Jurnal Internasional Afrika vol.10 issue.3 2020
African Journal of Emergency Medicine
Injury patterns of patients presenting to a non-governmental hospital inWestern Uganda
Dublin Core
Title
Jurnal Internasional Afrika vol.10 issue.3 2020
African Journal of Emergency Medicine
Injury patterns of patients presenting to a non-governmental hospital inWestern Uganda
African Journal of Emergency Medicine
Injury patterns of patients presenting to a non-governmental hospital inWestern Uganda
Subject
Trauma registry
Uganda
Global health
Injury epidemiology
Road traffic injury
Uganda
Global health
Injury epidemiology
Road traffic injury
Description
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 retro-
spectively 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 re-
ported 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 improvement measures.
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 retro-
spectively 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 re-
ported 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 improvement measures.
Creator
Heather A. Brown, Joshua Skaggs, Caroline Brady, Vincent Tumusiime, Austin S. White
Source
https://doi.org/10.1016/j.afjem.2020.02.001
Date
4 February 2020
Contributor
peri irawan
Format
pdf
Language
indonesia
Type
text
Files
Citation
Heather A. Brown, Joshua Skaggs, Caroline Brady, Vincent Tumusiime, Austin S. White, “Jurnal Internasional Afrika vol.10 issue.3 2020
African Journal of Emergency Medicine
Injury patterns of patients presenting to a non-governmental hospital inWestern Uganda,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1823.
African Journal of Emergency Medicine
Injury patterns of patients presenting to a non-governmental hospital inWestern Uganda,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1823.