Clinical spectrum of injuries at the emergency room in a secondary health facility, southwest Nigeria (original) (raw)
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Musculoskeletal injuries: A cross-sectional study in Irrua, Nigeria
East and Central African Journal of Surgery
Background: Injury is a leading cause of morbidity and mortality among people of various age groups globally. Its economic impact on victims and family is tremendous. Strengthening of legislation and enforcement of extant rules and regulations on prevention and treatment are crucial. The aim of this study as to determine the pattern of musculoskeletal injuries among patients as they present at
Epidemiology of injuries seen in a nigerian tertiary hospital
Nigerian Journal of Clinical Practice, 2018
Background: The study aimed to describe the pattern of injuries among patients presenting at a tertiary care hospital in Enugu southeast Nigeria. Patients and Methods: A retrospective review of records of all injured patients seen in our hospital over a 12-month period was done. Results: A total of 789 patients had complete medical records and were included in the study. Road traffic accident (RTA) was the most common cause of injury. Lacerations/abrasions, fractures, and traumatic brain injury (TBI) were the most frequently seen injuries. The injury severity score (ISS) of the patients ranged from 1 to 50 with a mean score of 8.9 ± 3.5. RTAs were responsible for 90.8% of patients with ISS >15. Patients with ISS >15 contributed to 64.1% of all deaths. The mortality rate was 4.5%. Most deaths resulted from RTA and were associated with TBI (P = 0.001). Conclusion: Lacerations and fractures were the most common injuries. RTA was the leading cause of injury. TBI was the most common cause of injury-related death.
Causes, trends and severity of musculoskeletal injuries in Ghana
BMC musculoskeletal disorders, 2017
Musculoskeletal [MSK] injuries are common causes of long-term pain and physical disability which affect many people worldwide. The economic and social impacts on the individual, society and national health systems are enormous making a matter of public health concern. Therefore, this study examined the causes and extent of MSK injuries in a referral hospital in Ghana. A prospective study design with consecutive sampling method was used to recruit patients admitted at Trauma Unit as well as those receiving orthopaedic reviews at St. Joseph's Orthopaedic Hospital over a ten-month period. A structured questionnaire, Visual Analogue Scale (VAS) and Abbreviated Injury Scale (AIS) were used to collect data which were analysed descriptively using SPSS version 20. A total of 269 MSK injury patients were identified - of these, 137 (50.9%) males with an average age of 38 years (SD = 19.88). Nearly half (49.1%) of the injuries sustained were fractures, and common causes were vehicular cras...
2017
Musculoskeletal disorders are a major cause of morbidity, influence health and quality of life and impose an enormous burden on our healthcare system. Injury is now a leading cause of mortality and morbidity worldwide. Injuries on roads, at home and in work place have progressively increased reflecting a lack of safety-related policies and programs or difficulties in implementation of the same. We are passing through significant urbanization, industrialization and a change in the socio-economic values. Due to these changes, the number of automobiles on our roads is rapidly increasing. Besides causing pollution, this has lead to road traffic accidents becoming the first public hazard in the world. Trauma is an increasingly significant problem in India, and socio-economic and cultural changes are resulting in alterations in the epidemiology of trauma here also. Besides other reasons, delayed presentation and neglect is a very important factor, and this is responsible for poor outcome of musculoskeletal trauma, and neoplasia in particular, which as such carry a poor prognosis in many cases. This study aims to assess the epidemiology of musculoskeletal problems and injuries among patients in a tertiary care public hospital in India.
2017
Epidemiology of musculoskeletal disorders and injuries among patients in a tertiary care public hospital. Synopsis Background: Musculoskeletal disorders are a major cause of morbidity, influence health and quality of life and impose an enormous burden on our healthcare system. The burden of musculoskeletal disorders is global, and looking at the gravity of the situation WHO had declared 2000-2010 as the Bone and Joint decade. India is no exception to this situation. [1] Injury is now a leading cause of mortality and morbidity worldwide. Injuries on roads, at home and in work place have progressively increased reflecting a lack of safety-related policies and programs or difficulties in implementation of the same. We are passing through significant urbanization, industrialization and a change in the socioeconomic values. Due to these changes, the number of automobiles on our roads is rapidly increasing. Besides causing pollution, this has lead to road traffic accidents (RTAs) becoming the first public hazard in the world, and is one of the largest threat for human lives and health. [2] Each year 300 000 people die of RTA and more than 8 million people suffer injuries.
