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TNCS audit 2016

TNCS audit 2016

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TNCS audit 2016

  1. 1. Injury Surveillance Data 2016 Trauma Nurse Coordination System J.P.N. Apex Trauma Centre, AIIMS
  2. 2. Initial Triage ED 5.86% 23.43% 70.26% 0.43% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% RED YELLOW GREEN BROUGHT DEAD n=66891 YEAR 2016 Footfall in Emergency Department 66891 Patients Included in Trauma Registry 18172
  3. 3. Gender Distribution 76.95% 23.04% MALE FEMALE n=18172
  4. 4. Distribution as per the age of patient 0.58% 11.90% 14.42% 29.45% 18.28% 11.74% 6.65% 2.67% 4.25% 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% < 1 1 - 10 11-20 21-30 31-40 41-50 51-60 61-65 >65 (n=18172)
  5. 5. Broad Classification by Cause of Injury 48.02% 35.04% 15.12% 0.79% 0.61% 0.38% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% ROAD TRAFFIC INJURIES UNINTENTIONAL/ ACCIDENTAL ASSAULT RAILWAY TRACK INJURIES INTENTIONAL SELF HARM NON TRAUMA (n=18172)
  6. 6. Mode of Injuries in various age groups RTI Unintentional Assault Non-Trauma Int. Self Harm Rail Track < 01 14 88 2 2 0 0 1-10 442 1688 27 3 2 1 11-20 1336 756 482 4 23 21 21-30 3062 1113 1070 15 50 43 31-40 1788 829 625 14 30 36 41-50 1191 583 326 7 6 22 51-60 562 502 121 11 1 13 61-65 183 253 39 7 0 5 > 65 150 557 56 7 0 4 n = 18172
  7. 7. Mechanism of Injury 96.45% 17,527 1.37% 250 0.94% 172 0.67% 122 0.08% 15 0.39% 71 0.05% 10 0.02% 5 0.00% 20.00% 40.00% 60.00% 80.00% 100.00% 120.00% BLUNT PENETRATING SSC DSC MIXED NON TRAUMA BURNS POISIONING (n=18172)
  8. 8. Direct V/S Referral Direct 85% referred 15% n=18172)
  9. 9. Referral Time 81.12% 18.87% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% 90.00% < 24 Hrs > 24 Hrs n=2718
  10. 10. Outcome of Referrals 21.37% 19.35% 7.65% 20.30% 28.10% 0.40% 1.28% 0.73% 0.77% (n=2718) 48.38%
  11. 11. Victims Brought By Person 0.34% 0.01% 2.39% 2.61% 0.04% 65.48% 0.15% 3.77% 23.31% 1.38% 0.46% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% (n=18172)
  12. 12. Vehicles used to bring patients 0.09% 18 12.03% 2187 2.61% 475 30.95% 5625 27.63% 5022 23.23% 4222 1.17% 214 1.70% 310 0.39% 72 0.04% 8 0.10% 19 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% (n=18172)
  13. 13. Victims brought by PCR in all modes 57.98% 35.59% 4.42% 0.75% 1.04% 0.18% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% RTI Assault Unintentional Injury Int. Self Harm Rail Track Injury Non-Trauma (n=4222)
  14. 14. Victims brought by CATS in all modes 65.05% 10.52% 15.78% 0.84% 7.36% 0.42% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% RTI Assault Unintentional Injury Int. Self Harm Rail Track Injury Non-Trauma (n=475)
  15. 15. RTI Victims Brought By Person 0.56% 4.39% 3.54% 56.78% 0.18% 3.98% 28.13% 1.43% 0.97% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% Ambulance Personnel By Stander CATS Family & Relative Hospital Staff Known Person Police Self Who Hit The Patient n=8728
  16. 16. RTI Victims Brought By Vehicle 28.04% 26.97% 23.10% 15.45% 3.54% 1.38% 1.07% 0.24% 0.03% 0.03% 0.09% 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% n=8728
  17. 17. Road Traffic Injuries Who is Injured 74.16% 22.23% 3.59% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% IN/ON Vehicle Pedestrian Unknown n=8728
