Epidemiological Profile of War Wounded in the Emergency Reception Department of the Sominé Dolo Hospital in Mopti

Koné Bakary, C. Souleymane, Fofana Youssouf, Traoré Bintou, M. Koné, Théra Thioukany David, Abdoulaye Traoré
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Abstract

The security crisis experienced by our country in 2012 resulted in numerous injuries and deaths linked to terrorist attacks and this required a reorganization of the care of the injured. The objective of this work was to determine the frequency of war wounded at the Sominé Dolo hospital in Mopti (Mali). We realized a single-center descriptive cross-sectional study relating to the files of patients suffering from war injuries and admitted to the emergency reception department of the Sominé Dolo hospital in Mopti (Mali) during the period between January 1, 2020 and October 31, 2022. This hospital represents the largest reference structure in central Mali with per year. During the study period, 5,404 wounded people of all kinds were admitted to the emergency reception service out of a total of 65,740 patients, i.e. a frequency of 8.22%, and 1,540 war wounded were admitted, i.e. a frequency of 2. 34%. The age of war-wounded patients ranged from 6 months to 80 years with an average age of 30.61 years. The patients were divided into 1448 men (94%) and 92 women (6%), giving a sex ratio of 15.74. Patients transported by ambulance to hospital accounted for 62.01%, by plane (18.31%), civil protection (3.38%), other means of transport (16.3%). Half of the injured were received within 6 hours of their trauma. Those injured by firearms represented 79%, and those injured by improvised explosive devices (15%). The mortality rate was 0.39% in the emergency room.
莫普提索米内-多洛医院急诊接待室战争伤员的流行病学概况
我国在 2012 年经历的安全危机造成了大量与恐怖袭击有关的伤亡,这就要求对伤员的护理工作进行重组。这项工作的目的是确定马里莫普提索米内-多洛医院的战争伤员频率。我们对 2020 年 1 月 1 日至 2022 年 10 月 31 日期间莫普提(马里)索米内-多洛医院急诊接待处收治的战争伤员档案进行了单中心描述性横断面研究。该医院是马里中部最大的参考机构,每年收治的病人数量最多。在研究期间,急诊接待处共接待了 65 740 名患者,其中各类伤员 5 404 名,频率为 8.22%,战争伤员 1 540 名,频率为 2.34%。战争伤员的年龄从 6 个月到 80 岁不等,平均年龄为 30.61 岁。其中男性 1448 人(占 94%),女性 92 人(占 6%),男女比例为 15.74。通过救护车送往医院的患者占 62.01%,通过飞机(18.31%)、民防(3.38%)和其他交通工具(16.3%)送往医院的患者占 62.01%。半数伤者在受伤后 6 小时内被送往医院。被枪械击伤的占 79%,被简易爆炸装置击伤的占 15%。急诊室的死亡率为 0.39%。
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