@article{ref1,
title="Evaluating the burden of head injuries on a rural emergency department in South Africa",
journal="South African family practice (2004)",
year="2021",
author="Ramdheen, Sannya and Naicker, Bavani",
volume="63",
number="1",
pages="e1-e6",
abstract="BACKGROUND: Head injuries place a significant burden on the emergency department (ED) workload. This is prominent in low-middle income countries (LMICs), which have low resourced health systems and a skewed burden compared to global data. A large paucity of data exists among LMICs, therefore limiting comparisons on a global perspective. This study aimed to evaluate the ED burden of head injuries in a rural setting, within a LMIC. <br><br>METHODS: A retrospective chart review of all ED patients presenting with head injuries was conducted over a 3-month period. Relevant data was extracted using a data collection tool, followed by descriptive statistical analysis. <br><br>RESULTS: A total of 263 patients were identified, with a median age of 27 years and male predominance (78.7%). Interpersonal violence (IPV) was the mechanism of injury in 59.7% (n = 157) of cases, followed by road traffic injuries (23.2%) and non-intentional trauma (17.1%). Most injuries were because of blunt trauma (71.1%) and common types were soft tissue (46.2%) and scalp injuries (35.0%). In the paediatric subgroup, the most common mechanism of injury was falls, accounting for 52.0% of all falls in the study. The majority (71.5%) of patients were discharged, while 22.8% were admitted and 2.67% demised in the ED. <br><br>CONCLUSION: At this rural centre, there is a high ED burden of minor head injuries because of IPV, with a strong male predominance. This study serves to add to limited reported data from a LMIC setting, which appears to have a skewed burden compared to the global data.<p /> <p>Language: en</p>",
language="en",
issn="2078-6190",
doi="10.4102/safp.v63i1.5327",
url="http://dx.doi.org/10.4102/safp.v63i1.5327"
}