Profile of fatal trauma in geriatric population at apex trauma centre New Delhi Kumar Mahesh1,*, Prakash Deepak2, Yadav Abhishek3, Prasad Kulbhushan4 1Assistant Professor, Department of Forensic Medicine, Rama Medical College, Hapur, Uttar Pradesh, India 2Senior Resident, Department of Forensic Medicine, JPNATC, AIIMS, New Delhi 3Assistant Professor, Department of Forensic Medicine, AIIMS, New Delhi 4Assistant Professor, Department of Forensic Medicine, AIIMS, New Delhi *Corresponding Author: Dr. Mahesh Kumar, Assistant Professor, Department of Forensic Medicine, Rama Medical College Hospital and Research Centre, Hapur, Uttar Pradesh, India. Pin- 245304, Email: mahesh25881@gmail.com: Mob: 09313517292
Abstract Trauma in the elderly people poses special challenges. Physiologic changes impact morbidity and mortality. This study observed the profile of fatal geriatric trauma at an apex Trauma Center. Design Retrospective study. A total of 690 geriatric patients were admitted to the JPN Apex Trauma Center during two year period from January 2015 to December 2016. A retrospective analysis was done of all 160 fatal geriatric trauma patients who underwent autopsy at our center during these two years after getting the ethical clearance from institutional ethical committee. Setting 165 bedded apex trauma center of India Participants 160 fatal geriatric trauma patients Interventions None Results Out of total 160 patient, male were 111(69.3%) and females were 49 (30.1%). The most common causes of trauma were fall from height in 71 (44.3%), followed by road traffic accidents in 64 (40%), assault in 11 (6.8%), railway accident in 6 (3.7%) and unconsciousness in 8 (5%). The most common primary cause of death on autopsy was severe head injury in 81 (50.6%), septicemia in 39 (24.3%), Polytrauma in 20 (12.5%), hemorrhagic shock in 18 (11.3%) and traumatic asphyxia in 2 (1.3%). A total of 637 biological samples were retrieved for microbiological or culture examination out of which 157 samples were found positive. Most common causative agent was Acinetobacter baumannii (58; 37%) followed by Pseudomonas aeruginosa (15%), E. coli (14.5%) Klebsiella pneumoniae (12.5%). Conclusion In our study, males were more than females and while most of the early deaths were due to severe head injuries, late deaths were predominantly due to infections. Top Keywords Geriatric, head injury, fatal, septicemia, biological samples, culture. Top |