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Title
Analysis of prospective trauma registry data in francophone Africa: A pilot study from cameroon |
Full text
http://www.escholarship.org/uc/item/0zb2m7q7 |
Date
2015 |
Author(s)
Juillard, CJ; Stevens, KA; Monono, ME; Mballa, GAE; Ngamby, MK; McGreevy, J; Cryer, G; Hyder, AA |
Abstract
© 2014 Socie;acuteacute Internationale de Chirurgie.Introduction: Injury rates in sub-Saharan Africa are among the highest in the world, but prospective, registry-based reports from Cameroon are limited. We aimed to create a prospective trauma registry to expand the data elements collected on injury at a busy tertiary center in Yaoundé Cameroon. Methods: Details of the injury context, presentation, care, cost, and disposition from the emergency department (ED) were gathered over a 6-month period, by trained research assistants using a structured questionnaire. Bivariate and multivariate models were built to explore variable relationships and outcomes. Results: There were 2,855 injured patients in 6 months, comprising almost half of all ED visits. Mean age was 30 years; 73 % were male. Injury mechanism was road traffic injury in 59 %, fall in 7 %, penetrating trauma in 6 %, and animal bites in 4 %. Of these, 1,974 (69 %) were discharged home, 517 (18 %) taken to the operating room, and 14 (1 %) to the intensive care unit. The body areas most severely injured were pelvis and extremity in 43 %, head in 30 %, chest in 4 %, and abdomen in 3 %. The estimated injury severity score (eISS) was <9 in 60 %, 9-24 in 35 %, and >25 in 2 %. Mortality was 0.7 %. In the multivariate analysis, independent predictors of mortality were eISS ≥9 and Glasgow Coma Score ≤12. Road traffic injury was an independent predictor for the need to have surgery. Trauma registry results were presented to the Ministry of Health in Cameroon, prompting the formation of a National Injury Committee. Conclusions: Injuries comprise a significant proportion of ED visits and utilization of surgical services in Yaounde; A prospective approach allows for more extensive information. Thorough data from a prospective trauma registry can be used successfully to advocate for policy towards prevention and treatment of injuries. |
Coverage
2534 - 2542 |
Language
english |
Publisher
eScholarship, University of California |
Type of publication
article |
Format
application/pdf |
Source
Juillard, CJ; Stevens, KA; Monono, ME; Mballa, GAE; Ngamby, MK; McGreevy, J; et al.(2015). Analysis of prospective trauma registry data in francophone Africa: A pilot study from cameroon. World Journal of Surgery, 38(10), 2534 - 2542. doi: 10.1007/s00268-014-2604-1. UC San Francisco: Retrieved from: http://www.escholarship.org/uc/item/0zb2m7q7 |
Rights
public |
Identifier
qt0zb2m7q7 |
Repository
Berkeley - University of California
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Added to C-A: 2017-05-24;10:18:57 |
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