Jurnal Internasional Afrika vol. 13 issue 4 2023
African Journal of Emergency Medicine
Epidemiology and outcomes of geriatric trauma patients consulting at the center hospitalier universitaire de Kigali emergency department
Dublin Core
Title
Jurnal Internasional Afrika vol. 13 issue 4 2023
African Journal of Emergency Medicine
Epidemiology and outcomes of geriatric trauma patients consulting at the center hospitalier universitaire de Kigali emergency department
African Journal of Emergency Medicine
Epidemiology and outcomes of geriatric trauma patients consulting at the center hospitalier universitaire de Kigali emergency department
Subject
Geriatric
Elderly
Trauma
Emergency department
Elderly
Trauma
Emergency department
Description
Background: Life expectancy in low- and middle-income countries (LMIC) continues to rise, resulting in a growing
geriatric population. In Rwanda, a sub-Saharan LMIC, traumatic injuries are a common cause of mortality and
morbidity. However, little is known about the frequency and type of traumatic injuries among geriatric populations
in Rwanda.
Objective: We explored the epidemiology and outcomes of trauma for geriatric patients presenting to the emergency
department (ED) of the center Hospitalier Universitaire de Kigali (CHUK) in Rwanda.
Methods: This prospective cross-sectional study was conducted from July 2019 to January 2020 at the ED of
CHUK. Trauma patients aged 65 and above and alive at the time of evaluation were eligible for inclusion. Demographic
characteristics were collected along with triage category, mechanism of injury, transfer status,
transport method to CHUK, time spent at the ED, complications, and mortality predictors.
Results: For the 100 patients enrolled, the most common injury mechanism was falls (63%), followed by road
traffic accidents (28%). The majority of patients spent less than 48 h in the ED (63%). The mortality rate was
14%, with most deaths resulting from injury-related complications. Triage category, Kampala Trauma Score, and
Glasgow Coma Scale were significant predictors of mortality, with p-values of 0.002, <0.001, and <0.001,
respectively.
Conclusions: The epidemiology of geriatric trauma found in this study can inform public health and clinical
guidelines. Interventions targeting falls and road traffic accidents would target the most common geriatric
trauma mechanisms, and clinical protocols that take into account predictors of mortality could improve outcomes
and increase life expectancy for this population.
geriatric population. In Rwanda, a sub-Saharan LMIC, traumatic injuries are a common cause of mortality and
morbidity. However, little is known about the frequency and type of traumatic injuries among geriatric populations
in Rwanda.
Objective: We explored the epidemiology and outcomes of trauma for geriatric patients presenting to the emergency
department (ED) of the center Hospitalier Universitaire de Kigali (CHUK) in Rwanda.
Methods: This prospective cross-sectional study was conducted from July 2019 to January 2020 at the ED of
CHUK. Trauma patients aged 65 and above and alive at the time of evaluation were eligible for inclusion. Demographic
characteristics were collected along with triage category, mechanism of injury, transfer status,
transport method to CHUK, time spent at the ED, complications, and mortality predictors.
Results: For the 100 patients enrolled, the most common injury mechanism was falls (63%), followed by road
traffic accidents (28%). The majority of patients spent less than 48 h in the ED (63%). The mortality rate was
14%, with most deaths resulting from injury-related complications. Triage category, Kampala Trauma Score, and
Glasgow Coma Scale were significant predictors of mortality, with p-values of 0.002, <0.001, and <0.001,
respectively.
Conclusions: The epidemiology of geriatric trauma found in this study can inform public health and clinical
guidelines. Interventions targeting falls and road traffic accidents would target the most common geriatric
trauma mechanisms, and clinical protocols that take into account predictors of mortality could improve outcomes
and increase life expectancy for this population.
Creator
Martin Sabigaba , Ling Jing , Gabin Mbanjumucyo , Lise Mumporeze , Aly Beeman , Kyle D. Martin
Source
www.elsevier.com/locate/afjem
Publisher
elsevier
Date
7 August 2023
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Martin Sabigaba , Ling Jing , Gabin Mbanjumucyo , Lise Mumporeze , Aly Beeman , Kyle D. Martin, “Jurnal Internasional Afrika vol. 13 issue 4 2023
African Journal of Emergency Medicine
Epidemiology and outcomes of geriatric trauma patients consulting at the center hospitalier universitaire de Kigali emergency department,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/2356.
African Journal of Emergency Medicine
Epidemiology and outcomes of geriatric trauma patients consulting at the center hospitalier universitaire de Kigali emergency department,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/2356.