Jurnal Internasional Afrika vol.9 issue.4 2019
African Journal of Emergency Medicine
The preventability of trauma-related death at a tertiary hospital in Ghana: a multidisciplinary panel review approach
Dublin Core
Title
Jurnal Internasional Afrika vol.9 issue.4 2019
African Journal of Emergency Medicine
The preventability of trauma-related death at a tertiary hospital in Ghana: a multidisciplinary panel review approach
African Journal of Emergency Medicine
The preventability of trauma-related death at a tertiary hospital in Ghana: a multidisciplinary panel review approach
Subject
Emergency medicine Ghana
Trauma care
Tertiary care Ghana
Structured panel review
Trauma-related death
Trauma care
Tertiary care Ghana
Structured panel review
Trauma-related death
Description
Introduction: The purpose of the study was to determine the preventable trauma-related death rate (PDR) at
Komfo Anokye Teaching Hospital in Kumasi, Ghana three years after initiation of an Emergency Medicine (EM)
residency
Method: This was a retrospective, cross-sectional study. A multidisciplinary panel of physicians completed a
structured implicit review of clinical data for trauma patients who died during the period 2011 to 2012. The
panel judged the preventability of each death and the nature of inappropriate care. Categories were definitely
preventable (DP), possibly preventable (PP), and not preventable (NP).
Results: 1) The total number of cases was forty-five; 36 cases had adequate data for review. Subjects were
predominately male; road traffic injury (RTI) was the leading mechanism of injury. Four cases (11.1%) were DP,
14 cases (38.9%) were PP and 18 (50%) were NP. Hemorrhage was the leading cause of death (39%). Among
DP/PP deaths there were 37 instances of inappropriate care. Delay in surgical intervention was the predominate
event (50%). 2) The PDR for this study was 50% (0.95 CI, 33.7%–66.3%)
Conclusion: Fifty percent of trauma deaths were DP/PP. Multiple episodes of varying types of inappropriate care
occurred. More efficient surgical evaluation and appropriate treatment of hemorrhage could reduce trauma
morality. Large amounts of missing and incomplete clinical data suggest considerable selection bias. A major
implication of this study is the importance of having a robust, prospective trauma registry to collect clinical
information to increase the number of cases for review.
Komfo Anokye Teaching Hospital in Kumasi, Ghana three years after initiation of an Emergency Medicine (EM)
residency
Method: This was a retrospective, cross-sectional study. A multidisciplinary panel of physicians completed a
structured implicit review of clinical data for trauma patients who died during the period 2011 to 2012. The
panel judged the preventability of each death and the nature of inappropriate care. Categories were definitely
preventable (DP), possibly preventable (PP), and not preventable (NP).
Results: 1) The total number of cases was forty-five; 36 cases had adequate data for review. Subjects were
predominately male; road traffic injury (RTI) was the leading mechanism of injury. Four cases (11.1%) were DP,
14 cases (38.9%) were PP and 18 (50%) were NP. Hemorrhage was the leading cause of death (39%). Among
DP/PP deaths there were 37 instances of inappropriate care. Delay in surgical intervention was the predominate
event (50%). 2) The PDR for this study was 50% (0.95 CI, 33.7%–66.3%)
Conclusion: Fifty percent of trauma deaths were DP/PP. Multiple episodes of varying types of inappropriate care
occurred. More efficient surgical evaluation and appropriate treatment of hemorrhage could reduce trauma
morality. Large amounts of missing and incomplete clinical data suggest considerable selection bias. A major
implication of this study is the importance of having a robust, prospective trauma registry to collect clinical
information to increase the number of cases for review.
Creator
Rockefeller A. Oteng, Daniel Osei-Kwame, Maysel Stella E. Forson-Adae, Kwame Ekremet,Hussein Yakubu, Bernard Arhin, Ronald F. Maio
Source
https://doi.org/10.1016/j.afjem.2019.08.002
Date
26 August 2019
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Citation
Rockefeller A. Oteng, Daniel Osei-Kwame, Maysel Stella E. Forson-Adae, Kwame Ekremet,Hussein Yakubu, Bernard Arhin, Ronald F. Maio, “Jurnal Internasional Afrika vol.9 issue.4 2019
African Journal of Emergency Medicine
The preventability of trauma-related death at a tertiary hospital in Ghana: a multidisciplinary panel review approach,” Repository Horizon University Indonesia, accessed October 31, 2025, https://repository.horizon.ac.id/items/show/1786.
African Journal of Emergency Medicine
The preventability of trauma-related death at a tertiary hospital in Ghana: a multidisciplinary panel review approach,” Repository Horizon University Indonesia, accessed October 31, 2025, https://repository.horizon.ac.id/items/show/1786.