McDonald, Archibald H.; Duncan, Newton D.; Mitchell, Derek I. G.; Fletcher, Peter R.
Author Affiliation, Ana.
Department of Surgery, Radiology, Anaesthesia and Intensive Care
Trauma aetiology and cost in the Accident and Emergency Unit of the University Hospital of the West Indies
West Indian Medical Journal
Date of Publication
Trauma accounted for 37% of 22,311 patients seen in the Accident and Emergency Unit (A&E Unit) at the University Hospital of the West Indies (UHWI) during 1996. Thirty-nine per cent of injuries were intentional and 18% were due to motor vehicle accidents. Knives, machetes and rocks accounted for 75% of the injuries compared with 5% for gunshot wounds. Passengers were injured in about 40% of motor vehicle accidents and pedestrians in 19%. The admission rate was 16% and the orthopaedic clinic received 75% of the patients referred to specialist clinics. Victims of motor vehicle accidents made up a greater proportion of admissions (24%) than those of intentional violence (13%). The average cost of caring for each patient in the A&E unit was US$70 resulting in an annual cost of US$578,000.....