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.
Tulsi Patel 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

What's behind public sector banks showing huge profits in 2nd quarter of 2022-23?

By Thomas Franco*  The quarter two results of the public sector banks (PSBs) appear to be noteworthy compared to a few years ago. All these banks showed good profits in the financial year 2021-22. Twelve PSBs made a net profit of Rs 25,685 crore in quarter 2 of FY23 and a total of Rs 40,991 crore in the first half of 2023. The combined profit of 12 banks in March 2022 was Rs 66,539 crore which was 110% more than 2021 – Rs. 31,816 crore. The Asset Quality Review of 2015 saw a surge in NPAs of PSBs jumping to Rs 8.96 lakh crore in March 2018 from Rs 2.17 lakh crore in March 2014. This was simply because the norms for NPAs were changed from 180 days to 90 days, and all restructuring of even genuine accounts was done away with. In 2018 NPA of SBI was 5.73% which has come down to 0.8% in Q2 of FY23. The NPA of Canara Bank has come down to 2.19% from 7.48% in Mar 2018. The same trend is seen in all public banks. Now SBI has seen a jump of 74% in its net profit, while Canara Bank’s profit is

Business back to normal? IIM-A survey says, sales expectations have sharply improved

By Our Representative  The Indian Institute of Management’s Business Inflation Expectations Survey (BIES), which polls a panel of business leaders to find out their perception of slack in economy, including their inflation expectations, year-ahead cost expectations and the factors influencing price changes, such as profit and sales levels, etc., has said that the cost perceptions data indicates signs of moderation in price pressures. Carried out for September, the survey says, the cost pressure of the reporting firms has shifted from “very significant increase (over 6%) to moderate increase (3.1% to 6%).” It adds, “The percentage of firms perceiving over 10% cost increase y-o-y has declined. Over 21% of the firms in September 2022 round of the survey perceive that costs have increased very significantly (over 10%) – down from 26% recorded in August 2022.” Claiming to be a unique survey, in that it goes straight to businesses -- the price setters -- rather than to consumers or household

Innovative, Hrishikesh Mukherjee's movies often banked on excessive sentimentalism

By Harsh Thakor*  Late Hrishikesh Mukherjee more popularly known as Hrishi Da, whose birth centenary was celebrated recently, ranks amongst India’s most progressive and innovative film makers, exhibiting mastery in craft of making socially relevant themes. Mukherjee knitted plots together with great visualisation and sensitivity, be it in comedy, pathos, anger or romance, weaving every ingredient in proper proportion.  Melodrama was restrained and scripts dissected with surgical skill. Without over romanticisation, Mukherjee would do complete justice to the role of the character. He did not champion art films, but gave commercial films an artistic touch. Rarely have artists transcended the medium of cinema to project the real essence of their cultural values so or film directors who narrate a simple tale of regular families that have characters of unique shades, characters which are bound to touch human emotions universally. His characters frequently underwent life-changing journeys

GoI's productivity linked incentives to corporates 'without independent analysis'

Counterview Desk  Wondering how prudent is the Government of India's (GoI's) Productivity Linked Incentive (PLI) scheme, EAS Sarma, former secretary, GoI, in a representation to Nirmala Sitharaman, Union finance minister, has said it appears to be nothing more than subsidy to the private sector without any responsibility. Giving a specific example against the backdrop of announcement of 50% subsidy covering the project cost of the Vedanta Group's decision to set up a semiconductor fabrication plant in Gujarat, in collaboration with Foxconn, Sarma says, "The total cost of this project is reported to be Rs 1,54,000 crore. 50% of this works out to Rs 77,000 crore." Stating that this creates the impression that the entire subsidy allocation for the semiconductor manufacturing sector would be appropriated by this company, Sarma says, "The Gujarat government did not lag behind in liberally announcing similar incentives for the Vedanta-Foxconn project. It offered 7

Buddhist shrines were 'massively destroyed' by Brahmanical rulers: Historian DN Jha

Nalanda mahavihara By Our Representative Prominent historian DN Jha, an expert in India's ancient and medieval past, in his new book , "Against the Grain: Notes on Identity, Intolerance and History", in a sharp critique of "Hindutva ideologues", who look at the ancient period of Indian history as "a golden age marked by social harmony, devoid of any religious violence", has said, "Demolition and desecration of rival religious establishments, and the appropriation of their idols, was not uncommon in India before the advent of Islam".

There aren't any hard data to prove forced conversion, why move for a Central law?

By Fr Cedric Prakash SJ*  Srinivasan Jain, the popular TV anchor with NDTV, has done a tremendous service to the Constitution of India and, thereby, to the people of India! In a hard-hitting exposé on his weekly segment ‘Truth vs Hype’, released on 19 November, Jain talks about the so-called ‘Forced Conversions’ with incontrovertible facts and the falsehoods and myths that are built around the issue!   A good part of his expose is an interview with Ashwin Kumar Upadhyay, the petitioner in the current case on ‘forced conversions’ in the Supreme Court. Jain directly takes on Upadhyay and the 65-page petition submitted by the latter to the Supreme Court. Jain emphatically states that not a single example cited by Upadhyay in the petition comes under the ambit of ‘forced conversion’.  In fact, Jain proves that one of the examples is completely fake! Upadhyay, however, continues with his rant without being able to authenticate or substantiate or furnish a single bit of evidence to prove his

Savarkar 'criminally betrayed' Netaji and his INA by siding with the British rulers

By Shamsul Islam* RSS-BJP rulers of India have been trying to show off as great fans of Netaji. But Indians must know what role ideological parents of today's RSS/BJP played against Netaji and Indian National Army (INA). The Hindu Mahasabha and RSS which always had prominent lawyers on their rolls made no attempt to defend the INA accused at Red Fort trials.

Diminishing returns: Hydro projects contribute less than 10% of India's power generation

Counterview Desk  Pointing out that India’s hydro generation remains around 10% for the last six years, the advocacy group South Asia Network on Dams, Rivers and People (SANDRP) has said that power generation from hydropower projects continues to show diminishing returns, as has been the story close to three decades now. Yet, says SANDRP in a note, the Government of India continues to push large hydro by announcing a slew of additional subsidies for hydropower projects, more for political economy reason. In fact, attempts are being made to flog unviable hydropower projects with various kind of manipulations, illegalities and violations, it adds. Text : In last six years, from 2016-17 to 2021-22, India’s large hydropower projects (projects above 25 MW installed capacity) have contributed just around 10% of the total power generation, going as low as 9.68% in 2017-18. In fact, in three of these six years, large hydro contributed less than 10% and recovering only marginally in the rest,

Swami Vivekananda's views on caste and sexuality were 'painfully' regressive

By Bhaskar Sur* Swami Vivekananda now belongs more to the modern Hindu mythology than reality. It makes a daunting job to discover the real human being who knew unemployment, humiliation of losing a teaching job for 'incompetence', longed in vain for the bliss of a happy conjugal life only to suffer the consequent frustration.