Objective: To assess the frequency of thrombocytopenia among the patients of trauma at an intensive care unit and to look for its relationship and other socio-demographic factors with the outcome. Study Design: Cross-sectional study. Place and Duration of Study: Intensive Care Unit, Combined Military Hospital Peshawar, from Mar to Aug 2017. Methodology: Thrombocytopenia was defined as platelet count of <150,000/μl and was performed on the fifth day of admission in the Intensive Care Unit. Age, gender, presence of thrombocytopenia, history of platelet transfusion, and length of stay in the Intensive Care Unit were correlated with the outcome in our study population. Results: A total of 107 patients admitted to intensive care unit with traumatic injuries during the study period were included in analysis. Mean age of the patients was 37.93 ± 6.697 years. Thrombocytopenia developed in 35 (32.7%) of the patients while 72 (67.3%) had normal platelet count. Less than 18% patients died in the intensive care unit. Long duration of Intensive Care Unit stay and presence of thrombocytopenia were statistically significantly associated (p<0.05) with the presence of poor outcome in our sample population. Conclusion: Frequency of thrombocytopenia was high among patients admitted with trauma in intensive care unit and was also related to poor outcome in these patients.

Objective: To compare the mortality among different modes of trauma and different areas/parts of the bodyinvolved by trauma.Study Design: Comparative descriptive study.Place and Duration of Study: This study was carried out in the Department of Critical Care Medicine, Combined Military Hospital (CMH) Peshawar, from October 2015 to September 2017.Materials and Methods: All the patients with trauma admitted to in the Intensive Care Unit (ITC) of CMHPeshawar were included in this study. All the data including their cause of injury and the areas involved werecollected on computerized forms using Microsoft Access 2007 and patients were followed till their death ordischarge from ITC. The data collection was prospective and cross-sectional.Results: During the study period a total of 448 trauma patients were admitted in the ITC of CMH Peshawar.Males (93.3 %) outnumbered females (6.7%) by almost 14:1. Mean age of patients was 31 ± 13.4 years (range1.5 to 88 years). The mean ITC stay of patients was 6.8 ± 6.5 days. Out of these 448 patients, 394 (87.9%)survived and were shifted from ITC to lower levels of care. The survival ratio was slightly higher in femalescompared to males with a p-value of 0.348. Patients who survived were relatively younger (30 years+ 13) thanthe patients who expired (37 years+ 15) with a p-value of 0.071. The trauma patients who survived stayed oneday longer (7 days) than the patients who expired (6 days), p-value 0.057. Depending upon the cause of trauma,the highest mortality was seen in patients of burns (40%) followed by RTA (17.2%) and GSW (10.6) P-value0.011. Similarly depending onthe area of the body involved highest mortality is seen in patients with burns(40%), followed by polytrauma (16.7%) and head injury (16.1%).Conclusion: Trauma is a problem of young adults which can lead to disabilities and loss of life years in its victims. RTA is the commonest cause of trauma with a high fatality rate. Depending on body area involvementpolytrauma and head injury due to any cause are common and carry a high mortality. Burns are the lesscommon but the deadliest cause of trauma.