Citation

Amaefule KE, Dahiru IL, Sule UM, Ejagwulu FS, Maitama MI, Ibrahim A. Afr. J. Emerg. Med. 2019; 9(Suppl): S32-S37.

Affiliation

Division of Plastic and Reconstruction Surgery, Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.

Copyright

(Copyright © 2019, African Federation for Emergency Medicine, Publisher Elsevier Publishing)

DOI

10.1016/j.afjem.2018.12.007

PMID

30976498

PMCID

PMC6440917

Abstract

INTRODUCTION: Trauma in developing countries has been on the increase, a situation perpetuated by rising road traffic collisions, terrorism and firearms proliferation. Some of the victims of trauma are left with life threatening conditions requiring urgent surgical intervention and/or intensive care. The objectives of this study were to determine the pattern of major trauma needing intensive care in the region, and to determine the outcome of major trauma admitted to intensive care unit.

METHODS: A six-year retrospective cohort study of trauma patients needing intensive care, set in the Intensive Care Unit of Ahmadu Bello University Teaching Hospital, Zaria, North-West Nigeria. Subjects were major trauma patients admitted into the intensive care unit of the institution, identified via an admission register kept in the unit. The main outcomes measured were length of stay and mortality.

RESULTS: Trauma admissions represented 25.1% of the all intensive care admissions. Severe traumatic brain injury accounted for 32.1% of the trauma admissions, while burns accounted for 23.2%. Of the injuries, 15.5% were sustained in bomb blasts, and 8.3% were firearm injuries. The majority of the patients stayed for no more than seven days from admission. Burns patients had the worst outcomes, with 82.1% mortality.

CONCLUSION: Major trauma contributes significantly to local intensive care admissions, with terrorism- related trauma now an emerging challenging cause of major trauma in our region. The observed poor outcomes in this study are a reflection of the quality of available intensive care, and lends credence to the concept of appropriately resourced, specialised intensive care units for optimisation of care.

Language: en

Keywords

Intensive care; Outcome; Terrorism; Trauma admissions