Injury patterns in patients with severe traumatic brain injuries from motor crashes admitted to Mulago hospital accidents & emergency unit

IF 1.4 4区 医学 Q3 EMERGENCY MEDICINE
Joseph Kalanzi , Lee Wallis , Mary Nabukenya , Erasmus Okello , Doreen Okong , Stella Namirembe
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引用次数: 1

Abstract

Background

The global burden of Road Traffic Crashes (RTC) is increasing. Uganda has one of the highest rates of RTCs in Sub-Sahara. Victims of RTCs sustain varying degrees of injuries depending on factors including the velocity at time of impact, protective gear; and if it was a motorcycle–motorcycle or motorcycle–vehicle crash. High speed collisions can result in severe forms of injuries and polytrauma. Some injuries are undetected.

Methods

A cross sectional study was carried at Mulago Hospital Accidents & Emergency Unit, between November 2021 and February 2022; on all adult patients (≥18 years) with severe head injury from motor road traffic crashes. The study looked at injury patterns and assessed the relationship of polytrauma in patients with severe head injury to the mechanism of injury (motorcycles versus vehicles). Data were extracted from patient charts using a validated data abstraction tool and complete head to toe physical examination was carried out and injuries recorded. Data were analysed to determine the relationship of polytrauma in patients with severe head injury to the mechanism of injury.

Results

The participants were predominantly males with a population median age of 32 (25-39). The commonest modes of transportation of patients to the hospital were Police Pickup trucks (40%) and ambulance (36.1%). Among motorcycle RTCs, (19.2%) wore helmets; 21.2% had protective gear; with injury identified mainly in; the limbs (84.8%), neck (76.8%), chest (39.4%), and abdomen (26.3%). Patients from vehicle RTCs were 19% more likely to have polytrauma compared to patients from motorcycle RTCs.

Conclusions

This study showed that patients who sustain severe traumatic brain injuries from vehicle crashes have an increased likelihood of having multiple injuries, compared to patients from motorcycle RTCs. For motorcycle users, injuries mostly affect the limbs. At particular risk are motorcyclists who do not wear helmets and protective coveralls.

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穆拉戈医院事故与急诊科收治的因机动车碰撞造成的严重创伤性脑损伤患者的损伤模式
背景道路交通事故(RTC)的全球负担正在增加。乌干达是撒哈拉以南地区RTC发病率最高的国家之一。RTCs的受害者受到不同程度的伤害,这取决于各种因素,包括撞击时的速度、防护装备;如果是摩托车-摩托车或摩托车-车辆碰撞。高速碰撞会导致严重的伤害和多发性创伤。有些损伤未被发现。方法在穆拉戈医院进行横断面调查;急诊室,2021年11月至2022年2月;对所有因机动车道路交通事故造成严重头部损伤的成年患者(≥18岁)进行研究。这项研究观察了严重头部损伤患者的损伤模式,并评估了多发伤与损伤机制(摩托车与车辆)的关系。使用经过验证的数据提取工具从病历中提取数据,并进行从头到脚的全面体检,记录受伤情况。对数据进行分析,以确定重型颅脑损伤患者多发伤与损伤机制的关系。结果参与者以男性为主,人群中位年龄为32岁(25-39岁)。最常见的运送病人到医院的方式是警察皮卡(40%)和救护车(36.1%)。在摩托车RTC中,(19.2%)戴着头盔;21.2%有防护装备;损伤主要表现在;四肢(84.8%)、颈部(76.8%)、胸部(39.4%)和腹部(26.3%)。与摩托车RTC患者相比,车辆RTC患者患多发性创伤的可能性高19%。结论该研究表明,与摩托车RTC患者相比,因车祸而遭受严重脑损伤的患者发生多处损伤的可能性增加。对于摩托车使用者来说,受伤主要影响四肢。特别危险的是不戴头盔和防护服的摩托车手。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.40
自引率
7.70%
发文量
78
审稿时长
85 days
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