Indian data on alcohol related injuries
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Indian data on alcohol related injuries

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Data from India and JPN Apex Trauma Centre, Delhi on alcohol related injuries

Data from India and JPN Apex Trauma Centre, Delhi on alcohol related injuries

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Indian data on alcohol related injuries Indian data on alcohol related injuries Presentation Transcript

  • Data on Alcohol Related Injuries Deepak Agrawal Assistant Professor, Department of Neurosurgery, JPN Apex Trauma Centre, AIIMS, New Delhi
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  • GLOBAL PROBLEM
    • Globally alcohol causes 3.2% of all deaths or 1.8 million deaths annually and accounts for 4.0% of disease burden.
    • Of the total number of alcohol-attributable deaths, 32.0% are from unintentional injuries, and 13.7% are from intentional injuries.
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    • Growth of motor vehicle population (registered) and road traffic fatalities in India (Source: Ministry of Road Transport and Highways)
  • WO Odero, AB Zwi. Alcohol-Related Traffic Injuries and Fatalities in Developing Countries: A Critical Review of Literature. Health Policy Unit, Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
  • WO Odero, AB Zwi. Alcohol-Related Traffic Injuries and Fatalities in Developing Countries: A Critical Review of Literature. Health Policy Unit, Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
  • INJURY SNAPSHOT- HOLI
    • Casualty arrivals (24 hrs)- 278
    • Peak arrival (1PM-7PM)- 201
    • Deaths – 2
    • Severe Injuries- 11
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    • 15-20% OF ALL BRAIN INJURIES ARE RELATED TO ALCOHOL
    WHO Collaborative Study on Alcohol and Injuries-2004
  • JPN Apex Trauma centre, AIIMS
    • Total cases : 1286.
    • Duration : Nov 2007- Oct 2008
    • Study population : Head injured patients
  • OBSERVATIONS
    • OBSERVATIONS
    • Time of injury= 3am-6pm(32%)
    • 6pm – 3am (68%)
  • OBSERVATIONS Mode of injury Alcohol related(%) ASSAULT 77(20%) RTA 177 (21%) SUICIDAL 2 (18%)
  • OBSERVATIONS
  • OUTCOME GROUP NO. OF MORTALITY TOTAL CASES % Overall 296 1286 23 Minor HI 11 340 3 Moderate HI 36 238 15 Severe HI 249 708 35 Compound HI 62 242 25 Closed HI 292 1272 22 Penetrating HI 4 14 29
  • OUTCOME GROUP NO. OF MORTALITY TOTAL CASES % Children (> 10 yrs) 67 248 27 Adult ( 20-50 yrs) 158 761 20 Elderly ( 50-80 yrs) 71 277 25 Male 204 907 30 Female 92 379 24
  • CONCLUSIONS
    • Incidence of alcohol related head injury is increasing.
    • Post resuscitation GCS prognosticateS outcome.
    • Our mortality rates for head injured patients compare very favorably with international data.
  • THANK YOU !