Jurnal internasional afrika vol.11 issue 3 2021
African Journal of Emergency Medicine
Pattern of trauma in elderly patients seen at the trauma centre of national hospital Abuja, Nigeria
Dublin Core
Title
Jurnal internasional afrika vol.11 issue 3 2021
African Journal of Emergency Medicine
Pattern of trauma in elderly patients seen at the trauma centre of national hospital Abuja, Nigeria
African Journal of Emergency Medicine
Pattern of trauma in elderly patients seen at the trauma centre of national hospital Abuja, Nigeria
Subject
Trauma
Elderly
Injury severity Score
Injuries
Trauma centre
Elderly
Injury severity Score
Injuries
Trauma centre
Description
Introduction: The global population is aging, creating challenges for health systems. The mean age of patients
with major trauma has increased over time, posing some challenges for trauma system designs. Elderly trauma
patients are said to have higher mortality rates and longer hospital and intensive care unit stays. This study is
aimed at assessing the pattern of injuries in elderly population in a dedicated trauma centre of a developing
economy.
Methods: This is a retrospective study of all patients aged 60 years and above seen in the trauma centre of a West
African tertiary hospital over a three year period from January 2017 to December 2019. Relevant parameters
including Sociodemographic data, injury pattern and injury scores were derived from the trauma registry. Data
analysis was done using statistical package for social sciences (SPSS) version 24. Results were presented using
tables and a figure.
Results: A total of 183 patients aged 60 years and above were enrolled out of 4549 general trauma patients,
representing 4% of the trauma patient population seen. Male to female ratio was 2.3 with the mean age of 65 ±
6.3. The most frequent mechanisms of injury were motor vehicular crash (MVC) (48.4%), followed by falls
(16.5%). More proportion of females (21.8%) were significantly found to suffer falls compared to their males
(14.2%) counterparts (p < 0.05). Traumatic brain injury was the commonest diagnosis accounting for 24.3% of
cases. The predominant revised trauma scores (RTS) and injury severity scores (ISS) were 12 and 1–15 respec-
tively, with overall mortality of 6.1%.
Conclusion: The proportion of elderly trauma patients studied in this centre is low. MVC is still the leading
mechanism of injury in our elderly trauma population. The mortality rate is however low in this study, in line
with the low trauma and severity scores. Preventive measures for MVC should be strongly encouraged to reduce
the incidence of elderly trauma patients in this part of the world.
with major trauma has increased over time, posing some challenges for trauma system designs. Elderly trauma
patients are said to have higher mortality rates and longer hospital and intensive care unit stays. This study is
aimed at assessing the pattern of injuries in elderly population in a dedicated trauma centre of a developing
economy.
Methods: This is a retrospective study of all patients aged 60 years and above seen in the trauma centre of a West
African tertiary hospital over a three year period from January 2017 to December 2019. Relevant parameters
including Sociodemographic data, injury pattern and injury scores were derived from the trauma registry. Data
analysis was done using statistical package for social sciences (SPSS) version 24. Results were presented using
tables and a figure.
Results: A total of 183 patients aged 60 years and above were enrolled out of 4549 general trauma patients,
representing 4% of the trauma patient population seen. Male to female ratio was 2.3 with the mean age of 65 ±
6.3. The most frequent mechanisms of injury were motor vehicular crash (MVC) (48.4%), followed by falls
(16.5%). More proportion of females (21.8%) were significantly found to suffer falls compared to their males
(14.2%) counterparts (p < 0.05). Traumatic brain injury was the commonest diagnosis accounting for 24.3% of
cases. The predominant revised trauma scores (RTS) and injury severity scores (ISS) were 12 and 1–15 respec-
tively, with overall mortality of 6.1%.
Conclusion: The proportion of elderly trauma patients studied in this centre is low. MVC is still the leading
mechanism of injury in our elderly trauma population. The mortality rate is however low in this study, in line
with the low trauma and severity scores. Preventive measures for MVC should be strongly encouraged to reduce
the incidence of elderly trauma patients in this part of the world.
Creator
Onyedika Godfrey Okoye , Oluwole Olayemi Olaomi , Ogugua Osi-Ogbu , Usman Adamu Gwaram
Source
https://doi.org/10.1016/j.afjem.2021.06.001
Date
4 June 2021
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Onyedika Godfrey Okoye , Oluwole Olayemi Olaomi , Ogugua Osi-Ogbu , Usman Adamu Gwaram , “Jurnal internasional afrika vol.11 issue 3 2021
African Journal of Emergency Medicine
Pattern of trauma in elderly patients seen at the trauma centre of national hospital Abuja, Nigeria,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1841.
African Journal of Emergency Medicine
Pattern of trauma in elderly patients seen at the trauma centre of national hospital Abuja, Nigeria,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1841.