Data on Alcohol Related Injuries
Deepak Agrawal Assistant Professor,Department of Neurosurgery, JPN Apex Trauma Centre, AIIMS, New Delhi
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.
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
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
19%
13%27%
16%9%
7%
5%
4%
> 10 yr11-20 yr21-30 yr31-40 yr41-50 yr51-60yr61-70yr71-80yr
OBSERVATIONS
OBSERVATIONS
Time of injury= 3am-6pm(32%) 6pm – 3am (68%)
OBSERVATIONS
0
100
200
300
400
500
600
700
800
900
Assult RTA Suicidal
Mode of injury Alcohol related(%)
ASSAULT 77(20%)
RTA 177 (21%)
SUICIDAL 2 (18%)
MINOR, 340
MOD, 238
SEVERE, 708
0
100
200
300
400
500
600
700
800
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.