Patterns of injury mechanism at a tertiary trauma center in Mumbai, India: Opportunities for injury prevention

Laytin, Adam D.; Kumar, Vineet; Sarang, Bhakti; Roy, Nobhojit; Dicker, Rochelle; Juillard, Catherine

doi:10.1080/19439962.2016.1208312

Cited by 3 publications

(5 citation statements)

References 25 publications

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“…The most frequently mentioned reason for using the KTS for injury severity scoring is that it effectively predicts in-hospital mortality 15–17,21–40 . Several publications mentioned that the KTS compares well with other major scores 11,25,26,28,31,32,38,40–42 .…”

Section: Resultsmentioning

confidence: 99%

“…Suitability of the score for resource scarce environments was mentioned by 29 of the publications 11,15,16,21–30,37,40,41,43–45,47–56 . Most articles did not elaborate on this.…”

Section: Resultsmentioning

confidence: 99%

“…The most frequently mentioned reason for using the KTS for injury severity scoring is that it effectively predicts in-hospital mortality. [15][16][17][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] Several publications mentioned that the KTS compares well with other major scores. 11,25,26,28,31,32,38,[40][41][42] Another reason for using the KTS is its ability to calculate an ISS for both adults and children, which is important in regions where there are no pediatric specific hospitals.…”

Section: Abilitymentioning

confidence: 99%

“…15,17,21,40,43,47 Suitability Suitability of the score for resource scarce environments was mentioned by 29 of the publications. 11,15,16,[21][22][23][24][25][26][27][28][29][30]37,40,41,[43][44][45][47][48][49][50][51][52][53][54][55][56] Most articles did not elaborate on this. However, a few mentioned the reduced time needed for data collection or the relative ease of calculation.…”

Section: Simplicitymentioning

confidence: 99%

See 3 more Smart Citations

The Kampala Trauma Score: A 20-year track record

Rosenkrantz

Schuurman

Hameed

et al. 2022

J Trauma Acute Care Surg

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Quantifying the severity of traumatic injury has been foundational for the standardization of outcomes, quality improvement research, and health policy throughout the evolution of trauma care systems. Many injury severity scores are difficult to calculate and implement, especially in low-and middle-income countries (LMICs) where human resources are limited. The Kampala Trauma Score (KTS)-a simplification of the Trauma Injury Severity Score-was developed in 2000 to accommodate these settings. Since its development, numerous instances of KTS use have been documented, but extent of adoption is unknown. More importantly, does the KTS remain useful for determining injury severity in LMICs? This review aims to better understand the legacy of the KTS and assess its strengths and weaknesses. Three databases were searched to identify scientific papers concerning the KTS. Google Scholar was searched to identify grey literature. The search returned 357 papers, of which 199 met inclusion criteria. Eighty-five studies spanning 16 countries used the KTS in clinical settings. Thirty-seven studies validated the KTS, assessing its ability to predict outcomes such as mortality or need for admission. Over 80% of these studies reported the KTS equalled or exceeded more complicated scores at predicting mortality. The KTS has stood the test of time, proving itself over the last twenty years as an effective measure of injury severity across numerous contexts. We recommend the KTS as a means of strengthening trauma systems in LMICs and suggest it could benefit high-income trauma systems that do not measure injury severity.

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Section: Resultsmentioning

confidence: 99%

“…Suitability of the score for resource scarce environments was mentioned by 29 of the publications 11,15,16,21–30,37,40,41,43–45,47–56 . Most articles did not elaborate on this.…”

Section: Resultsmentioning

confidence: 99%

Section: Abilitymentioning

confidence: 99%

Section: Simplicitymentioning

confidence: 99%

See 2 more Smart Citations

The Kampala Trauma Score: A 20-year track record

Rosenkrantz

Schuurman

Hameed

et al. 2022

J Trauma Acute Care Surg

View full text Add to dashboard Cite

show abstract

“…In the United States, expanded homicide data released by the U.S. Department of Justice reported 13927 homicidal cases in 2019, of which 10.38% of cases victims were under 18 years of age [5]. National Crime Record Bureau (NCRB) of India shows that out of 30183 homicidal cases, 5.2% were below 18 years of age in 2020 [6].…”

Section: Case Nomentioning

confidence: 99%

Fatal Violent discipline in children – Two case reports

Janarthanan¹,

Manivel²,

Aravindan³

et al. 2022

CCRS

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A growing child attains psychological maturity and social skills while interacting with society. A supportive family and social environment will positively influence the child's development. Instead, children are experiencing various forms of abuse, violence, and cruelty. The authors report two such cases of children who were physically assaulted by their biological father and stepfather for disobedience, resulting in death. The autopsy surgeon should focus not only on the obvious external physical signs of violence but also on subtle or concealed signs in suspicious circumstances or incomplete and unreliable history provided by the parents. The article highlights the prevention of violence against children and the role of the autopsy Surgeon in detecting child abuse.

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Prehospital notification of injured patients presenting to a trauma centre in India: a prospective cohort study

et al. 2020

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ObjectivesTo assess the effect of a mobile phone application for prehospital notification on resuscitation and patient outcomes.DesignLongitudinal prospective cohort study with preintervention and postintervention cohorts.SettingMajor trauma centre in India.ParticipantsInjured patients being transported by ambulance and allocated to red (highest) and yellow (medium) triage categories.InterventionA prehospital notification application for use by ambulance and emergency clinicians to notify emergency departments (EDs) of an impending arrival of a patient requiring advanced lifesaving care.Main outcome measuresThe primary outcome was the proportion of eligible patients arriving at the hospital for which prehospital notification occurred. Secondary outcomes were the availability of a trauma cubicle, presence of a trauma team on patient arrival, time to first chest X-ray, and ED and in-hospital mortality.ResultsData from January 2017 to January 2018 were collected with 208 patients in the preintervention and 263 patients in the postintervention period. The proportion of patients arriving after prehospital notification improved from 0% to 11% (p<0.001). After the intervention, more patients were managed with a trauma call-out (relative risk (RR) 1.30; 95% CI: 1.10 to 1.52); a trauma bay was ready for more patients (RR 1.47; 95% CI: 1.05 to 2.05) and a trauma team leader present for more patients (RR 1.50; 95% CI: 1.07 to 2.10). There was no difference in time to the initial chest X-ray (p=0.45). There was no association with mortality at hospital discharge (RR 0.94; 95% CI: 0.72 to 1.23), but the intervention was associated with significantly less risk of patients dying in the ED (RR 0.11; 95% CI: 0.03 to 0.39).ConclusionsThe prehospital notification application for severely injured patients had limited uptake but implementation was associated with improved trauma reception and reduction in early deaths. Quality improvement efforts with ongoing data collection using the trauma registry are indicated to drive improvements in trauma outcomes in India.Trial registration numberNCT02877342.

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Patterns of injury mechanism at a tertiary trauma center in Mumbai, India: Opportunities for injury prevention

Cited by 3 publications

References 25 publications

The Kampala Trauma Score: A 20-year track record

The Kampala Trauma Score: A 20-year track record

Fatal Violent discipline in children – Two case reports

Prehospital notification of injured patients presenting to a trauma centre in India: a prospective cohort study

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