Skip to main content

Indian female assault patients 40 times more susceptible to death than their US counterparts: Study

By Rajiv Shah
A new study in a top US medical journal has raised the alarm that "while both males and females in India had higher odds of mortality than their US counterparts, Indian female assault patients had a 40 times higher odds of death than US females", wondering whether "this difference in mortality attributable to potential delay between injury time and medical attention, along with limited prehospital care services and access to affordable surgical care."
Claimed to be the first ever study drawing a comparison between two countries -- one rich and another poor -- the authors say, their findings confirm "previous literature citing increased mortality after trauma in lower-income countries", adding, "Additionally, our matched analysis revealed significant differences in outcomes based on gender..."
Titled "Comparative analysis of gender differences in outcomes after trauma in India and the USA: case for standardised coding of injury mechanisms in trauma registries", by researchers Mohini Dasari, Siddarth D David, Elizabeth Miller, Juan Carlos Puyana, Nobhojit Roy, belonging to well-known US, Indian and Swedish institutes, the study has been published in the prestigious journal "BMJ Global Health".
"In terms of social variables", the study says, the data suggest, "Domestic violence contributes to a significant percentage of female trauma patients presenting in high-income and low-income countries", underlining, "Multiple strong sources of evidence suggest that only one in four women in India seek care services related to experiencing intimate partner violence."
The Indian data in the study has been taken from top hospitals in Kolkata, Mumbai and Delhi, while the US data has been taken from trauma centres in Pittsburgh, Pennsylvania. Both the data are for the period from 2013 to 2015, and and analyse 7505 Indian and 9448 US patients.
Calling this evidence of "intentional injury and gender-based violence", the data in the study show that in-hospital deaths among India females is to the tune 28.2% as against just 2.5% among US females. As for the males, it is 26.2% in India and in US 3.3%. The higher percentage of deaths take place, the study adds, despite "significantly higher rates of surgical management of patients with trauma in India compared to the US."
While the data further show that 28.5% of Indian patients undergo "surgical management", compared to just 5.2% in the US, the authors of the study believes that this could be because in India, "many motor vehicle collision (MVC) and assault cases, because of the medico-legal nature of case, are transferred to public hospitals."
The study further explains, "Since the Indian cohort is based on public trauma centres, there could be a larger number of surgeries occurring given that these centres provide more tertiary level care to those who cannot afford private care or are referred up to such larger-volume hospitals for cases requiring operative management."
It adds, "Given the limited use of resources such as interventional radiology in such public hospitals in India, all these cases represent surgical procedures occurring in the operating room versus bedside procedures."
Additionally, the study finds discrepancy between India and the US in the Injury Severity Score (ISS), a term used to assess trauma severity. Despite mild ISS values in India, there is "significantly higher mortality", it says, adding, this could be because "Indian public hospitals have limited resources and radiological interventions such as CT, ultrasound and X-rays are not done routinely for patients with trauma unless in cases of severe injury."

Comments

Uma said…
The main reason why more Indian women who have been assaulted die is because they are not given medical attention quickly. Sometimes the women themselves do not wish to make their sufferings public, at other times the person or persons involved in the assault (directly or indirectly) do not rush them to the hospital for obvious reasons.
Unknown said…
good study and interesting reading.
Do the authors state why they mention road accidents led trauma when it is a study of intimate/ partner/ domestic injury that they are comparing between the US and India?
For Counterview said…
The authors analyse both, intimate partner domestic injury and road accidents. Pls see this link: http://gh.bmj.com/content/2/2/e000322

TRENDING

Mystery around Gujarat PSU 'transfer' of Rs 250 crore to Canadian firm Karnalyte

By AK Luke, IAS (Retd)*
While returning from a Board meeting of the Oil India Limited (OIL) in Ahmedabad some time in 2012, two officers of the Gujarat State Fertilizers and Chemicals Ltd (GSFC), Nanavaty and Patel,  saw me off at the airport. They said they were proceeding to Canada in connection with a project GSFC had entered into with a company there. As we were running late, I hastily wished them the best.

