ArticleWorld journal of surgery2016
30-Day In-hospital Trauma Mortality in Four Urban University Hospitals Using an Indian Trauma Registry.
Article in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.
- Thefeasibility, appropriateness, and applicability of trauma scoring systems in low and middle-income countries: a systematic review.Trauma surgery & acute care open · 2020Pooled it
- Epidemiology of civilian patients with acute conflict-related extremity injuries sustained in Syria and Iraq.PLOS global public health · 2026Article
- High trauma mortality and severe injury burden in Pakistan: epidemiology, surgical interventions, and in-hospital care from a digital hospital-based trauma registry.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- What Is the Need for and Access to Trauma Surgery in Low- and Middle-Income Countries? A Scoping Review.World journal of surgery · 2025Article
- Trauma in India: current status and the path forward.Trauma surgery & acute care open · 2025Review
- Methodology for the Formulation of the Guidelines for the Management of Moderate to Severe Traumatic Brain Injury in Austere and Combat Environments.Neurosurgery practice · 2024Article
- Bridging Real-World Data Gaps: Connecting Dots Across 10 Asian Countries.JMIR medical informatics · 2024Article
- Achieving Surgical, Obstetric, Trauma, and Anesthesia (SOTA) care for all in South Asia.Frontiers in public health · 2024Review
- In-Hospital Mortality Following Traumatic Injury in South Africa.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022Article
- Article
- Management of pancreatic trauma in urban India: A multicenter study.Annals of medicine and surgery (2012) · 2022Article
- Outcomes of Renal Trauma in Indian Urban Tertiary Healthcare Centres: A Multicentre Cohort Study.World journal of surgery · 2021Article
- An Analysis of 30-Day in-Hospital Trauma Mortality in Four Urban University Hospitals Using the Australia India Trauma Registry.World journal of surgery · 2021Article
- Participants' perception of the AIIMS Trauma Assessment and Management (ATAM) course for management of polytrauma: A multi-institutional experience from India.Journal of clinical orthopaedics and trauma · 2021Article
- Comparing trauma mortality of injured patients in India and the USA: a risk-adjusted analysis.Trauma surgery & acute care open · 2021Article
- WITHDRAWN: Participants' perception of the AIIMS Trauma Assessment and Management (ATAM) course for management of polytrauma due to road traffic injuries: A multi-institutional experience from India.Journal of clinical orthopaedics and trauma · 2020Article
- Management of liver trauma in urban university hospitals in India: an observational multicentre cohort study.World journal of emergency surgery : WJES · 2020Observational
- Going to the nearest hospital vs. designated trauma centre for road traffic crashes: estimating the time difference in Delhi, India.International journal of injury control and safety promotion · 2019Article
- Epidemiology of Trauma Patients from the Mosul Offensive, 2016-2017: Results from a Dedicated Trauma Center in Erbil, Iraqi Kurdistan.World journal of surgery · 2019Article
- Pattern and Distribution of Shock Index and Age Shock Index Score Among Trauma Patients in Towards Improved Trauma Care Outcomes (TITCO) Dataset.Bulletin of emergency and trauma · 2018Article
Corrections and comments
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Authors and funding
10 authors at 8 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIn India, half of the annual 200,000 road traffic deaths occur in hospitals, but the exact in-hospital trauma mortality rate remains unknown. A research consortium of universities, with a mandate to reduce trauma mortality, measured the baseline 30-day in-hospital mortality rate.
methodsBetween September 2013 and February 2015, trained data collectors collected on-admission demographic, physiological vital signs, and health service performance indicators (time of injury to admission, investigation, or intervention) on all patients with traumatic injuries admitted to four public university hospitals in three Indian megacities.
resultsOf the 11,202 hospitalized trauma patients, 21.4 % died within 30 days of hospitalization. The median age was 30 years for survivors and 37 years for non-survivors. The on-admission systolic blood pressure and Glasgow Coma Score was near-normal in survivors, but was significantly lower in non-survivors and associated with both early and late mortality (p = 0.001). In the absence of a trauma system, there were process-of-care delays from injury to reaching and being examined, investigated, or operated in the hospital.
conclusionUsing a multi-institutional Indian registry, this study is the first to systematically document that the 30-day in-hospital trauma mortality was twice that found in similar registries from high-income countries. Physiological scoring of on-admission vitals was clinically useful to predict mortality. More research is needed to understand the causes of high mortality and time delays in the process of delivering trauma care in India, which has no prehospital or trauma system.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.