Mohammed Zulfiqar Ali, Sadia Aslam, Mohammed Idrees Anwar.
Audit of surgical trauma in a tertiary care hospital of Southern Punjab.
J Sheikh Zayed Med Coll Jan ;1(2):42-5.

Background:-Incidence of major trauma is high in this part of the country with an equally high mortality. Trauma care has improved globally after introduction of trauma audit in various centers of the world. Trauma-Injury Severity Score (TRISS) is used for determining survival probability and evaluation of trauma care based on Injury Severity Score, Revised Trauma Score and focused on trauma outcome (deaths & survivors). Objective: Present study was designed to improve and document the care of trauma patients by adopting TRISS methodology for charting and audit. Patients and Methods: This prospective study was conducted at Sheikh Zayed Hospital, Rahim Yar Khan, from 1st December 2009 to 31st May 2010. All trauma patients received in the accident and emergency department were included in this study, according to criteria of Major Trauma Outcome Study (MTOS). Results: A total of 528 patients were included in this study, with mean age of 28.43± 9.2 years. Male to female ratio was 4.5:1. It was noted that 278 patients had multiple injuries involving more than one body region. Mortality rate in our series was 11.17% (which is high) and all these patients had major trauma score (>16). Among total deaths (59), 26 patients died unexpectedly, in spite of their survival probability was greater than 0.5. Conclusion: Trauma chart is a reliable tool to judge the effectiveness of medical care in a hospital & to reduce the number of missed injuries. We identified almost 44 % unexpected deaths in our series.

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