Profil des traumatismes crânio-encéphalique et vertébro-médullaire liés aux accidents de la voie publique en Guinée

Béavogui, Kézély; Koïvogui, Akoi; Souaré, Ibrahima Sory; Camara, D.; Cherif, Mohamed Yahia; Dramou, B.; Toure, A.A.; Diallo, R.; Guilavogui, Vamala; Metellus, P.

doi:10.1016/j.neuchi.2012.05.006

Cited by 10 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Overall, data from this cohort shows a benign profile in the analyzed patients: 32% didn't report any loss of consciousness, 62.08% were graded as group 1 according to the severity, the lethality was low, and the majority of the patient received only medical treatment and discharged home. It is consistent with Sylla et al in their study [14], but the contrast with the results from Beavogui et al in 2012 [2] and Bah et al in 2020 [6] because those studies were carried in University hospitals with neurosurgical department and intensive care unit that attracts complex neurotrauma care from all the country. Of note, there is no prehospital management in the whole country; we can assume most of these patients never make it to the hospital for proper management, and even if they do, the lack of triage competence and CT scan in regional hospitals prevent us from getting an accurate picture on the true incidence and severity of neurotraumas in rural areas [16] [19] [20].…”

Section: Discussionsupporting

confidence: 91%

“…Neurotrauma is a general term used to describe any brain injury, the spinal cord, and its covering due to an externally applied mechanical force [1]. It represents a significant public health concern in Guinea, as it could be associated with lifelong complications affecting locomotion, memory, language, and many other higher brain functions [2]. The initial resuscitation in the emergency department of any hospital is critical in assessing the quality of care and a significant determinant of the prognosis.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Epidemiology and Challenges of Neurotraumas Care in the Emergency Department of a Semi-Urban Hospital in Guinea, West Africa

Kaba¹,

Bah²,

Berete³

et al. 2021

OJMN

View full text Add to dashboard Cite

Trauma is one of the most common surgical emergencies admitted in the acute care departments of hospitals in Guinea, West Africa. We carried a study to assess the epidemiological pattern and clinical care of neurotrauma in the emergency department of the Kindia regional hospital, a rural secondary hospital catering to the needs of western Guinea and nearby districts. Data were prospectively collected from December 2019 to March 2020 after receiving the required hospital authorization and informed consent from the patients or relatives. We recorded two hundred cases of neurotraumas (64.5% of traumatic brain injury cases and 14.5% of spinal cord injury). Neurotraumas represented 17.7% of all admitted patients in the department in the study period. The mean age was 25.34 ± 16.73, and the age range 16 to 30 was the most affected. The predominance was male, with a sex ratio of 3.43. Motor Vehicle Accident was the leading cause 68.5%, and 73.2% of them involved a motorcycle. Motorcycle-to-motorcycle collision was responsible for more than a third of neurotraumas. We classified the majority of the cases as mild and low risk neurotrauma representing 62.08%. All patients benefited from medical treatment, and 30.7% of patients received surgical treatment for associated abdominal, orthopedic, and minor procedures for scalp dilacerations. No patient was referred to a Neurosurgery department, and all living patients were discharged home during the study period with minimal disability. The mortality was 16.3%. Our results could be biased by the lack of interhospital networking and the fact that severe traumatic brain-injured patient dies before seeking medical attention.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Epidemiology and Challenges of Neurotraumas Care in the Emergency Department of a Semi-Urban Hospital in Guinea, West Africa

Kaba¹,

Bah²,

Berete³

et al. 2021

OJMN

View full text Add to dashboard Cite

show abstract

“…Surgery rate, the type of surgical procedure, the delay, and the outcome parameters are usually reported in many sub-Saharan African studies. Surgery perform ranged from 16% (our series) to 75.8% 9 19 and hospital mortality from 3.3% 2 9 19 to 37.71% (our series). The high mortality rate in our study reflects the efforts that remain to be made to reduce it and offer better chances of survival to our populations.…”

Section: Discussionmentioning

confidence: 68%

Neurosurgical Emergencies at a Tertiary Referral Center in a Sub-Saharan African Country

Alihonou

Quenum

Padonou

et al. 2020

JNRP

View full text Add to dashboard Cite

Background The practice of neurosurgery in a teaching hospital requires modern diagnostic tools and a rigorous organization of care. Objectives To present and discuss the management of neurosurgical emergencies in a teaching hospital in poor and low-income country. Patients and Methods This is a retrospective and descriptive study from April 2015 to March 2017 and includes traumatic and nontraumatic neurosurgical emergencies. Epidemiological, diagnostic, operative, and outcome data were evaluated. Results During the study period, 397 cases of neurosurgery were admitted. One hundred seventy-five of them were emergencies (43%), including 168 (96%) of traumatic origin. The average age was 32.5 years (1–80 years) with a male predominance: 149 men for 26 women, the sex ratio was 6.68. The cause of the neurotraumatological emergency was mostly road accidents with 143 cases (85.1%). The trauma was brain injury in 155 patients (92.3%) and spine injury in 13 patients (7.7%). In 64.3% of cases, diagnostic imaging was done beyond 48 hours. Surgery time was more than 48 hours when it was performed (21 cases). Outcome was good for 19 patients. Overall and postoperative mortality were, respectively, 34.5% (58 cases) and 9.5% (2 cases). Conclusion Neurosurgical emergencies care at the Departmental Teaching Hospital of Ouémé–Plateau has become a common activity with encouraging operating results despite difficult practice conditions

show abstract

Organisational framework and outputs of International medical evacuation in Guinea: A need for change

Guilavogui

Camara

Diallo

et al. 2018

Health Planning & Management

View full text Add to dashboard Cite

The study aims to describe the organizational framework of International Medical Evacuation (IME), the profile of persons evacuated, and the associated cost of IME in Guinea. This was a descriptive study of IME policy in Guinea. We described the politico-structural organization of IME and the profile of patient accessing IME through the Ministry of Health (MOH: 2001-2015) and through the National Social Security Fund (NSSF: 2011-2015). From 1958 to 1992 since the health system was restricted, the country negotiated the free medical treatment with Socialist countries. Since 1992, a medical assistance line was included in the sector budgets, and IME was officially managed by the MOH and with a parallel system existing at the NSSF. With an average cost of US $34 251 per case, cardiovascular diseases (20%), Traumatology/Orthopedic diseases (20%), and Neurologic/neurosurgery diseases (12.5%) have motivated more than half of 2445 IME supported by the MOH between 2001 and 2015. With a diagnostic exploration (38.7%) as main motivation, the majority of the IMEs (80.0%) endorsed by the NSSF (2011-2015) concerned their employees/workers or those of the NSSF's supervisory ministry and their families. Despite a strict regulatory framework, the emergence and sustainability of parallel IME systems in other departments with different procedures than MOH's procedure represent a major weakness/deficiency. The new prospects for the free medical treatment of state employees could eventually lead to an effective correction of this structural failure if efficiently managed.

show abstract

Profil des traumatismes crânio-encéphalique et vertébro-médullaire liés aux accidents de la voie publique en Guinée

Cited by 10 publications

References 12 publications

Epidemiology and Challenges of Neurotraumas Care in the Emergency Department of a Semi-Urban Hospital in Guinea, West Africa

Epidemiology and Challenges of Neurotraumas Care in the Emergency Department of a Semi-Urban Hospital in Guinea, West Africa

Neurosurgical Emergencies at a Tertiary Referral Center in a Sub-Saharan African Country

Organisational framework and outputs of International medical evacuation in Guinea: A need for change

Contact Info

Product

Resources

About