury severity scores among survivors of road traffic accidents in a north Indian setting

Dr.Ravi Kant Singh, Prof. Ashish Kumar, Prof. G.K. Singh, Prof. Santosh Kumar, Dr.Nidhi Singh
2014 IOSR Journal of Dental and Medical Sciences  
Objective: To compare the AIS and ISS scores according to pre-hospital care received among the subjects of trauma victims Methods: This was a cross-sectional study conducted in a trauma centre of north Indian tertiary care hospital. The detailed history of the subjects was taken and AIS and ISS scores were calculated for each subject. The subjects who got accident with a vehicle and admitted in the centre were included in the study. The burned and subjects <12 years were excluded from the
more » ... uded from the study. Results: A total of 869 subjects were included in the study and majority were males (81.5%). Most of the subjects received pre-hospital care (76.1%). The AIS was significantly (p=0.02) higher who received prehospital care (1.77±0.58) than those who did not know (1.50±1.00) among head & neck injured subjects. Similar observation was found among the subjects of face and extremities injured. The ISS was lower among those who did not receive pre-hospital care (5.71±2.64) compared with who received (6.18±2.61). The ISS was significantly (p=0.0001) different among the subjects who received pre-hospital care, did not received and unknown injuries. Conclusion: The pre-hospital care is an important factor for the survival of injured subjects. Specific strategy should be made to provide the pre-hospital care at the site of victims.
doi:10.9790/0853-16630508 fatcat:c37o7oi5trbmxnj7baz56flthi