Clinical trial NCT04577924: Pre-hospital Care Profile of Road Traffic Injury Victims- Kerala
Official title: Pre-hospital Care Profile of Road Traffic Injury Victims Presenting to the Emergency Department of a Tertiary Care Centre in Kerala, a Cross-sectional Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Trauma
Road (Traffic) Accident [RTA] Nos
Lead sponsor: Jubilee Mission Medical College and Research Institute
Sponsor class: OTHER
First posted: 2020-10-08
Enrollment: 978
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All RTI patients presenting to ED within 24 hours of injury irrespective of gender, race or comorbidities involved in an RTI would be approached to be recruited for the study.

Brief summary: Selection of appropriate strategies and correct policy-making in these conditions may lead to decreased rates of death due to RTI.There is a lack of research on the effectiveness of pre-hospital care in Kerala. This study aimed to describe the prehospital care of RTI victims presenting to the emergency department in Jubilee Mission Medical College and Research Institute, Thrissur.

Detailed description: Management of trauma is a neglected field in developing nations.Road Traffic Injuries (RTI) cause around 1.35 million deaths worldwide annually according to the statistics of World Health Organization (WHO) and in India 150000 death per year. An overwhelming proportion of these deaths occur before patients even reach the hospital. Two third (60.7%) of the accident victims belonged to the age range of 15 to 44 years. This indicates that active and productive age people are the one affected by road traffic accidents related injuries in turn adding to higher economic loss to the country. Lack of medical attention is attributed to nearly 30 per cent of deaths at site and 80 per cent of the remaining patients died within an hour of injury (golden hour). Most of these deaths are due to airway management failure, respiratory failure or continuing hemorrhage that are preventable causes with appropriate prehospital and subsequent hospital emergency care. Mortality due to RTI is increasing, especially in Low and Middle Income Countries (LMIC). There is a lack of research on the effectiveness of pre-hospital care in India. Selection of appropriate strategies and correct policy-making in these conditions may lead to decreased rates of death due to RTI in several countries.This study aimed to describe the prehospital care of RTI victims presenting to the emergency department (ED) in Jubilee Mission Medical College and Research Institute, Thrissur.

Eligibility criteria: Inclusion criteria:

All Road traffic injury (RTI) patients presenting to ED within 24 hours of injury

Exclusion criteria:

Individual's not consenting to be part of the study or withdrawing consent later on

Cases where pre-hospital care provider could not be traced or where reliable patient data could not be collected even after repeated interview.

Primary outcomes:
measure: Pre-hospital care profile of RTI Victims presenting to the emergency department in a tertiary care center in Kerala as measured by a questionnaire.
timeFrame: Hospital admission days through discharge; up to 30 days
Secondary outcomes:
Other outcomes:
Locations:
city: Thrissur
country: India
facility: Jubilee Mission Medical College and Research Institute
state: Kerala
Study officials:
affiliation: salishvarghese@gmail.com
name: Salish Varghese, MD
role: STUDY_CHAIR
References: