::INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES::

CODEN : IAJPBB
issn 2349-7750

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TITLE:

A RESEARCH STUDY ON DIFFERENCES IN RISK-ADJUSTED OUTCOME OF ROAD TRAFFIC INJURIES IN TERTIARY CARE CENTERS OF PAKISTAN

AUTHORS:

Dr Madiha Jamil Awan, Dr Norina Shamshad, Dr Waqas Ahmad

ABSTRACT:

Objective: Assessment of the contrasting factors in road injury survival including three tertiary care hospitals of an urban area. Methods: In Lahore, during October 2015 to November 2018, a study-based survey was held which consists of all road traffic injury victims representing the three health care centers. In this survey complete record of the patient is maintained including gender, mode, age and any delay in approaching hospital. Data was stratified by hospital of presentation. A logistic regression model was formed, and survival possibility was evaluated after balancing different risk factors, comprising patient data and severity of injury. Results: The study comprised of 93,657 victims, but there is a lack of complete information in 6,458(6.89%) study subjects, counting the information about survival. Generally, 83,837(89.5%) were males; 64,269(74%) were aged between 16 and 45 years; 84,016(95%) had injury severity score of ?15; however, the survival rate was 84,141(96.5%). Conclusion: In Lahore, Remarkable variations were found in risk-adjusted survival of road injury victims representing public hospitals. These variations underlined the differences in chances for improvement and the process of care. Keywords: Surveillance, Survival, Road traffic Injuries, trauma system, Outcome.