title: Interpersonal violence as a major contributor towards the skewed burden of trauma in KwaZulu-Natal, South Africa.
abstract: BACKGROUND
  Trauma is one of the foremost causes of death worldwide, but there is a paucity of data on demographics and injury patterns in developing countries.
  
  
  OBJECTIVE
  To quantify and describe the major trauma burden at a regional hospital in KwaZulu-Natal (KZN), South Africa (SA), over a 5-year period.
  
  
  METHODS
  Ngwelezane Hospital is a large regional hospital in northern KZN. A database is maintained of all major trauma patients admitted to the Emergency Department (ED) resuscitation unit. Statistical analysis was performed to quantify the burden of trauma and analyse trends in these data.
  
  
  RESULTS
  Over a 5-year period, 3 735 major trauma patients were admitted to the ED resuscitation unit. Analysis showed a male predominance, with a mean patient age of 28.6 years. An average of 62 patients per month were admitted, the rate peaking over the holiday seasons. Trauma secondary to interpersonal violence (IPV) predominated. A disproportionately high level of pedestrian-motor vehicle collisions (PMVCs) in relation to total road traffic collisions was noted. Blunt force trauma secondary to motor vehicle collisions was the leading cause of death, while blunt force trauma secondary to PMVC s carried the highest mortality rate.
  
  
  CONCLUSIONS
  This study highlights the high incidences of both IPV and PMVCs typical of trauma in an SA setting. The demographics and injury patterns noted may be used to drive public health interventions to address this burden of trauma.
authors.affiliation: Department of Emergency Medicine, School of Clinical Medicine, College of Health Sciences, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa. drcarolynlewis@yahoo.com.
authors.forename: Carolyn
authors.initials: C
authors.lastname: Lewis
authors.forename: Darryl
authors.initials: D
authors.lastname: Wood