OBJECTIVE: To describe the pattern of surgical admissions to the Rift Valley Provincial General Hospital and in particular the epidemiologic characteristics of trauma admissions. DESIGN: Retrospective study. SETTING: Rift Valley Provincial General Hospital, Nakuru from (1st January 1998 - 31st December 1999). SUBJECTS: All patients admitted to the various surgical wards (excluding eye-patients) during the stated period and whose medical records were available and complete. METHODS: Medical records of all surgical patients admitted during the period of study were retrieved using admission data from casualty, surgical out-patient and Annex Hospital registers. Further medical data were obtained from wards admission registers, nurses report books and records from theatre and radiology books. A special data-form was used to collect the required information. The data was subjected to simple statistical analysis. RESULTS: There were 5,907 surgical admissions of whom 3,411 cases seventy three point five percent were trauma admissions, 1,499 cases (25.4%) were non-traumatic emergency surgical admissions and 997 cases (16.8%) were elective surgical admissions. 73.5% of all trauma admissions were males and 57.6% were in the 21-60 year age-group. The most common injuries were soft-tissue injuries, fractures, burn injuries and head injuries, while the leading causes of trauma were road traffic accidents (32.7%), assaults (23.8%), falls (15.5%) and burns (13%). Fifty one point seven percent of all performed surgical operations were trauma-related. The mean length of hospital stay for trauma patients was 10.4 days. Trauma was the leading cause of death (6.6%) among all surgical admissions. CONCLUSION: Trauma, particularly due to road traffic accidents and violence is a growing public health problem in this region that urgently calls for specific intervention measures. Further studies of disability levels as well as costs of trauma care are recommended.
OBJECTIVE: To describe the pattern of surgical admissions to the Rift Valley Provincial General Hospital and in particular the epidemiologic characteristics of trauma admissions. DESIGN: Retrospective study. SETTING: Rift Valley Provincial General Hospital, Nakuru from (1st January 1998 - 31st December 1999). SUBJECTS: All patients admitted to the various surgical wards (excluding eye-patients) during the stated period and whose medical records were available and complete. METHODS: Medical records of all surgical patients admitted during the period of study were retrieved using admission data from casualty, surgical out-patient and Annex Hospital registers. Further medical data were obtained from wards admission registers, nurses report books and records from theatre and radiology books. A special data-form was used to collect the required information. The data was subjected to simple statistical analysis. RESULTS: There were 5,907 surgical admissions of whom 3,411 cases seventy three point five percent were trauma admissions, 1,499 cases (25.4%) were non-traumatic emergency surgical admissions and 997 cases (16.8%) were elective surgical admissions. 73.5% of all trauma admissions were males and 57.6% were in the 21-60 year age-group. The most common injuries were soft-tissue injuries, fractures, burn injuries and head injuries, while the leading causes of trauma were road traffic accidents (32.7%), assaults (23.8%), falls (15.5%) and burns (13%). Fifty one point seven percent of all performed surgical operations were trauma-related. The mean length of hospital stay for traumapatients was 10.4 days. Trauma was the leading cause of death (6.6%) among all surgical admissions. CONCLUSION:Trauma, particularly due to road traffic accidents and violence is a growing public health problem in this region that urgently calls for specific intervention measures. Further studies of disability levels as well as costs of trauma care are recommended.
Authors: Michelle Kiser; Veronica Escamilla; Jonathan Samuel; Kacey Eichelberger; Judith Mkwaila; Bruce Cairns; Anthony Charles Journal: World J Surg Date: 2013-12 Impact factor: 3.352
Authors: Joseph B Mabula; Ramesh M Dass; Nkinda Mbelenge; Isdori H Ngayomela; Alphonce B Chandika; Japhet M Gilyoma; Phillipo L Chalya Journal: J Trauma Manag Outcomes Date: 2012-02-09
Authors: N A Ibrahim; M A Oludara; A Ajani; I Mustafa; R Balogun; O Idowu; R Osuoji; F O Omodele; A O A Aderounmu; B A Solagberu Journal: Ann Med Surg (Lond) Date: 2015-09-14