Injury patterns of patients presenting to a non-governmental hospital in Western Uganda
African journal of emergency medicine (Print)
;
10(3): 118-122, 2020. ilus
Article
Dans Anglais
| AIM
| ID: biblio-1258621
ABSTRACT
Introduction:
Injury is a leading cause of morbidity and mortality globally and disproportionately affects low-income countries. While most injury data comes from tertiary care centers in urban settings, the purpose of this study was to describe the characteristics and severity of injury in rural Uganda and the associated treatment patterns and delays in care.Methods:
This is a retrospective cohort study of a trauma registry that was implemented at Masindi-Kitara Medical Center (MKMC), a rural hospital in Western Uganda. Demographic information, injury characteristics, modified Kampala Trauma Scores (M-KTS), and treatment modalities over a 12 month period were retrospectively collected from paper-based registry forms completed for all injury patients presenting to MKMC.Results:
A total of 350 patients were entered into the trauma registry. Most patients were male (71.2%) with a median age of 26.5 years. Motorcycle crashes were the most prevalent mechanism of injury (42.3%) with the majority being unhelmeted (83.3%). Soft tissue injury was the most common diagnosis (44.9%). Patients were frequently treated in the outpatient department and then discharged (54.8%). Patients requiring admission or transfer (M-KTS = 11.57 or 11.67) tended to have a lower M-KTS than discharged patients (M-KTS = 12.75). Analgesics (74.6%) and antibiotics (52.9%) were the most common treatments administered. For those patients requiring admission (29.4%), only one in-hospital death was documented. Thirty-nine percent of patients reported a delay in seeking care, most frequently due to lack of transportation (31.5%) with a median time of delay of 11 h.Conclusion:
Road traffic injuries were the leading cause of injury in Masindi, with a high proportion of injuries associated with unhelmeted motorcycle crashes. Future opportunities to prevent injury and improve care may be seen through improved prehospital care, enforcement of helmet laws, increased access to neurosurgical services, and enactment of hospital quality improvementmeasures:
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Indice:
AIM (Afrique)
Sujet Principal:
Ouganda
/
Plaies et blessures
/
Accidents de la route
/
Santé mondiale
/
Commission sur les activités et les professionnels des hôpitaux
Type d'étude:
Étude observationnelle
/
Facteurs de risque
Pays comme sujet:
Afrique
langue:
Anglais
Texte intégral:
African journal of emergency medicine (Print)
Année:
2020
Type:
Article
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