Epidemiology of injuries presenting to the accident centre of Korle-Bu Teaching Hospital, Ghana
BMC Emergency Medicine, 2019
Background: Injuries directly lead to 5 million deaths every year, accounting for 9% of all deaths worldwide. While knowledge of the pattern of injuries is essential to plan health interventions to reduce the incidence of injuries, these are not thoroughly described in Ghana. The aim of this study was to describe the epidemiology of injuries seen at the Accident centre of the Korle-Bu Teaching Hospital, Ghana's main referral hospital. Method: A retrospective review of two-year records of all patients who attended the Accident centre of the Korle-Bu Teaching Hospital from January 2016 to December 2017 was done. Data on the cause of injuries was the main focus of this review. Results: A total of 17,860 patients' records were included in the study. There were 12,116 (67.8%) males and 5,744 (32.2%) females. The ages of the patients seen during the period ranged from three (3) days to 101 years. The overall mean age was 27.9 (±18.2). Majority of the injuries resulted from road traffic accidents and falls, accounting for 39.1 and 19.7% respectively. Conclusion: Road Traffic accidents (RTA), especially motorcycle related, are a significant cause of injuries in Ghana. Future studies should focus on interventions that can reduce the incidence of RTA's to reduce the number of injuries that present to the Korle-Bu Teaching Hospital.
2011
Background: There is a dearth of evidence outlining the state of prehospital and first health facility care of the musculoskeletal injury patients in Uganda. Further documenting the current impediments in prehospital care may provide a basis for prioritizing interventions aimed at improving the system. Methods: Cross-sectional descriptive analysis of prehospital and first health facility care of patients withmusculoskeletal injuries. Patients presenting for care at the Mulago Hospital Accident and Emergency Unit (MHAEU) within the first 24hrs post musculoskeletal injury were enrolled in the current study. Results: 378 patients were enrolled from November 2006 to January 2007. Injury severity scores ranged from 2 to 45. 310 patients were "rescued" from the accident scene immediately after injury, 30 within 30 minutes, and the remaining 38 after 30 minutes. Ambulance personnel, police, and lay people, retrieved 2.4%, 12.4% and 85.2% from the injury scene respectively. 27.5% ...
Open Access Surgery, 2017
Background: The World Health Organization (WHO) estimates that injuries constitute 16% of the global burden of disease. This translates into 5.8 million injury-related deaths annually, worldwide. The aim of this study was to determine the magnitude and pattern of injury in the Gondar University Hospital (GUH) in the year 2013. Methods: A retrospective study was conducted in GUH from March to April 2013. All charts of injured patients who visited the hospital from January 1 to December 30, 2012 were included in this study. A total of 616 patients' charts were included in this study. Data were entered and cleaned using Epi Info and exported to Stata version 11 for analysis. Binary logistic regression was used, and odds ratios with 95% confidence interval were reported. Results: During the study period, a total of 84,254 patients visited the hospital, of whom 16,611 (19.7%) were surgical cases. Injury accounted for 25% of surgical emergency cases. Patients were predominantly young males (82%). Three in five (59.4%) of the injured patients were within the age range of 15-30 years. Approximately one in three, 187 (32.2%), and one in four, 141 (24.3%), of those injured patients were students and farmers, respectively. The injury mechanism for nearly half (48.9%) of students was assault, followed by 45.2% of road traffic accidents. Intentional injuries occurred among 291 (47.24%) cases, of whom 84.5% were males. Fracture (22.9%) and head injury (17.2%) were the leading outcomes of injuries. Severe injuries accounted for ~13% of all cases. Residence, physical nature of injury and place of work were found to be significantly associated with the outcome of injury. Conclusion and recommendation: The magnitude of injury in this hospital was found to be high when compared with other similar settings. Assault and road traffic accidents were the two common mechanisms of injury. Appropriate prevention strategies should be designed and implemented against assault and road traffic accidents.
International Journal of Emergency Medicine
Despite the growing burden of injuries in LMICs, there are still limited primary epidemiologic data to guide health policy and health system development. Understanding the epidemiology of injury in developing countries can help identify risk factors for injury and target interventions for prevention and treatment to decrease disability and mortality. To estimate the epidemiology of the injury seen in patients presenting to the government hospital in Kampala, the capital city of Uganda. A secondary analysis of a prospectively collected database collected by the Injury Control Centre-Uganda at the Mulago National Referral Hospital, Kampala, Uganda, 2004-2005. From 1 August 2004 to 12 August 2005, a total of 3,750 injury-related visits were recorded; a final sample of 3,481 records were analyzed. The majority of patients (62%) were treated in the casualty department and then discharged; 38% were admitted. Road traffic injuries (RTIs) were the most common causes of injury for all age gr...
Polish Journal of Public Health, 2016
Introduction. Injuries are an extremely important public health problem, in both developed and developing countries. Various traumas contribute to some one third of deaths of the entire human population followed by cardiovascular diseases and cancer only. Understanding the epidemiology of trauma might improve hospitals’ ability to provide proper diagnoses and treatment. Aim. The aim of this study was to provide epidemiological characteristics of injuries in the analyzed group of patients. Material and methods. A retrospective analysis of patients admitted in state of emergency and hospitalized in the Department of Trauma Surgery and Emergency Medicine at the Medical University of Lublin due to injuries that occurred from January 1st 2011 till December 31st 2011 was conducted. Mechanism of injury, mortality rate, age and gender correlations were studied. Results. Some 485 patients were looked at in the study. The mortality rate reached 4.52% and was highest among males. Falling was t...