Early Hospital Mortality among Adult Trauma Patients Significantly Declined between 1998-2011: Three Single-Centre Cohorts from Mumbai, India

Martin Gerdin, Nobhojit Roy, Satish Dharap, Vineet Kumar, Monty Khajanchi, Göran Tomson, Li Felländer Tsai, Max Petzold and Johan von Schreeb

PLOS ONE, 2014, vol. 9, issue 3, 1-8

Abstract: Background: Traumatic injury causes more than five million deaths each year of which about 90% occur in low- and middle-income countries (LMIC). Hospital trauma mortality has been significantly reduced in high-income countries, but to what extent similar results have been achieved in LMIC has not been studied in detail. Here, we assessed if early hospital mortality in patients with trauma has changed over time in an urban lower middle-income setting. Methods: We conducted a retrospective study of patients admitted due to trauma in 1998, 2002, and 2011 to a large public hospital in Mumbai, India. Our outcome measure was early hospital mortality, defined as death between admission and 24-hours. We used multivariate logistic regression to assess the association between time and early hospital mortality, adjusting for patient case-mix. Injury severity was quantified using International Classification of Diseases-derived Injury Severity Score (ICISS). Major trauma was defined as ICISS

Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0090064

DOI: 10.1371/journal.pone.0090064

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