Jurnal Internasional Afrika vol. 11 issue 2 2021
African Journal of Emergency Medicine
The characteristics and outcomes of trauma admissions to an adult general surgery ward in a tertiary teaching hospital
Dublin Core
Title
Jurnal Internasional Afrika vol. 11 issue 2 2021
African Journal of Emergency Medicine
The characteristics and outcomes of trauma admissions to an adult general surgery ward in a tertiary teaching hospital
African Journal of Emergency Medicine
The characteristics and outcomes of trauma admissions to an adult general surgery ward in a tertiary teaching hospital
Subject
Botswana
Revised trauma score
Trauma
Trauma admission
Trauma outcome
Revised trauma score
Trauma
Trauma admission
Trauma outcome
Description
Background: Traumatic injuries are proportionally higher in low- and middle-income countries (LMICs) than
high-income counties. Data on trauma epidemiology and patients’ outcomes are limited in LMICs.
Methods: A retrospective review of medical records was performed for trauma admissions to the Princess Marina
Hospital general surgical (GS) wards from August 2017 to July 2018. Data on demographics, mechanisms of
injury, body parts injured, Revised Trauma Score, surgical procedures, hospital stay, and outcomes were
analysed.
Results: During the study period, 2610 patients were admitted to GS wards, 1307 were emergency admissions.
Trauma contributed 22.1% (576) of the total and 44.1% of the emergency admissions. Among the trauma admissions,
79.3% (457) were male. The median[interquartile range(IQR)](range) age in years was 30[24–40]
(13–97). The main mechanisms of injury were interpersonal violence (IPV), 53.1% and road traffic crashes
(RTCs), 23.1%. More females than males suffered animal bites (5.9% vs. 0.9%), and burns (8.4% vs. 4.2%), while
more males than females were affected by IPV (57.8% vs. 35.3%) and self-harm (5.5% vs. 3.4%). Multiple body
parts were injured in 6.6%, mainly by RTCs. Interpersonal violence (IPV) and RTCs resulted in significant
numbers of head and neck injuries, 57.3% and 22.2% respectively. More females than males had multiple bodyparts
injury 34.5% vs. 18.5%. Revised Trauma Score (RTS) of ≤11 was recorded in IPV, 38.4% and RTCs, 33.6%.
Surgical procedures were performed on 44.4% patients. The most common surgical procedures were laparotomy
(27.8%), insertion of chest tube (27.8%), and craniotomy/burr hole(25.1%). Complications were recorded in
10.1% of the patients(58) including 39 deaths, 6.8% of the 576.
Conclusion: Trauma contributed significantly to the total GS and emergency admissions. The most common
mechanism of injury was IPV with head and neck the most frequently injured body part. Further studies on IPV
and trauma admissions involving paediatric and orthopaedic patients are warranted.
high-income counties. Data on trauma epidemiology and patients’ outcomes are limited in LMICs.
Methods: A retrospective review of medical records was performed for trauma admissions to the Princess Marina
Hospital general surgical (GS) wards from August 2017 to July 2018. Data on demographics, mechanisms of
injury, body parts injured, Revised Trauma Score, surgical procedures, hospital stay, and outcomes were
analysed.
Results: During the study period, 2610 patients were admitted to GS wards, 1307 were emergency admissions.
Trauma contributed 22.1% (576) of the total and 44.1% of the emergency admissions. Among the trauma admissions,
79.3% (457) were male. The median[interquartile range(IQR)](range) age in years was 30[24–40]
(13–97). The main mechanisms of injury were interpersonal violence (IPV), 53.1% and road traffic crashes
(RTCs), 23.1%. More females than males suffered animal bites (5.9% vs. 0.9%), and burns (8.4% vs. 4.2%), while
more males than females were affected by IPV (57.8% vs. 35.3%) and self-harm (5.5% vs. 3.4%). Multiple body
parts were injured in 6.6%, mainly by RTCs. Interpersonal violence (IPV) and RTCs resulted in significant
numbers of head and neck injuries, 57.3% and 22.2% respectively. More females than males had multiple bodyparts
injury 34.5% vs. 18.5%. Revised Trauma Score (RTS) of ≤11 was recorded in IPV, 38.4% and RTCs, 33.6%.
Surgical procedures were performed on 44.4% patients. The most common surgical procedures were laparotomy
(27.8%), insertion of chest tube (27.8%), and craniotomy/burr hole(25.1%). Complications were recorded in
10.1% of the patients(58) including 39 deaths, 6.8% of the 576.
Conclusion: Trauma contributed significantly to the total GS and emergency admissions. The most common
mechanism of injury was IPV with head and neck the most frequently injured body part. Further studies on IPV
and trauma admissions involving paediatric and orthopaedic patients are warranted.
Creator
Alemayehu Ginbo Bedada , Margaret J. Tarpley , John L. Tarpley
Source
www.elsevier.com/locate/afjem
Publisher
ELSEVIER
Date
14 April 2021
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Citation
Alemayehu Ginbo Bedada , Margaret J. Tarpley , John L. Tarpley , “Jurnal Internasional Afrika vol. 11 issue 2 2021
African Journal of Emergency Medicine
The characteristics and outcomes of trauma admissions to an adult general surgery ward in a tertiary teaching hospital,” Repository Horizon University Indonesia, accessed April 18, 2025, https://repository.horizon.ac.id/items/show/2615.
African Journal of Emergency Medicine
The characteristics and outcomes of trauma admissions to an adult general surgery ward in a tertiary teaching hospital,” Repository Horizon University Indonesia, accessed April 18, 2025, https://repository.horizon.ac.id/items/show/2615.