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 Sheth 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.
Patel Tulsi 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

Whistle-blowing IPS officer Sanjiv Bhatt's wife suspects foul play after truck hits her car

By Nachiketa Desai*
Paranoia has seized Shweta Bhatt, wife of suspended Indian Police Service (IPS) officer Sanjiv Bhatt, after the car she was driving was rammed in broad day light. According to Shweta Bhatt, it was beacon light-flashing truck without registration number plate. The incident took place on January 7, just a day ahead of the Gujarat High Court was scheduled to take up the bail application of Sanjiv Bhatt, arrested last year for "involvement" in a 23-year-old case.

Call to support IIM-Bangalore professor, censured for seeking action against Uniliver

Counterview Desk
Sections of the Indian Institute of Managements (IIMs) across India have strongly reacted to the decision to censure Dr Deepak Malghan, a faulty at IIM-Bangalore. Prabhir Vishnu Poruthiyil, who is faculty at IIM-Tiruchirapalli, has sought wider solidarity with Dr Malghan, saying, "The administration has censured Deepak for merely suggesting a meaningful action against Hindustan Unilever for their abysmal environmental record" by “disinviting” it for campus placement.

99% MGNREGA funds "exhausted", Govt of India makes no additional sanctions: Study

Counterview Desk
A letter, addressed to Prime Minister Narendra Modi, and prepared by senior activists led by Aruna Roy on behalf of the Peoples’ Action for Employment Guarantee (PAEG), and signed, among others, by 80 members of Parliament, has regretted that, despite repeated public statements by his government promising employment and job creation that will boost the country’s growth, the country’s only employment guarantee programme, Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA), “is being systematically undermined.”

Morari Bapu, who has installed new statues of Ram, Laxman, Hanuman without weapons

By Sandeep Pandey*
A saint is one who can give some inner peace by his/her voice. This will happen only when s(he) will talk about love and harmony. Morari Bapu is one saint who has been conveying the message of love, peace, harmony, fraternity, etc. Today when a number of saffron clad figures with aggressive posture, spewing venom, fanning hatred to polarise voters are at the forefront of politics of Hindutva it is a relief to see Morari Bapu in a different mould.

Nuclear reactors sought from French giant "not safe": Letter to Modi on Jaitapur project

Counterview Desk
Amidst reports that the French nuclear giant EDF has submitted a “techno-commercial offer” for the world’s largest nuclear power park proposed in Maharashtra’s Jaitapur nuclear power park in Jaitapur on the Maharashtra coast, Dr EAS Sarma, India’s former Union Secretary in the Minister of Power, and an eminent voice in the civil society, has written an open letter to Prime Minister Narendra Modi, who also heads Department of Atomic Energy (DAE),  protesting the move.

World Bank clarifies: Its 26th rank to India not for universal access to power but for ease of doing business

By Our Representative
In a major embarrassment to the Government of India, the World Bank has reportedly clarified that it has not ranked India 26th out of 130 countries for providing power to its population. The top international banker’s clarification comes following Union Power Minister Piyush Goyal’s claim that India has “improved to 26 position from 99” in access to electricity in just one year.

Kerala land being acquired using "draconian, anti-people" National Highway Act, 1956

Counterview Desk
In a letter Chief Minister of Kerala Pinarayi Vijayan, senior activists and politicians have insisted that the Kerala government should not agree to "inhuman displacement and buid-operate-transfer (BOT) Toll system", imposed by the Government of India and the National Highway Authority of India, for widening the current National Highway (NH) 66.

Kaiga NPP expansion: Karnataka to get just 400 MW, but lose thick forest, fresh water

Counterview Desk
In an open letter to the chairman and members of the Atomic energy Commission (AEC) on the issue of Kaiga nuclear power plant (NPP) expansion plan in Karnataka, Shankar Sharma, well-known power policy analyst, has argued that that in case of expansion, the site will face “exponential increase in radiation emission risks”, underlining, “Nuclear safety experts identify such a scenario as enhanced risk for NPPs with multiple reactors and shared technical facilities."
Sharma says the questions that also be asked whether Karnataka should lose more than 54 hectares of thick forests and about 152,304 cubic meters of fresh water per day from Kali river for a meager benefit of 400 MW from the Kaiga NPP, for which “there are many benign alternative options available for the state at much lower overall costs to the state.”
Text of the letter: This has reference to the public hearing under the Environmental Impact Assessment (EIA) Rule 2006 of Ministry of Environment, Fore…

Uttarakhand High Court: Biodiversity boards can impose fees on Ramdev's Divya Pharmacy

By Mridhu Tandon
In a significant decision, the Uttarakhand High Court on December 21, 2018 has dismissed the writ petition filed by Divya Pharmacy founded by Baba Ramdev and Acharya Balakrishnan, challenging the demand of the Uttarakhand Biodiversity Board (UBB) imposing fees under the provisions of the Fair and Equitable Benefit Sharing (FEBS).

Modi becoming Prime Minister now appears to be an "accident" to the people of India

By Sandeep Pandey*
Anupam Kher's film 'Accidental Prime Minister' has targeted Dr Manmohan Singh who served for two terms and may be again acceptable for the job if his party regains power. But his tormentor Narendra Modi seems to be out of breath even before his first term is over. Disillusionment with him is so widespread and deep that people of India may not bear with him for another term. As the general elections approach again the difference between the two needs to be examined.