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Patterns of Trauma Deaths in an Accident and Emergency Unit

Published online by Cambridge University Press:  28 June 2012

Odigie Clement Osime*
Affiliation:
Department of Surgery, University of Benin Teaching Hospital, Benin-City, Nigeria
Stephen Udi Ighedosa
Affiliation:
Department of Community Health, University of Benin Teaching Hospital, Benin-City, Nigeria
Olugbenga Ojo Oludiran
Affiliation:
Department of Surgery, University of Benin Teaching Hospital, Benin-City, Nigeria
Pius Ehiawaguan Iribhogbe
Affiliation:
Department of Surgery, University of Benin Teaching Hospital, Benin-City, Nigeria
Eddy Ehikhamenor
Affiliation:
Faculty of Dentistry, University of Benin Teaching Hospital, Benin-City, Nigeria
Sunday Oladepo Elusoji
Affiliation:
Department of Surgery, University of Benin Teaching Hospital, Benin-City, Nigeria
*
Dr. Clement Osime Department of Surgery University of Benin Teaching Hospital PMB 1111 Benin City, Nigeria E-mail: [email protected]

Abstract

Introduction:

Trauma is a leading cause of death in most countries. Different patterns of trauma deaths are recorded in different countries. The purpose of this study was to evaluate retrospectively the pattern of trauma deaths in the emergency unit of a University Teaching Hospital in Nigeria.

Methods:

This is a descriptive, retrospective study. The data were obtained from patient case files and nurses'records. The data abstracted included age, sex, cause of trauma/death, parts of the body injured, time of death, andthe duration of stay in the Accident and Emergency Unit (AEU).

Results:

A total of 5,537 cases presented to the AEU of the University of Benin Teaching Hospital between 01 January 2001 and 31 December 2004. Of these, 5,446 were due to trauma (98.4%). A total of 127 patients died (case fatality rate: 2.3%). Of the deaths, 81.9% were males. Motor vehicle crashes were the most frequent cause (54.3%), and drowning was the least common cause of trauma (0.8%). The most frequently injured region of the body was the head and neck (53.4%). A total of 67.4% of the deaths occurred within six hours of presentation to the AEU.

Conclusions:

There is a great need for improved road safety, adequate pre-hospital medical care, and prompt transfer services for victims of trauma.

