Indian data on alcohol related injuries

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.