1 Complications of amputation stump 5 5.1 Tetanus 5 5.1 Skin grafting failure 2 2.1 Empyema thoracis 1 1.0 Post-traumatic epilepsy 1 1.0 Brain abscess 1 1.0 The overall length of hospital stay (LOS) for in-patients ranged from 1 day to 138 days with a median of 16 days. The LOS for non-survivors ranged from 1 day to 16 days (median 5 days). The length of ICU stay ranged from 1 to 18 days (median 4 days). Patients who had severe injuries (KTSII < 6), long bone fractures and those with hemiplegia secondary to spinal injuries stayed longer in the hospital (P < 0.001). Out of 452 patients, GSK2245840 order 406 (89.8%) were alive and the remaining forty-six

patients died in hospital giving a mortality rate of 10.2%. According to multivariate regression logistic analysis, mortality rate was significantly high in patients with severe injuries (KTSII < 6), severe head injury, tetanus Linsitinib mouse and admission SBP < 90 mmHg (P < 0.001). Of the survivors, 370 (91.2%) patients were discharged well, 5 (1.2%) patients were discharged against medical advice (DAMA) and the remaining 31 (7.6%) patients were discharged with permanent disabilities related to limb amputations, fracture complications, spinal cord injuries with neurological deficit. Only ninety-eight (21.7%) patients were available for follow-up

at 6–12 months and the remaining patients were lost to follow-up. Discussion In this review, animal related injuries occurred in 8.3% of all trauma admissions, a Pevonedistat price figure which is significantly higher than that reported by Moini et al[20] in Iran and Nogalski et al[11] in Poland. These Selleck CHIR 99021 differences in the rate of animal related injuries reflect differences in risk factors for animal related injuries between the study settings. The high figure of animal related injuries in this study may be due to the large number of patients with mild injuries which needed only ambulatory treatment and discharged. The rate of the animal related injuries in the present study may be underestimated due to unreported patients, patients who died at scene or who did not reach our hospital because of treatment of minor injuries

in private hospitals. A better picture of the magnitude of animal related injuries in our setting requires comprehensive data including police records, hospital admissions, and mortuary records. Better data could support useful policy guidance and help abate these injuries and their related morbidity and mortality. In agreement with other studies [11, 18, 20], animal related injuries in our series were found to be most common in the third decade of life. High occurrences of animal related injuries among this age group have been attributed to a wide range of activities engaged in by this class of people. They represent the active group that partakes in high risk-taking activities such as farming, fishing, hunting, butchers, zoo and circus workers. The fact that this group represents economically productive age-group demands an urgent public policy response.