Trauma and orthopaedic capacity of 267 hospitals in east central and southern Africa

Chokotho, Linda; Jacobsen, Kathryn H.; Burgess, David; Labib, Mohamed A.; Le, Grace; Lavy, Christopher; Pandit, Hemant

doi:10.1016/s0140-6736(15)60812-1

Cited by 17 publications

(13 citation statements)

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“…Low-income countries (LIC) face a large increase of trauma patients resulting from civilian trauma caused by road traffic accidents [3, 9, 17]. Hospital capacities in LIC, on the other hand, are limited in terms of resources, infrastructure, and medical knowledge [6].…”

Section: Introductionmentioning

confidence: 99%

Orthopedic trauma surgeon in Sierra Leone: how to keep one’s head over water

Wichlas¹,

Tsitsilonis

Guanti

et al. 2019

Arch Orthop Trauma Surg

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Purpose Developing a guideline for orthopedic trauma surgeons working in civilian trauma hospitals in low-income countries. Methods This is a retrospective data analysis in a non-governmental organizational trauma hospital in Sierra Leone, Africa. Trauma victims (282), with 349 fractures, were admitted to the hospital 10/2015–01/2016. The incidence of open and closed fractures and the use of implants were evaluated. Results The most common fractures were open and closed tibial shaft fractures and closed femoral shaft fractures in adults, and closed supracondylar humerus fractures in children. The most used implants were external fixators, K-wires, and intramedullary nails. External fixators were used for open fractures, K-wires for closed fractures in children, hand and foot, and nails for closed fractures of the lower extremity in adults. Plates were used the least and mostly for fractures of the upper extremity, the proximal tibia and malleolar region in adults. The complication rate was 5.67%. Conclusion Surgeons in low-income country trauma hospitals should treat conservatively on outpatient basis only, to reduce the amount of stationary patients. Open fractures should be treated with external fixators, and closed fractures in children, hand and foot, with K-wires. Closed fractures in adults of the lower extremity should be nailed, and closed fractures in adults of the upper extremity can be treated with plates.

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Section: Introductionmentioning

confidence: 99%

Orthopedic trauma surgeon in Sierra Leone: how to keep one’s head over water

Wichlas¹,

Tsitsilonis

Guanti

et al. 2019

Arch Orthop Trauma Surg

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“…In the absence of population data, surgical BoD estimates rely on hospital admission data and modelling . While evidence is emerging on the types of surgical procedures performed in rural SSA , there is a lack of data on the demography of those who undergo surgical procedures in such settings , in part due to the lack of reliable data collection systems at district hospitals, where much of the basic emergency and common elective surgery takes place .…”

Section: Introductionmentioning

confidence: 99%

Who accesses surgery at district level in sub‐Saharan Africa? Evidence from Malawi and Zambia

Gajewski

Dharamshi

Strader

et al. 2017

Tropical Med Int Health

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Women of reproductive (16-45 years) mainly undergoing Caesarean sections and children aged 0-15 years who accounted for two-thirds of trauma cases are the main patient populations undergoing surgery at district hospitals in Zambia and Malawi. Verification and analysis of routine hospital data, across 10-30% of districts countrywide, demonstrated the need to prioritise quality assurance in surgery and anaesthesia, and preventive interventions in children.

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“…[17][18][19][20][21] The need to improve trauma care for RTIs in LMICs is widely recognized, but limited progress has been made thus far. [22,23] One limitation of this cross-sectional analysis is that it focused on hospitals located near the main north-south highway in Malawi.…”

Section: Discussionmentioning

confidence: 99%