Pre-hospital and hospital traumatic deaths in the former homeland of Transkei, South Africa

Meel, B L

doi:10.1016/j.jcfm.2003.10.009

Cited by 18 publications

(18 citation statements)

References 26 publications

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“…The commonest cause of trauma associated death is Road Traffic Accident which is similar to findings in other developing countries 15,16 . Accident victims are usually taken to the nearest hospitals which are often inadequately staffed and poorly equipped small private hospitals.…”

Section: Anatomical Regionsupporting

confidence: 81%

Preventable Trauma Deaths in Ibadan: A Comparison of Revised Trauma Score and Panel Review

Afuwape¹,

Okolo²,

Akinyemi³

2011

West African Journal of Medicine

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BACKGROUND: The proportion of preventable trauma-related deaths may be a reflection of the quality of trauma care in a health institution. OBJECTIVE: To classify mortality in trauma patients in the emergency room and to determine the proportion of preventable trauma related mortality in a teaching hospital. METHODS: The records of patients who died in the emergency room following trauma from January 1996 to December 2005 were reviewed. Data extracted from the patients' records included the demographics, the mechanism of injury; and the duration of injury prior to presentation. The Probability of Survival (Ps) was calculated for each patient using the Revised Trauma Score (RTS). The RTS includes three physiologic parameters namely the Glasgow Coma Score [GCS], systolic blood pressure and respiratory rate which were recorded soon after the patient's presentation at the emergency department. RESULTS: There were 286 patients who died following trauma from January 1996 to December 2006. There was a male: female ratio of 3.4:1. Eighty-one percent were preventable deaths based on the revised trauma score while the panel review considered approximately 22% as preventable. Fifty-nine percent or 168 of the patients arrived in the hospital within six hours of sustaining injury. CONCLUSION: Despite access to emergency care within the first six hours (golden hours) the overall survival of our trauma patients is poor. The severity of the injuries, inadequate resuscitation, and missed injuries by medical personal are some of the factors associated with poor outcome of trauma care. WAJM 2011; 30(1): 9-13.

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Section: Anatomical Regionsupporting

confidence: 81%

Preventable Trauma Deaths in Ibadan: A Comparison of Revised Trauma Score and Panel Review

Afuwape¹,

Okolo²,

Akinyemi³

2011

West African Journal of Medicine

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“…Thus, the rate in our study was the highest (8,17,18). Hussain and Redmond (9) declared the total rate of pre-hospital preventable deaths in England to be 39%, Mac Leod to be 7%, Mark Gunst to be 24%, Wilson in Brazil to be 1%, Meel to be 12% and Flaconer's in Newsland to be 45% (7,10,12,13,17). In this study, two factors had significant correlation, the age and the reason of death in the autopsy.…”

Section: Discussionmentioning

confidence: 57%

“…73.3% (22 cases) and 20% (6 cases) were transported by EMS and other vehicles, respectively. This mortality rate was a little more than other studies including Lim's in England (62%), Mac Leod's in the USA (78%), Mark Gunst's in the USA (61%), and Meel's in South Africa (74%) (8,10,12,13). Patients who had transfered by EMS were the main way of achieving to Artesh hospital (62%) and Shohadaye hafome tir hospital (48%) (14,15).…”

Section: Discussionmentioning

confidence: 84%

Assessment of Causes of Preventable Deaths in Pre-hospital SettingsAssessment of Causes of Preventable Deaths in Pre-hospital Settings

Gholipour¹,

Rad²,

Vahdati³

et al. 2016

Erciyes Med J

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Objective: Death from trauma is a major problem for the health system. The determination of preventable deaths is a valuable indicator of quality and efficiency in the management of trauma patients. The purpose of our study was to investigate the cause of preventable death in pre-hospital settings in the city of Tabriz. Materials and Methods:In a cross-sectional study from 2013 to 2014 in Tabriz, all traumatic patients who died at the scene of trauma or during transport and before reaching the hospital were referred to forensics for autopsy studies. For all deaths, data on demographics, mechanism and type of injury, place of death, mode of transportation, injury to the central nervous system (CNS) and results of necropsy were recorded. Preventability of death was defined upon examination of the necropsy report.Results: In this study, 160 pre-hospital deaths were studied. The commonest mechanism of injury was a vehicular traffic accident (83.8%), and blunt trauma in 98.8% was the commonest type of injury. In total, 80.6% of the deaths were at the scene of trauma and 18.8% on arrival to the hospital. CNS injury was recorded in 71.9% of the cases. The commonest cause of death from the necropsy report was CNS injury (60.6%), exsanguination or breathing problems (28.1%), and CNS injury with exsanguination or breathing problems (11.2%). In this study, death was possibly preventable in 25.6% of the cases, and 21.9% of the deaths were definitively preventable. Conclusion:Many deaths occurred at the scene of trauma, and traffic accidents are the main mechanism of injury. A high percentage of deaths as seen in the autopsy had CNS injuries, and this was the main cause of death. The high rate of preventable death in the present study compared to that in similar studies in other countries is a significant finding.

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“…A recent (2003) study by the author showed that there is a very high pre-hospital (74%) mortality of trauma patients in this region. The rest (26%) were taken to hospital where later they succumbed to trauma (Meel, 2003).…”

Section: Discussionmentioning

confidence: 99%

Trends in fatal motor vehicle accidents in Transkei region of South Africa

Meel

2007

Med Sci Law

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This paper aims to estimate the incidence of motor vehicle accident (MVA) related deaths and identify the factors associated with the causes of the high road death toll in Transkei region. A retrospective review and analysis was performed of all medico-legal autopsies (n=6181) between January 1993 and December 1999, of which 39% (1778/4525) were deaths as a result of MVAs. During the seven-year period (January 1993-December 1999), MVA deaths in Transkei region accounted for an average of 63 deaths per 100,000 population per year. It reached a peak of 80 deaths per 100,000 in 1997, and then slowly came down to 48 deaths per 100,000 in 1999. MVA deaths have come down from 39% (248) of all trauma-related deaths in 1993 to 29% (193) in 1999. The male/female ratio is 3.3:1; and 50% of victims were between 21 and 40 years of age. In conclusion, there are high motor vehicle accident-related deaths in Transkei region of South Africa.

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Pre-hospital and hospital traumatic deaths in the former homeland of Transkei, South Africa

Cited by 18 publications

References 26 publications

Preventable Trauma Deaths in Ibadan: A Comparison of Revised Trauma Score and Panel Review

Preventable Trauma Deaths in Ibadan: A Comparison of Revised Trauma Score and Panel Review

Assessment of Causes of Preventable Deaths in Pre-hospital SettingsAssessment of Causes of Preventable Deaths in Pre-hospital Settings

Trends in fatal motor vehicle accidents in Transkei region of South Africa

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