Evaluation of trauma-related mortality in Peshawar, Pakistan: a study at Khyber Teaching Hospital.
Trauma admissions had 9.4% in-hospital mortality over five years in Peshawar.
Evaluation of trauma-related mortality in Peshawar, Pakistan: a study at Khyber Teaching Hospital.
Trauma is a leading cause of death and disability in low-income and middle-income countries.
To describe the patterns, severity, and in-hospital mortality of trauma at Khyber Teaching Hospital (Khyber Teaching Hospital), Peshawar, during 5 years.
This retrospective cohort (2018-2022) included all trauma admissions at Khyber Teaching Hospital.
about 1 in 11 trauma admissions died in hospital
Among 10 542 patients (mean age 32±19 years; 72% male), blunt trauma comprised 58%, penetrating injuries 23%, and burns 8%.
Road traffic accidents (road traffic accidents) caused half of all injuries, followed by falls (16%), and violence (15%).
Fatalities had higher median Injury Severity Score (25 vs 9; p<0.001) and more severe traumatic brain injury (56% vs 18%; p<0.001).
Independent predictors of death were age >60 years (OR 4.3; 95% CI 3.5 to 5.4), Injury Severity Score >25 (OR 5.6; 4.5-6.9), systolic BP <90 mm Hg (OR 4.9; 3.9-6.2), and Glasgow Coma Scale Score <8 (OR 6.1; 4.9-7.7).
Trauma mainly from road traffic accidents remains a major cause of in-hospital death at Khyber Teaching Hospital despite modest decline.
High Injury Severity Score, hypotension, and low Glasgow Coma Scale Score were strongest mortality predictors.
Strengthened prehospital care, dedicated trauma centers, and a provincial registry are key to reducing preventable deaths in Khyber Pakhtunkhwa.