{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T10:53:39Z","timestamp":1777632819409,"version":"3.51.4"},"reference-count":37,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,10,11]],"date-time":"2022-10-11T00:00:00Z","timestamp":1665446400000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,10,1]],"date-time":"2022-10-01T00:00:00Z","timestamp":1664582400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["OTO Open"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The pattern of head and neck injuries has been well studied in high\u2010income countries, but the data are limited in low\u2010 and middle\u2010income countries, which are disproportionately affected by trauma. We examined a prospective multicenter database to describe patterns and outcomes of head and neck injuries in urban India.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective review of trauma registry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Four tertiary public hospitals in Mumbai, Delhi, Kolkata.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We identified patients with isolated head and neck injuries using <jats:italic>International Classification of Diseases, 10th Revision<\/jats:italic> (<jats:italic>ICD\u201010<\/jats:italic>) codes and excluded those with traumatic brain and\/or ophthalmic injuries and injuries in other body regions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Our cohort included 171 patients. Most were males (80.7%) and adults aged 18 to 55 years (60.2%). Falls (36.8%) and road traffic accidents (36.3%) were the 2 predominant mechanisms of injury. Overall, 35.7% required intensive care unit (ICU) admission, and 11.7% died. More than 20% of patients were diagnosed with \u201cunspecified injury of neck.\u201d Those with the diagnosis had a higher ICU admission rate (51.4% vs 31.3%, <jats:italic>P<\/jats:italic> =. 025) and mortality rate (27.0% vs 7.5%, <jats:italic>P<\/jats:italic> =. 001) than those without the diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Isolated head and neck injuries are not highly prevalent among Indian trauma patients admitted to urban tertiary hospitals but are associated with high mortality. Over a fifth of patients were diagnosed with \u201cunspecified injury of neck,\u201d which is associated with more severe clinical outcomes. Exactly what this diagnosis entails and encompasses remains unclear.<\/jats:p><\/jats:sec>","DOI":"10.1177\/2473974x221128217","type":"journal-article","created":{"date-parts":[[2022,10,11]],"date-time":"2022-10-11T08:42:19Z","timestamp":1665477739000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Patterns of Head and Neck Injuries in Urban India: A Multicenter Study"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7642-1149","authenticated-orcid":false,"given":"Eric K.","family":"Kim","sequence":"first","affiliation":[{"name":"University of California San Francisco School of Medicine San Francisco California USA"},{"name":"Program in Global Surgery and Social Change Harvard Medical School Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepak","family":"Suri","sequence":"additional","affiliation":[{"name":"Harvard School of Dental Medicine Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anshul","family":"Mahajan","sequence":"additional","affiliation":[{"name":"Government Medical College Amritsar India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prashant","family":"Bhandarkar","sequence":"additional","affiliation":[{"name":"Tata Institute of Social Sciences School of Health Systems Studies Deonar Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monty","family":"Khajanchi","sequence":"additional","affiliation":[{"name":"Department of Surgery King Edward Memorial Hospital Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"Gadgil","sequence":"additional","affiliation":[{"name":"World Health Organization Collaborating Centre for Research in Surgical Care Delivery in Low\u2010and\u2010Middle Income Countries Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kavitha","family":"Ranganathan","sequence":"additional","affiliation":[{"name":"Program in Global Surgery and Social Change Harvard Medical School Boston Massachusetts USA"},{"name":"Division of Plastic Surgery Brigham and Women's Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Gerdin Warnberg","sequence":"additional","affiliation":[{"name":"Department of Global Public Health Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobhojit","family":"Roy","sequence":"additional","affiliation":[{"name":"World Health Organization Collaborating Centre for Research in Surgical Care Delivery in Low\u2010and\u2010Middle Income Countries Mumbai India"},{"name":"Department of Global Public Health Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nakul P.","family":"Raykar","sequence":"additional","affiliation":[{"name":"Program in Global Surgery and Social Change Harvard Medical School Boston Massachusetts USA"},{"name":"Division of Trauma Emergency Surgery Surgical Critical Care Department of Surgery Brigham and Women's Hospital Boston Massachusetts USA"},{"name":"Center for Surgery and Public Health Brigham and Women's Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32203-7"},{"key":"e_1_2_10_3_1","unstructured":"World Health Organization.Injuries and violence. 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