Epidemiology and outcomes of geriatric trauma patients consulting at the center hospitalier universitaire de Kigali emergency department
African journal of emergency medicine (Print)
;
13(3): 1-4, 2023. figures, tables
Artículo
en Inglés
| AIM
| ID: biblio-1452252
ABSTRACT
Background Life expectancy in low- and middle-income countries (LMIC) continues to rise, resulting in a growing geriatric population. In Rwanda, a sub-Saharan LMIC, traumatic injuries are a common cause of mortality and morbidity. However, little is known about the frequency and type of traumatic injuries among geriatric populations in Rwanda. Objective We explored the epidemiology and outcomes of trauma for geriatric patients presenting to the emergency department (ED) of the center Hospitalier Universitaire de Kigali (CHUK) in Rwanda. Methods This prospective cross-sectional study was conducted from July 2019 to January 2020 at the ED of CHUK. Trauma patients aged 65 and above and alive at the time of evaluation were eligible for inclusion. Demographic characteristics were collected along with triage category, mechanism of injury, transfer status, transport method to CHUK, time spent at the ED, complications, and mortality predictors. Results For the 100 patients enrolled, the most common injury mechanism was falls (63%), followed by road traffic accidents (28%). The majority of patients spent less than 48 h in the ED (63%). The mortality rate was 14%, with most deaths resulting from injury-related complications. Triage category, Kampala Trauma Score, and Glasgow Coma Scale were significant predictors of mortality, with p-values of 0.002, <0.001, and <0.001, respectively. Conclusions The epidemiology of geriatric trauma found in this study can inform public health and clinical guidelines. Interventions targeting falls and road traffic accidents would target the most common geriatric trauma mechanisms, and clinical protocols that take into account predictors of mortality could improve outcomes and increase life expectancy for this population.
Texto completo:
Disponible
Índice:
AIM (África)
Asunto principal:
Heridas y Lesiones
Tipo de estudio:
Guía de Práctica Clínica
/
Estudio observacional
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Estudio pronóstico
/
Factores de riesgo
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Estudio de tamizaje
Límite:
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
African journal of emergency medicine (Print)
Año:
2023
Tipo del documento:
Artículo
Institución/País de afiliación:
Case Western Reserve University School of Medicine, United States/US
/
Department of Emergency Medicine, King Faisal Hospital, Kigali, Rwanda/RW
/
Department of Emergency Medicine, King's College Hospital, London, United Kingdom/GB
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Department of Emergency Medicine, The Warren Alpert School of Brown University, United States/US
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Department of Emergency Medicine, University of Rwanda, Kigali, Rwanda/RW
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