Savarkar in Ahmedabad 'declared' two-nation theory in 1937, Jinnah followed 3 years later

By Our Representative
One of the top freedom fighters whom BJP and Prime Minister Narendra Modi revere the most, Vinayak Damodar Savarkar, was also a great supporter of the two nation theory for India, one for Hindus another for Muslims, claims a new expose on the man who is also known to be the original proponent of the concept of Hindutva.

J&K continues to be haunted, as parts of India 'degenerate' into quasi-Kashmir situation

By Rajendran Narayanan*, Sandeep Pandey**
“Jab har saans mein bandook dikhe toh baccha kaise bekhauf rahe?” (How can a child be fearless when she sees a gun in every breath?) remarked Anwar, a gardener from Srinagar, when asked about the situation in Kashmir. On November 30, 2019, a walk through an iron gate in a quiet neighbourhood of Srinagar took us inside a public school. It was 11 am when typically every school is abuzz with activity. Not here though.

Indians have made 119 nations their ‘karma bhumi’: US-based Hindu NGO tells Rupani

Counterview Desk
In a stinging letter to Gujarat chief minister Vijay Rupani, the US-based Hindus for Human Rights (HfHR), referring to the report citing his justification for the Citizenship Amendment Act (CAA) – that “while Muslims can choose any one of the 150 Islamic countries in the world (for residence), India is the only country for Hindus" – has said, he should remember, Hindus have made several countries, including USA, their home.

Tata Mundra's possible closure? Power ministry's 'pressure tactic' on consumer states

By Bharat Patel*
Tata power has announced to the Union Ministry of Power that Tata Power may be forced to stop operating  its imported coal-based Mundra Ultra-Mega Power Project (UMPP) after February, 2020. It is not only unfortunate but also criminal that irreversible damage has been caused to the fragile ecosystem of Mundra coast for a project that will have a running life of only seven years.

Population control? 10% Indian couples want to delay next pregnancy, but fail

Counterview Desk
Shireen Jejeebhoy, director at Aksha Centre for Equity and Wellbeing, previously senior associate at the Population Council, India, argues that the debate on the country's population was fuelled by Prime Minister Narendra Modi’s Independence Day address to the nation, where he drew attention to “concern” about the challenges posed by this ‘exploding’ population growth, needs to centre around the promotion of rights and education, instead of the language of explosion and the threat of coercion that this term implies.

Upendra Baxi on foolish excellence, Indian judges and Consitutional cockroaches

By Rajiv Shah
In a controversial assertion, top legal expert Upendra Baxi has sought to question India's Constitution makers for neglecting human rights and social justice. Addressing an elite audience in Ahmedabad, Prof Baxi said, the constitutional idea of India enunciated by the Constituent Assembly tried to resolve four key conflicting concepts: governance, development, rights and justice.

What about religious persecution of Dalits, Adivasis, asks anti-CAA meet off Ahmedabad

By Rajiv Shah
A well-attended Dalit rights meet under the banner “14 Pe Charcha” (discussion on Article 14 of the Indian Constitution), alluding to Prime Minister Narendra Modi well-known campaign phrase of the 2014 Parliamentary elections, “chai pe charcha” (discussion over cup of tea), organized off Ahmedabad, has resolved on Wednesday to hold a 14 kilometres-long rally on April 14 to oppose the controversial Citizenship Amendment Act (CAA), enacted on December 10-11.

Savarkar 'opposed' Bhagat Singh's, Netaji's dream of India, supported British war efforts

By Shamsul Islam*
In a shocking development, the student wing of the RSS put the busts of martyrs Bhagat Singh and Subhash Chandra Bose with Savarkar's on one pedestal at the University of Delhi late in the night on August 20, 2019. Bhagat Singh sacrificed his life for a socialist-democratic-secular republic and Netaji raised Azad Hind Fauj (INA) consisting of people of all religions and regions for armed liberation of India.