EMERGENCIES ATTENDED AT ACCIDENT & EMERGENCY DEPARTMENT, LADY READING HOSPITAL, PESHAWAR: AN OVERVIEW

Abstract

Objective: To determine the type and frequencies of Accident & Emergency(A&E) attended at Lady Reading Hospital, Peshawar.

Methodology: The data collected, consisted of 23,725 patients/year with anaverage of 65 patients/day. The data was statistically analyzed using SPSSversion 16 for age, gender, etiology of trauma, referral status and single ormultiple organ injuries (polytrauma). The frequencies and percentages werecalculated for all variables.

Results: Most common age group with trauma or polytrauma presentedduring 21-30 years. The age range for male group was found to be 3-65 yearswhile for female it ranges from 8-70 years. Male to female ratio was 4:1.Mostcommon etiology for patients reporting to ER department with acute injurywere due to RTA (48%) followed by fall from height (23%).Sixty eight percentpatients were referred from other district hospitals while 32% patients directlyapproached ER OPD for consultation. Most of patients were referred to Neurosurgerydepartment (30%) for consultation. Polytrauma patients with multipleorgan injuries were referred mostly to orthopedic and general surgeryward. Five percent patients suffered mortality due to severe impact of injuries.

Conclusion: Majority of male patients reported to ER department of LadyReading Hospital, Peshawar. The age range in polytrauma was found to be 21-30 yers. The major etiology of trauma was RTA followed by fall from heights.Most of trauma patients were referred from other district hospitals. Polytraumapatients were referred mostly to Neurosurgery+ Orthopedic ward for definitivesurgery.