Type
Brief Report
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2007

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References

1.Vanbrabant, P, Dhondt, E, Sabbe, M:What do we know about patients dying in the emergency department? Resuscitation 2004;60(2):163170.CrossRefGoogle ScholarPubMed
2.Godaviciene, D, Rimdeika, R: Analysis of burn-related deaths in Kaunas University of MedicineHospital during 1993–2002. Medicina (Kaunas) 2004;40(4):374378.Google Scholar
3.Chiara, O, Scott, JD, Cimbanassi, S, Marini, A, Zoia, R, Rodriguez, A, Scalea, T, Milan Trauma Death Study Group: Trauma deaths in an Italian urban area: An audit of pre-hospital and in-hospital trauma care. Injury 2002;33(7):553–.CrossRefGoogle Scholar
4.Shalley, MJ, Cross, AB: Which patients are likely to die in an Accident and Emergency Department? Br Med J (Clin Res Ed) 1984;289(6442):419–;421.CrossRefGoogle Scholar
5.Ndiaye, A, Camara, S, Ndoye, A, Dansokho, A, Sow, CM, Ndiaye, PD,Bassenne N: Mortality caused by traffic accidents at the Traumatology and Orthopedics Center of Grand-Yoff. A 2-yearstudy. Apropos of 156 cases. Med Trop (Mars) 1993;53(4):487–.Google ScholarPubMed
6.Stewart, RM, Myers, JG, Dent, DL, Ermis, P, Gray, GA, Villarreal, R, Blow, O, Woods, B, McFarland, M, Garavaglia, J, Root, HD, Priutt, BA Jr : Seven hundred, fifty-three consecutive deaths in a level I trauma center: The argument for injury prevention. J Trauma 2003;54(1):66–;70.CrossRefGoogle Scholar
7.Etebu, EN, Ekere, AU: Paediatric accident deaths in Port Harcourt, Nigeria: A 10-year retrospective study. Niger J Med 2004;13(2):140–;143.Google ScholarPubMed
8.Wisborg, T, Hoylo, T, Siem, G: Death after injury in rural Norway: High rate of mortality and prehospital death. Acta Anaesthesiol Scand 2003;47(2):153CrossRefGoogle ScholarPubMed
9.Solagberu, BA: Spinal cord injuries in Ilorin, Nigeria. West Afr J Med 2002;21(3):230Google ScholarPubMed
10.Adesunkanmi, AR, Akinkuolia, AA, Badru, OS: A five year analysis of death in Accident and Emergency room of a semi-urban hospital. West Afr J Med 2002;21(2):99–.Google ScholarPubMed
11.Ferrando, J, Plasencia, A, Ricart, I, Canaleta, X, Segui-Gomez, M: Motor-vehicle injury patterns in Emergency-Department patients in a south-European urban setting.Annu Proc AssocAdv Automot Med 2000;44:445–;458.Google Scholar
12.Balogun, JA, Abereoje, OK: Pattern of road traffic accident cases in a Nigerian University Teaching Hospital between 1987 and 1990. J Trop Med Hyg 1992;95(1):23Google Scholar
13.Eastridge, BJ, Burgess, AR: Pedestrian pelvic fractures: Five-year experience of a major urban trauma center. J Trauma 1997;42(4):695CrossRefGoogle Scholar
14.Rodriguez-Morales, G, Rodriguez, A, Shetney, CH: Acute rupture of the diaphragm inblunt trauma: Analysis of 60 patients. J Trauma 1986;26:438–;444.CrossRefGoogle ScholarPubMed
15.Solagberu, BA, Adekanye, AO, Ofoegbu, CP, Udoffa, US, Abdur-Rahman, LO, Taiwo, JO: Epidemiology of trauma deaths. West Afr J Med 2003;22(2):177Google ScholarPubMed
16.Solagberu, BA, Duze, AT, Ofoegbu, CP, Adekanye, AO, Odelowo, EO: Surgical morbidity and mortality pattern in the Accident and Emergency room–;A preliminary report. Afr J Med Sci 2000;29:315–;318.Google ScholarPubMed
17.Swaddiwudhipong, W, Nguntra, P, Mahasakpan, P, Koonchote, S, Tantriratna, G: Epidemiologic characteristics of drivers, vehicles, pedestrians and road environments involves in road traffic injuries in rural Thailand. Southeast Asian J Trop Med Public Health 1994;25:37–;44.Google ScholarPubMed
18.Mayorga Mogollon, LE: Mortality from traffic accidents in the Tunja-San Gil road area, Colombia, 2001. Rev Salud Publica (Bogota) 2003;5(2):158171.Google ScholarPubMed
19.Marmor, M, Parnes, N, Aladgem, D, Birshan, V, Sorkine, P, Halpern, P: Characteristics of road traffic accidents treated in an urban trauma center. Isr Med Assoc J 2005;7(1):912.Google Scholar
20.Ekere, AU, Yellowe, BE, Umune, S: Surgical mortality in the emergency room. Int Orthop 2004;28(3):187190.CrossRefGoogle ScholarPubMed
21.McDonald, A, Ali, J, Mitchell, DI, Newnham, MS, Barnett, A, Williams, E, Martin, A: Potential role for advanced trauma life support programme in improving trauma care in Jamaica. West Indian Med J 2003;52(3):208212.Google ScholarPubMed
22.Siddiqui, AA, Zafar, H, Bashir, SH: An audit of head trauma care and mortality. J Coll Physicians Surg Pak 2004;14(3):173177.Google ScholarPubMed
23.Zafarghandi, MR, Modaghegh, MH, Roudsari, BS: Preventable trauma death in Tehran: An estimate of trauma care quality in teaching hospitals. J Trauma 2003;55(3):459465.CrossRefGoogle ScholarPubMed