Epidemiology of trauma deaths

Solagberu, Babatunde A; Adekanye, Adedeji Olugbenga; Ofoegbu, Chima Pascal; Udoffa, U. S.; Abdur-Rahman, Lukman O.; Taiwo, JO

doi:10.4314/wajm.v22i2.27944

Cited by 48 publications

(77 citation statements)

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“…[10][11][12] This differs from the finding in the USA, that falls, RTAs, and firearm injuries are each responsible for an almost equal percentage of deaths (16-17%). 19 In our study, there was no significant relationship between mechanism and timing of death.…”

Section: Mechanism Of Injurycontrasting

confidence: 51%

“…Similar observations were made in other studies. 2,5,[10][11][12] Even though mortality for a comparable injury severity is higher at the extremes of age, 13,14 there was no statistically significant relationship between age and timing of death in our study.…”

Section: Demographicscontrasting

confidence: 47%

“…11,12 Although commercial motorcycle use and street vending are outlawed in the Federal Capital, there is still widespread engagement that may account for the high rate of pedestrian and motorcycle injury. In addition, at trauma centre registration relatives may not readily admit street vending or commercial motorcycle use as an occupation, preferring to report something like "trader" or "unemployed".…”

Section: Demographicsmentioning

confidence: 99%

“…4,6,10,11 Additionally, studies from Nigeria have shown challenges with airway management in patients with severe head injuries. Half of all the surgeries carried out during the period under study were craniotomies for haematoma evacuation.…”

Section: Cause Of Deathmentioning

confidence: 99%

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Timing of death at National Trauma Center, Abuja, Nigeria

Gwaram¹,

Ameh²

2018

East. Cent. Afr. J. Surg.

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Background: We aimed to analyse the burden and timing of trauma deaths over a 1-year period at a trauma centre in Nigeria.Methods: This was a retrospective review of in-hospital trauma deaths during the period of January to December 2015. Sociodemographic data, cause of injury, mode of presentation, time interval between presentation and death, injury diagnoses, treatment, and place of death were analysed.Results: There were 2230 trauma consultations during the study period; 85 were brought in dead from the scene. We analysed data from 103 of 121 in-hospital deaths. Patient ages ranged from 0 to 90 years, with a mean age of 31.1. The male-to-female ratio was 5:1. Following injury, 46.6% of the victims presented directly to our tertiary centre, while 53.4% were referred from other hospitals. Most of the injuries were from RTA. Isolated head injury was the predominant diagnosis (44.7%), followed by polytrauma (29%). Immediate deaths (exclusive of those brought in already dead) comprised 5.8% of cases; 37.9% were early deaths and 56.3% were late deaths.Conclusions: The timing of trauma deaths closely approximated the original trimodal description in North America about half a century ago even though advances in trauma care have resulted in changes from this pattern in developed countries. Regionalised integrated care including prehospital trauma services are recommended.

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Section: Mechanism Of Injurycontrasting

confidence: 51%

Section: Demographicscontrasting

confidence: 47%

Section: Demographicsmentioning

confidence: 99%

Section: Cause Of Deathmentioning

confidence: 99%

See 2 more Smart Citations

Timing of death at National Trauma Center, Abuja, Nigeria

Gwaram¹,

Ameh²

2018

East. Cent. Afr. J. Surg.

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“…The prevalence rate is 237 people per 100,000 people, and (37) showed that RTIs have the highest frequency of occurrence and mortality rate among all types of accidents. Also, several studies in other countries have shown that RTIs are the leading cause of injuries and mortality compared to other accidents (38)(39)(40)(41)(42)(43). The data of this study has been taken from the Red Crescent organization records for road traffic accident related injuries and mortality.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Road Traffic Injuries in Iran: Based on the Data from Disaster Management Information System (DMIS) Of the Iranian Red Crescent

Azami-Aghdash¹,

Gorji²,

Bazargani³

et al. 2016

Iran Red Crescent Med J

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Epidemiology and Outcome of Gunshot Injuries in a Civilian Population in West Africa

Solagberu

2003

European Journal of Trauma

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Background and Objectives: Gunshot injuries (GSI) were first reported in West Africa following the Nigerian civil war of [1967][1968][1969][1970]. Recent wars within and around the West African subregion have further encouraged easy access to sophisticated and locally manufactured firearms. This report examines the epidemiology and management of GSI in an urban settlement in West Africa. Patients and Methods: GSI data was collected prospectively for 24 months beginning September 1999: age, sex, velocity of gunshot, circumstances of GSI, whether accidental or intentional, and by whom (self-inflicted, police, armed robbers, and others via riots and/or students' secret cult activities), region(s) affected, operative interventions, and outcome of care. Results: 107 GSI patients were seen, comprising 99 males and eight females (M : F ratio = 16.8 : 1), 79 of whom (73.8%) were analyzed comprising 71 males and eight females (M : F ratio = 9 : 1); mean age 29.9 ± 13.0 years (range 5-75 years). Intentional GSI occurred in 66 cases (83.6%) -45 from armed robbers (57.0%), the others from police gunshots, assaults, religious/communal riots, and cultists. No suicide-related GSI were recorded. Accidental GSI occurred in 13 (16.5%) -eight from hunters and five from the police. 16 of the 79 (20.3%) were high-velocity gunshots. The regions affected were extremities 29 (35.7%), multiple regions 23, chest twelve, abdomen eight, head six, and neck one. 13 deaths (16.5%) occurred, all before surgical intervention -twelve in the emergency room because of late reporting and lack of blood transfusion. Ten of the deaths (76.9%) resulted from gunshots to either the chest or abdomen. 27 patients (34.2%) were successfully treated, eleven of whom had operations, while the majority (39 patients, 49.4%) was discharged against medical advice to traditional healers for bullet extraction. Conclusion: Wars in West Africa have caused a high incidence of GSI in peace times through armed robbery. Suicide-related GSI is rare in Nigeria unlike in many developed countries. Only every fifth GSI is a result of a high-velocity gunshot. Mortality determinants are the region of GSI and injury-arrival time. The logistics in the emergency room leading to unacceptable deaths requires an overhaul. Half of GSI victims discharged themselves to native healers for extraction of pellets, portraying the beliefs of patients about GSI.

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Epidemiology of trauma deaths

Cited by 48 publications

References 0 publications

Timing of death at National Trauma Center, Abuja, Nigeria

Timing of death at National Trauma Center, Abuja, Nigeria

Epidemiology of Road Traffic Injuries in Iran: Based on the Data from Disaster Management Information System (DMIS) Of the Iranian Red Crescent

Epidemiology and Outcome of Gunshot Injuries in a Civilian Population in West Africa

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