Trauma Surveillance in Cape Town, South Africa

Nicol, Andrew; Knowlton, Lisa Marie; Schuurman, Nadine; Matzopoulos, Richard; Zargaran, Eiman; Cinnamon, Jonathan; Fawcett, Vanessa; Taulu, Tracey; Hameed, S. Morad

doi:10.1001/jamasurg.2013.5267

Cited by 69 publications

(45 citation statements)

References 16 publications

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“…Similar to the aforementioned study by Nicol et al, a higher percentage of patients who were male and under 40 years of age were mostly affected by injuries caused by violence 17 ; this age group was most affected by this phenomenon in Cali 15 . Therefore, it is necessary to emphasize prevention programs in this age group because they are the most vulnerable population to developing risk behaviors that contribute to traffic-related injuries and violence (both interpersonal and self-inflicted) 20 .…”

Section: Discussionmentioning

confidence: 99%

Trauma Registry of the Pan American Society of Trauma: One year of experience in two referral centers in the colombian southwestern

et al. 2016

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Background: Emergency care information systems in trauma are essential to improve the decision making and identify potential areas of intervention. Objective: To describe the first year of experience of trauma registry in two reference trauma centers of the southwestern Colombia. Methods: A study conducted in two reference trauma centers of Cali city. There were included those patients with any injury from external causes or trauma occurred between January 1st and December 31st of 2012. Information related with demographics, injury mechanism, severity injury (ISS) and mortality were collected. We presented a descriptive analysis. Results: There were registered 17,431 patients whereof 67.8% were male with a mean of 30 (±20) years old. Workplace injuries were the 28.2% cause of emergency consultation, and falls were the most prevalent trauma mechanism. Majority of patients with a ISS ≥15 were in a range age of 18-35 years (6.4%). The 28% of patients with gunshot wounds had a ISS ≥15. An overall of 2.5% of included patients died and those who had a ISS ≥15 and gunshot wounds showed a mortality of 54%. Conclusion: Upon the implementation of the trauma registry in two main hospitals of Cali city, we identify that falls and workplace injuries were the leading cause of admission to the emergency room. Severely compromised patients are in the range age of 18-35 years old. Mortality was higher for those patients who suffered gunshot wounds.

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Section: Discussionmentioning

confidence: 99%

Trauma Registry of the Pan American Society of Trauma: One year of experience in two referral centers in the colombian southwestern

et al. 2016

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“…Patient demographic characteristics obser ved in the current study are in keeping with previous trauma studies in our setting, including a predominance of male patients aged <40 years. [6,7,25] However, the current study was among the first to describe the clinical diagnosis of orthopaedic trauma referrals, with previous studies focusing largely on mechanism of injury. [6,7,25] There were no retrospective records of telephone referrals against which the Vula referrals could be compared.…”

Section: Discussionmentioning

confidence: 98%

“…[6,7,25] However, the current study was among the first to describe the clinical diagnosis of orthopaedic trauma referrals, with previous studies focusing largely on mechanism of injury. [6,7,25] There were no retrospective records of telephone referrals against which the Vula referrals could be compared. It was therefore not possible to evaluate what proportion of all orthopaedic trauma and emergency referrals were received via Vula, how Vula response times compared with waiting times for landline referrals, or what proportion of landline referrals were managed with advice only.…”

Section: Discussionmentioning

confidence: 98%

“…[4] While less is known about the burden of non-fatal than fatal injuries in SA, a previous estimate suggested a trauma caseload of >3 million per year [5] and local studies have confirmed a high burden of trauma in Western Cape Province. [6,7] The responsibility of providing care for these injuries falls mainly on the public health services [8] that deliver care to 84% of the population, [9] including tertiary-level facilities such as Tygerberg Hospital in the Western Cape. Tygerberg Hospital serves approximately half of the province, including the eastern and northern parts of the Cape Metro and three rural districts -a catchment area population of >3.4 million.…”

Section: Researchmentioning

confidence: 99%

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Orthopaedic referrals using a smartphone app: Uptake, response times and outcome

et al. 2019

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“…Firearm injuries represent the sixth leading mechanism of injury managed by the Cape Town trauma system, Cape Town, South Africa (1)(2)(3)(4)(5)(6)(7)(8). The mortality rate associated with abdominal gunshot wounds (GSWs) remains high with many deaths occurring as a result of exsanguination and irreversible shock (9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

Indications, mortality, and long-term outcomes of 50 consecutive patients undergoing damage control laparotomy for abdominal gunshot wounds

et al. 2019

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Introduction:Outcomes of patients undergoing damage control laparotomy (DCL) for abdominal gunshot wounds (GSWs) remains relatively unknown. The purpose of this study was to evaluate the impact of DCL on long term morbidity and survival.Methods: This retrospective study was conducted on patients undergoing a damage control laparotomy for abdominal GSWs. The data were collected using 50 consecutive trauma patients over a 4.5-year-period between August 1 st , 2004 and September 30 th , 2009. The patients were classified regarding the characteristics, such as age, perioperative physiological parameters, trauma indices, number of abdominal GSWs, critical care unit stay, hospital length of stay, morbidity, and mortality. Univariate and multivariate logistic regression was employed to compute the odds of survival and estimate the unadjusted and adjusted association between these factors.Results: According to the results, the majority of the patients were male (96%) with a mean age of 29.7 years who had a single abdominal gunshot wound (60%). Liver injuries (58%) followed by small bowel (44%), majors venous (40%), and colonic (38%) trauma were observed in the patients. The overall mortality rate was obtained at 54%. The mean length of intensive care unit stay and mean hospital length of stay were 7 and 13 days, respectively. Factors associated with a decreased odds of survival included Penetrating Abdominal Trauma Index (PATI) > 25, intra-operative blood lactate level > 8 mmol/L, and massive transfusion >10 units packed red blood cells. Conclusions:After controlling the confounding factors, a PATI score of > 25 was associated with a decreased odds of survival (OR: 0.20, P=0.04).

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Trauma Surveillance in Cape Town, South Africa

Cited by 69 publications

References 16 publications

Trauma Registry of the Pan American Society of Trauma: One year of experience in two referral centers in the colombian southwestern

Trauma Registry of the Pan American Society of Trauma: One year of experience in two referral centers in the colombian southwestern

Orthopaedic referrals using a smartphone app: Uptake, response times and outcome

Indications, mortality, and long-term outcomes of 50 consecutive patients undergoing damage control laparotomy for abdominal gunshot wounds

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