The Impact of Bodaboda Motor Crashes on the Budget for Clinical Services at Mulago Hospital; Kampala

Background: Bodabodas are a common form of transport and are becoming a major cause of road traffic accidents in Uganda. We evaluated the magnitude of injuries related to bodabodas and their impact on clinical services at Mulago hospital. Methods: This was a retrospective review of all trauma patients who presented at Mulago hospital emergency ward between June and August 2008 following bodaboda crash. The hospital costs involved in their management were obtained from the office of the hospital statistician. Results: Road Traffic Crashes (RTCs) were the leading cause of trauma and bodabodas were involved in 41of all trauma patients.The average duration of stay was 8.3 days.The average cost to maintain a bodaboda patient was determined at Uganda shillings 700;359/ or the equivalent of US $369. Bodaboda injuries consumed 62.5of the budget allocation for the directorate of surgery; Mulago Hospital. Conclusions: Bodabodas are a major cause of traumatic injuries among cases seen in the surgical emergency department at Mulago and the costs incurred by the hospital in managing these injuries are enormous. Efforts should be made to reduce the menace that is brought about by bodaboda motorcycle crashes. Resources currently being spent on treating injuries resulting from accidents involving bodabodas would then be used to improve the care of other patients

A Comparision of Clinical Diagnosis and Knee Arthroscopy Findings at Mulago Hospital

Background: Many patients present to the orthopaedic surgeon with complaints of knee pain. In many such cases making a diagnosis based on clinical examination is often difficulty and frequently inaccurate. This study sought to document the common findings at knee arthroscopy and how they compare with clinical impressions. Methods: A cross-sectional study of 34 patients undergoing diagnostic knee arthroscopy with undetermined diagnosis was conducted at Mulago Hospital. The preoperative clinical provisional diagnosis and the findings at arthroscopy were documented; compared and analysed. Results: The commonest clinical diagnosis was medial meniscal tear (21); while the most frequentinding at arthroscopy was osteochondral lesions (27). The highest correlations between clinical impressions and arthroscopic findings were in ACL tears and osteoarthritis. The overall accuracy of clinical examination was 87.2.Conclusion: Clinical examination is a useful tool in diagnosing knee pathologies. In Mulago; the accuracy of the clinical impressions as proved at arthroscopy is high