The Direct Cost of Treatment of Traumatic Brain Injury in a Sub-Saharan African Country (Benin)

Hodé, Luphin; Madougou, Saïdou; Fatigba, Holden O.; Hounnou, Phileas; Ebassa, Karl; Moevi, A.-A. Hans; Assouto, Pamphile

doi:10.1016/j.wneu.2016.11.083

Cited by 12 publications

(10 citation statements)

References 7 publications

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“…Our study confirms that TBI mainly concerns the active male population in Benin [6] [8] [9]. The economic impact is significant, and we find in our study that 73.2% of TBIs did not receive compensation because the person responsible for the accident had fled or because the motorcycle or vehicle was uninsured.…”

Section: Discussionsupporting

confidence: 74%

Neuropsychological and Social Outcome of Patients Sustaining Traumatic Brain Injury in Cotonou

Hodé¹,

Holden²,

Arsénathe³

et al. 2021

OJMN

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This inaugural study in Benin was aimed at assessing neuropsychological and behavioural problems of patients with traumatic brain injury managed at the Hubert Koutoukou Maga Teaching hospital in Cotonou, and the impact on their standard of leaving. This was a prospective and cross-cutting study with a descriptive and analytical aim. It was carried out from 1 July to 30 October 2018. The study population included patients over 15 years of age who had experienced TBI. A purposive sampling of 585 patients with TBI was done, of which 142 patients could not be reached by phone while. The mean age of patients was 37.16 ± 13.9 years, with extremes ranging from 16 to 87 years. The most frequent complaints were behavioural disorder (79.5%), headache (63.8%) and memory loss (50.4%). The average duration of post traumatic amnesia was 9.08 ± 38.56 days. Sixty-three patients (68.5%) had post-traumatic amnesia that lasted less than 30 minutes and 25 patients (19.2%) had post-traumatic amnesia that lasted over a month. Neuropsychological disorders were more frequent in patients with severe TBI. Attention disorders and difficulties in elaborating strategies were noticed without any statistically significant difference in mild, moderate as well as severe TBI. Nineteen patients lost their job, thus raising the unemployment rate in our sample from 6% to 21%. Among the 100 patients (75%) that recovered their job, 14% had medical follow-up and 10% returned to part-time work. Salary remained unchanged for 61.2% of TBI patients.

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Section: Discussionsupporting

confidence: 74%

Neuropsychological and Social Outcome of Patients Sustaining Traumatic Brain Injury in Cotonou

Hodé¹,

Holden²,

Arsénathe³

et al. 2021

OJMN

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“…The frequency of surgical treatment was 3.8% and this rate was lower than the 11.76% of surgery in children reported by Fatigba who works under the same conditions as us in Parakou [15]. This low rate of TBI surgery was probably due to the low rate of patients who could perform the brain scan [16] thus reducing the rate of lesional diagnosis and thus the surgical indications. Children, with a more elastic and thinner skull, absorb kinetic energy, causing more frequent local lesions.…”

Section: Discussionmentioning

confidence: 54%

Surgical Treatment of Traumatic Brain Injuries of Children in Abidjan: Difficulties, Results and Prospects

Kouitcheu¹,

Moumouni²,

Padonou³

et al. 2019

OJMN

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“…Added to this is the absence of universal health insurance for populations who are required to insure their own health expenses. 24 25 An outline by Dechambenoit published in 2002 gave a good account of this situation. 26 …”

Section: Discussionmentioning

confidence: 99%

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

Alihonou

Quenum

Padonou

et al. 2020

JNRP

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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

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The Direct Cost of Treatment of Traumatic Brain Injury in a Sub-Saharan African Country (Benin)

Cited by 12 publications

References 7 publications

Neuropsychological and Social Outcome of Patients Sustaining Traumatic Brain Injury in Cotonou

Neuropsychological and Social Outcome of Patients Sustaining Traumatic Brain Injury in Cotonou

Surgical Treatment of Traumatic Brain Injuries of Children in Abidjan: Difficulties, Results and Prospects

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

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