  18. 18. Road Traffic Injuries Victim’s Vehicle Involved 71.01% 8.97% 8.38% 6.53% 1.69% 1.65% 1.17% 0.26% 0.24% 0.04% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% Two Wheeler Auto Car Pedalcycle Bus Truck Pick Up Truck Animal Drwan Vehicle Tractor Industrial Vehicle n=6473
  19. 19. 96.95% 58.23% 100.00% 3.04% 41.76% 0.00% 20.00% 40.00% 60.00% 80.00% 100.00% 120.00% Driver,(n=3476) Pillion (n=1087) Unknown (n=34) MALE FEMALE n=4597 Road Traffic Injuries Who is Injured while travelling on a Two Wheeler
  20. 20. Road Traffic Injuries Helmet Usage by Status of Patient 0% 20% 40% 60% 80% 100% PILLION,(n=1087) Driver,(n=3476) unknown,(n=34) 28.05% 55.29% 17.64% 71.94% 44.41% 82.35% Helmet No Helmet
  21. 21. Road Traffic Injuries Helmet Usage by Gender of Patient 30.53% 51.07% 69.46% 48.92% 0.00% 20.00% 40.00% 60.00% 80.00% 100.00% 120.00% Female,(n=273) Male, (n=2172) Helmet No Helmet
  22. 22. Road Traffic Injuries Disposition of Helmeted / Non-Helmeted ADM Tr-Out Disc LAMA Absc BD ED Death Male Helmeted (n=2062) 15.90% 21.24% 56.88% 0.48% 4.70% 0.58% 0.14% Male Non- Helmeted (n=1975) 22.58% 19.59% 50.32% 0.55% 4.35% 2.17% 0.40% Female Helmeted (n=171) 9.35% 0.58% 70.17% NONE 6.43% 0.58% NONE Female Non- Helmeted (n=389) 16.96% 15.68% 61.95% NONE 4.62% 0.25% 0.51%
  23. 23. Road Traffic Injuries Pedestrian Hit By Vehicle 38.12% 36.37% 7.77% 6.90% 3.91% 2.78% 2.26% 0.82% 0.82% 0.20% (n=1941)
  24. 24. Unintentional cause of injuries 29.91% 26.53% 25.56% 5.93% 0.56% 0.25% 4.27% 1.64% 0.91% 0.83% 0.81% 0.45% 0.45% 0.31% 0.28% 0.15% 0.10% 0.07% 0.04% 0.86% n=6369 88.75%
  25. 25. Railway Track Injuries 88.27% 11.72% Brought Alive Brough Dead 51.72 % 48.27 % PASSANGER TRESSPASSER n=145
  26. 26. Assault 85.51% 7.71% 4.62% 1.81% 0.32% n=2748 High Velocity Low Velocity 40.56 % 59.43 % n=212Penetrating Injuries
  27. 27. Intentional Self Harm Sharp Object Hanging Fire Arm Jumped From Height Lying infront of Moving Object Poisioning Others 46.42% 32.14% 5.35% 5.35% 3.57% 3.57% 3.57% n=112
  28. 28. Admissions From Emergency Department Neurosurgery Trauma Surgery Orthopaedics 34.00% 44.34% 21.64% n=3211
  29. 29. Final Disposition of all patients From Emergency Department Admission Tr-Out Discharge Abscond LAMA Brought Dead ED Death 17.67% 17.76% 57.39% 4.79% 0.40% 1.59% 0.37% n=18172
  30. 30. ISS Based Outcome of Admitted Patients 73.80% 26.19% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% ISS <15 ISS>15 n=2550 0% 50% 100% ISS <15 (n=1882) ISS >15 (n=668) 92.29% 82.00% 7.70% 17.96% Survivors Deaths
  31. 31. Multiple Casualty Incidents 2016 • Total no. of incidents = 12 • Incidents where total no. of patient were 6 or >6 = 9 • Incidents description : Assault = 02 R.T.I. = 08 Construction Site = 02 • 8 incidents happened within 15 km radius from T.C. • 2 Incidents were happened outside Delhi (Noida & Merrut) Contd……
  32. 32. Details of Patients Injured in MCI SL No. Type Total Patients Red Yellow Green Black Admission Disch Tr-Out 1 RTI 6 1 4 1 Nil Nil 5 1 2 CS 12 0 0 12 0 0 12 0 3 RTI 13 3 10 0 0 4 7 2 4 RTI 7 0 5 0 2 2 3 0 5 RTI 5 1 2 1 1 1 3 0 6 RTI 6 0 4 2 0 1 5 0 7 ASLT 12 0 3 12 0 0 15 0 8 CS 5 0 5 0 0 1 4 0 9 RTI 12 11 0 0 1 6 5 0 10 ASLT 21 1 6 14 0 1 19 1 11 RTI 5 1 4 0 0 2 2 1 12 RTI 8 1 7 0 0 0 8 0
  33. 33. TNCS Team Faculty In-charge : Prof. Amit Gupta Suresh Chand Sangi Tulsi Ram Gupta Shallu Chauhan Bincy Denny Vipin Bihari Mishra Rebecca Mary Teenu Preetha Francis Sandhya Antony Josmy Nibin Jisha Rakesh Vishnu Kumar V Ramchandran R Robin Anu Babu Ashish Jhakal

TNCS audit 2016

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