Traumatic intracranial haemorrhage in Cameroon: Clinical features, treatment options and outcome

Motah, Mathieu; Ndoumbe, Aurélien; Massi, Daniel Gams; Bekolo, Fabien Fouda; Inemb, Gabriel Batamag; Moumi, Mireille; Chunteng, Nana Theophil; Boukar, Yannick Ekani; Eyenga, Victor-Claude

doi:10.1016/j.inat.2021.101346

Cited by 4 publications

(4 citation statements)

References 22 publications

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“…The results of our study are highly illustrative of the specific challenges and disparities in care in low-resource settings. The main transportation means of TBI cases were through non-medical means (91%), similar to reports by Motah et al [ 15 ] and Buh et al [ 24 ]. Only one patient was transferred from the scene of the accident to the study centre by ambulance.…”

Section: Discussionsupporting

confidence: 86%

“…Despite the social and economic impact of TBI in Cameroon, data on its characteristics and medium- or long-term outcomes are lacking; only a few studies from SSA report traumatic brain injuries as a major cause of death and disability. Ndoumbe et al [ 14 ] and Motah et al [ 15 ] addressed TBI management and outcomes, but only severe TBI or intracranial haemorrhage were considered, and cases of medium- or long-term outcomes were not included. Furthermore, the study of Ndoumbe et al [ 14 ] was retrospective in design; hence, outcome evaluations were not appropriate for patient characteristics and medium-term outcomes after TBI [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Traumatic Brain Injury in Cameroon: A Prospective Observational Study in a Level I Trauma Centre

Buh,

Sumbele,

Maas

et al. 2023

Medicina

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Background and Objective: About 14 million people will likely suffer a traumatic brain injury (TBI) per year by 2050 in sub-Saharan Africa. Studying TBI characteristics and their relation to outcomes can identify initiatives to improve TBI prevention and care. The objective of this study was to define the features and outcomes of TBI patients seen over a 1-year period in a level-I trauma centre in Cameroon. Materials and Methods: Data on demographics, causes, clinical aspects, and discharge status were collected over a period of 12 months. The Glasgow Outcome Scale-Extended (GOSE) and the Quality-of-Life Questionnaire after Brain Injury (QoLIBRI) were used to evaluate outcomes six months after TBI. Comparisons between two categorical variables were done using Pearson’s chi-square test. Results: A total of 160 TBI patients participated in the study. The age group 15–45 years was most represented (78%). Males were more affected (90%). A low educational level was seen in 122 (76%) cases. Road traffic incidents (RTI) (85%), assaults (7.5%), and falls (2.5%) were the main causes of TBI, with professional bike riders being frequently involved (27%). Only 15 patients were transported to the hospital by ambulance, and 14 of these were from a referring hospital. CT-imaging was performed in 78% of cases, and intracranial traumatic abnormalities were identified in 64% of cases. Financial constraints (93%) was the main reason for not performing a CT scan. Forty-six (33%) patients were discharged against medical advice (DAMA) due to financial constraints. Mortality was 14% (22/160) and high in patients with severe TBI (46%). DAMA had poor outcomes with QoLIBRI. Only four patients received post-injury physical therapy services. Conclusions: TBI in Cameroon mainly results from RTIs and commonly affects young adult males. Lack of pre-hospital care, financial constraints limiting both CT scanning and medical care, and a lack of acute physiotherapy services likely influenced care and outcomes adversely.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Traumatic Brain Injury in Cameroon: A Prospective Observational Study in a Level I Trauma Centre

Buh,

Sumbele,

Maas

et al. 2023

Medicina

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“…In study conducted by Sonukumar plash et al [21] EDH (27%), SDH (26%) and SAH (18%) were leading type of Hemorrhages. In Study conducted by Mathieu Motah at [10] Cameroon it was observed that 39.7% patients had Subdural hemorrhage followed by Extradural hemorrhage in 31.1% patients. Subarachnoid hemorrhage and Hemorrhagic Contusion in 10.9% and 18.3% patients.…”

Section: Discussionmentioning

confidence: 98%

“…It was observed that Majority of Patients with Traumatic brain injury, belong to 21-39 years of age (53.8%).One additional finding was observed in this study that patients of age group 40-59 years of age have unfavorable early and late outcome. Mathieu Motah et al [10] . Conducted a study in Cameroon which observed that patients with age group 18-36 years suffer most of (37.4%) Traumatic brain injuries.…”

Section: Discussionmentioning

confidence: 99%

Head injury patterns and outcome at tertiary care center in central India: A prospective observational study

Changole,

Hedawoo,

Dukare

et al. 2023

Int. J. Surg. Sci.

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Background: Head injury is significant public health problem and it is one of leading causes of death worldwide. Our aim of this study is to study various patterns, epidemiological aspects, radiological findings and treatment modalities of head injury. Material and Method: A total of 250 cases of head injuries satisfying inclusion criteria were included in the study using convenience non-random sampling method reporting period from October 2020 to November 2022 attending Casualty of Trauma care center of Tertiary Care hospital of Central India. Patients were observed for their outcome and appropriate statistical procedure was performed. Results: Majority of patients reach hospitals by around 1-3 hours (43.2%) followed by <1 hour (28%). Majority of patients had road traffic accident (62%) followed by H/O fall. (25.2%), assault (8.4%) and others (4.4%). Majority of patients had mild GCS score (62%) followed by moderate (21.2%) and severe among 42 (16.8%) patients. Majority of patients managed conservatively (81.2%) followed by operative procedures. (18.8%). Majority of patients survived with minimal or no disability 176(70.4%) while some patients survived with Moderate to severe disability are 38(15.2%) and 31 patients (12.4%) lost their life after head injury. Conclusion:The study showed that most head injury victims, brought to a tertiary care hospital, were due to road traffic accidents. This emphasizes on a need to develop preventive measures like awareness about traffic rules, the use of seat belts and helmets, an improved construction and the maintenance of the roads, better traffic monitoring, the prevention of drunken driving amongst the automobile drivers, and increased road traffic sense in the road.

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Demographics, Causes, and Outcome of Traumatic Brain Injury among Trauma Cases in Cameroon: A Multi-Center Five Year's Retrospective Study

Buh

Taïwé

Maas

et al. 2022

Neurotrauma Reports

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Traumatic intracranial haemorrhage in Cameroon: Clinical features, treatment options and outcome

Cited by 4 publications

References 22 publications

Traumatic Brain Injury in Cameroon: A Prospective Observational Study in a Level I Trauma Centre

Traumatic Brain Injury in Cameroon: A Prospective Observational Study in a Level I Trauma Centre

Head injury patterns and outcome at tertiary care center in central India: A prospective observational study

Demographics, Causes, and Outcome of Traumatic Brain Injury among Trauma Cases in Cameroon: A Multi-Center Five Year's Retrospective Study

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