| ORIGINAL ARTICLE |
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| Year : 2018 | Volume
: 6
| Issue : 2 | Page : 51-53 |
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Profile of fatal geriatric trauma at a Level 1 trauma centre of India
Sanjeev Lalwani1, Purva Mathur2, Mahesh Kumar3, Chhavi Sawhney4, Deepak Agrawal5, Omika Katoch2
1 Department of Forensic Medicine, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India
2 Department of Laboratory Medicine, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India
3 Department of Forensic Medicine and Toxicology, Rama Medical College Hospital and Research Centre, Hapur, Uttar Pradesh, India
4 Department of Anesthesia and Critical Care, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India
5 Department of Neurosurgery, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India
Correspondence Address:
Dr. Purva Mathur
Department of Laboratory Medicine, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi - 110 029
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jpsic.jpsic_8_18
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Background: Trauma in old age is a serious health issue and associated with high fatality. This study details the profile of fatal geriatric trauma at a Level 1 Indian trauma centre.
Methods: This is a retrospective study. A total of 779 geriatric patients were admitted to the Jai Prakash Narayan Apex Trauma Centre during 2-year period from January 2014 to December 2015. A retrospective analysis was done of all 194 fatal geriatric trauma patients who underwent autopsy at our centre during this 2-year period. The study has been taken ethical clearance from the institutional review board.
Setting: This study was conducted in a 165-bedded Level 1 trauma centre of India.
Participants: Hundred and ninety-four fatal geriatric trauma patients were included in the study.
Interventions: There were no interventions in this study.
Measurements: Data were represented in median (range: minimum–maximum) and frequency (%).
Results: The duration of admission of these 194 patients ranged from <1 to 91 days (median 3 days). The causes of trauma were road traffic accidents in 78 (40%), fall from height in 75 (39%), assault in 12 (6%), railway accident in 10 (5%) and unconsciousness in 10 (5%). The autopsy-proven primary cause of death was severe head injury in 89 (46%), septicaemia in 30 (15%), polytrauma in 11 (6%), orthotrauma in 12 (6%), haemorrhagic shock in 9 (5%), spinal injury in 8 (4%), musculoskeletal injury in 3 (2%) and fat embolism in 3 (2%).
Conclusion: In our study, while most of the early deaths were due to severe head injuries, late deaths were predominantly due to infections.
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