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. 2022 Oct;74(Suppl 2):2764-2769.
doi: 10.1007/s12070-020-02239-4. Epub 2020 Oct 23.

An Epidemiological Study of Cut Throat Injury During COVID-19 Pandemic in a Tertiary Care Centre

Souvagini Acharya  1 , Rajat Kumar Dash  1 , Aurobinda Das  1 , Madhusmita Hota  1 , Chittaranjan Mohapatra  2 , Sarita Dash  1
Affiliations

An Epidemiological Study of Cut Throat Injury During COVID-19 Pandemic in a Tertiary Care Centre

Souvagini Acharya et al. Indian J Otolaryngol Head Neck Surg. 2022 Oct.

Abstract

To find out incidence, prevalence, various modes and pattern of cutthroat injury during COVID-19 pandemic and compare with prior non pandemic period. To find out the various factor influencing the suicidal cutthroat and establish the temporal association of suicidal cutthroat with COVID-19 pandemic. It is a retrospective study of cutthroat patients who were managed in ENT Dept. VIMSAR, Burla, Sambalur, Odisha, India from 1st September 2019 to 31st August 2020. Source of information are casualty, IPD and OT registers and online data. Total cases were divided into group-A (prior to COVID-19 pandemic) and group-B (during COVID-19 pandemic) and analysed. Total 24 cutthroat injury cases were treated over 1 year in department of ENT, VIMSAR, Burla, which was 0.054% of total cases attended at casualty and 2.371% of total IPD patients treated. In GROUP-A, total 10 cases with M:F = 9:1,suicidal 4 cases (40%), homicidal 6 cases (60%), and no accidental cases were recorded. While in GROUP-B, total 14 case with M:F = 14:0, suicidal 9 cases (64.28%), homicidal 3 cases (21.42%) and accidental 2 (14.28%) cases were recorded. In our study majority of cases were male with M:F = 23:1. Common age group belongs to 20-30 years with LSES and farmer by occupation. Zone II injury had incidence of 70.83%. Homicide cases proportionally high during non-COVID period while suicide cases high during COVID-19 pandemic. Association of COVID-19 pandemic with suicidal cut throat injury is seems to be significant. Among predisposing risk factors for suicidal, depression during COVID-19 pandemic had seen in 53.84% of total suicidal cases. Incidence and prevalence of Cut throat injury is comparatively high in western odisha which again increases during months of July and August parallel to COVID-19 pandemic. The common mode of cutthroat injury is homicidal, which suddenly changes to suicidal during COVID-19 pandemic. More vulnerable groups were young unemployed male, farmers and labours. Cutthroat injury cases definitely increases during COVID-19 pandemic with most common mode of injury being suicidal attempt, which may be due to economical and psychological imbalances, due to loss of job and fear and social stigma for COVID-19 diseases.

Keywords: Accidental; Cutthroat; Homicidal; Predisposing factor; Suicidal.

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Conflict of interest statement

Conflict of interestThe authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Showing sex distribution of cut throat injury cases
Fig. 2
Fig. 2
Showing age distribution of cut throat injury cases
Fig. 3
Fig. 3
SES distribution of of cut throat injury cases cases
Fig. 4
Fig. 4
Showing comparison of mode of cut throat injury
Fig. 5
Fig. 5
According to site of injury of cut throat cases
Fig. 6
Fig. 6
Suicidal cut injury showing tentative cuts
Fig. 7
Fig. 7
Showing open airways and tentative cuts
Fig. 8
Fig. 8
Showing trachestomy
Fig. 9
Fig. 9
Cutthroat injury incidence according to month
Fig. 10
Fig. 10
COVID-19 incidence according to month
See this image and copyright information in PMC

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