title: Trauma in surgery and its incidence, circumstances as well as clinical consequences.
abstract: This study was conducted from 10.02.08 to 23.05.09 in general surgery wards of Chittagong Medical College Hospital, Bangladesh with multi-factorial views of clinical aspects and an alarming model image in such relation was depicted. 188 (72.9 %) patients in this study out of 258 were male it was and found that different types of trauma had been relatively higher in 51-70 yrs (35.1 %) age group followed by 31-50 yrs (28.7 %) age group in case of male subjects. On the contrary, in female, those were quite higher in 11-30 yrs (31.4 %) age group followed by 51-70 yrs (24.8 %) age group. As for the mortality, this study suggest that it was significantly higher in case of female subjects (31.4 %) (22) in relation to male subjects (18.1 %) (34). But to our knowledge probably it has no clinical significance at all. Rather, it may have socio-economic associations, as for instance- traditional negligence to female in developing countries like Bangladesh. Another remarkable observation that was clear in this study was variation in different levels of morbidity. In male, 30.9 % patients had morbidity from 1 week to 1 month; followed by 28.7 % patients with morbidity less than 1 week, whereas, in case of female, it was 25.7 % and 20 %, respectively. With regard to morbidity over 1 month 23.4 % male and 22.9 % female were found in this group and in case of both male and female, the so called p-values were quite significant. This study also reflects that majority of trauma occurred due to road traffic accidents (RTAs) (24.5 %) followed by natural disasters (21.3 %) and assault (17 %) in case of male, whereas, in female 34.3 % trauma occurred by assault and homicidal attempts followed by 20 % due to natural disaster. One of the most remarkable associations of traumatic patients was that 82.3 % (28) of all deaths occurred in the first 24 hours of injury in male and on the other hand, it was 72.7 % (16) in case of female patients (Tab. 3, Fig. 7, Ref. 31).
authors.affiliation: Chittagong Medical College Hospital, Chittagong, Bangladesh. drfaruquzzaman@yahoo.com
authors.lastname: Faruquzzaman
authors.forename: M
authors.initials: M
authors.lastname: Moniruzzaman
authors.forename: T
authors.initials: T
authors.lastname: Mohiuddin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001459:Bangladesh / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D055815:Young Adult