Isaac M Botchey1, Yuen W Hung1, Abdulgafoor M Bachani1, Fatima Paruk1, Amber Mehmood1, Hassan Saidi2, Adnan A Hyder3. 1. Johns Hopkins International Injury Research Unit, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. 2. Department of Human Anatomy, University of Nairobi, Nairobi, Kenya. 3. Johns Hopkins International Injury Research Unit, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Electronic address: ahyder1@jhu.edu.
Abstract
BACKGROUND: Injury is a leading cause of disability and death worldwide, accounting for over 5 million deaths each year. The injury burden is higher in low- and middle-income countries where more than 90% of injury-related deaths occur. Despite this burden, the use of prospective trauma registries to describe injury epidemiology and outcomes is limited in low- and middle-income countries. Kenya lacks robust data to describe injury epidemiology and care. The objective of this study was to investigate the epidemiology and outcomes of injuries at 4 referral hospitals in Kenya using hospital-based trauma registries. METHODS: From January 2014 to May 2015, all injured patients presenting to the casualty departments of Kenyatta National, Thika Level 5, Machakos Level 5, and Meru Level 5 Hospitals were enrolled prospectively. Data collected included demographic characteristics, type of prehospital care received, prehospital time, injury pattern, and outcomes. RESULTS: A total of 14,237 patients were enrolled in our study. Patients were predominantly male (76.1%) and young (mean age 28 years). The most common mechanisms of injury were road traffic injuries (36.8%), falls (26.4%), and being struck/hit by a person or object (20.1%). Burn was the most common mechanism of injury in the age category under 5 years. Body regions commonly injured were lower extremity (35.1%), upper extremity (33.4%), and head (26.0%). The overall mortality rate was 2.4%. Significant predictors of mortality from multivariate analysis were Glasgow Coma Scale ≤12, estimated injury severity score ≥9, burns, and gunshot injuries. CONCLUSION: Hospital-based trauma registries can be important sources of data to study the epidemiology of injuries in low- and middle-income countries. Data from such trauma registries can highlight key needs and be used to design public health interventions and quality-of-care improvement programs.
BACKGROUND: Injury is a leading cause of disability and death worldwide, accounting for over 5 million deaths each year. The injury burden is higher in low- and middle-income countries where more than 90% of injury-related deaths occur. Despite this burden, the use of prospective trauma registries to describe injury epidemiology and outcomes is limited in low- and middle-income countries. Kenya lacks robust data to describe injury epidemiology and care. The objective of this study was to investigate the epidemiology and outcomes of injuries at 4 referral hospitals in Kenya using hospital-based trauma registries. METHODS: From January 2014 to May 2015, all injured patients presenting to the casualty departments of Kenyatta National, Thika Level 5, Machakos Level 5, and Meru Level 5 Hospitals were enrolled prospectively. Data collected included demographic characteristics, type of prehospital care received, prehospital time, injury pattern, and outcomes. RESULTS: A total of 14,237 patients were enrolled in our study. Patients were predominantly male (76.1%) and young (mean age 28 years). The most common mechanisms of injury were road traffic injuries (36.8%), falls (26.4%), and being struck/hit by a person or object (20.1%). Burn was the most common mechanism of injury in the age category under 5 years. Body regions commonly injured were lower extremity (35.1%), upper extremity (33.4%), and head (26.0%). The overall mortality rate was 2.4%. Significant predictors of mortality from multivariate analysis were Glasgow Coma Scale ≤12, estimated injury severity score ≥9, burns, and gunshot injuries. CONCLUSION: Hospital-based trauma registries can be important sources of data to study the epidemiology of injuries in low- and middle-income countries. Data from such trauma registries can highlight key needs and be used to design public health interventions and quality-of-care improvement programs.
Authors: Nee-Kofi Mould-Millman; Navneet Kaur Baidwan; Brenda Beaty; Krithika Suresh; Julia M Dixon; Chandni Patel; Shaheem de Vries; Hendrick J Lategan; Elmin Steyn; Janette Verster; Steven G Schauer; Tyson E Becker; Cord Cunningham; Sean Keenan; Ernest E Moore; Lee A Wallis; Adit A Ginde; Vikhyat S Bebarta Journal: J Trauma Acute Care Surg Date: 2022-05-21 Impact factor: 3.697
Authors: Tilahun Nigatu Haregu; Frederick M Wekesah; Shukri F Mohamed; Martin K Mutua; Gershim Asiki; Catherine Kyobutungi Journal: BMC Public Health Date: 2018-11-07 Impact factor: 3.295
Authors: Brian I Shaw; Ali Akida Wangara; Gladys Mbatha Wambua; Jason Kiruja; Rochelle A Dicker; Judith Mutindi Mweu; Catherine Juillard Journal: Trauma Surg Acute Care Open Date: 2017-12-07
Authors: Julie Saleeby; Justin G Myers; Karen Ekernas; Katherine Hunold; Ali Wangara; Alice Maingi; Peyton Wilson; Vincent Mutiso; Sarah Zamamiri; Daniel Bacon; Wes Davis; John Suder; Yash Agrawal; Ogar Ogar; Ian B K Martin; Stephen Dunlop Journal: Afr J Emerg Med Date: 2019-07-02