Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Home Print this page Email this page Small font size Default font size Increase font size Users Online: 232
ORIGINAL ARTICLE
Year : 2021  |  Volume : 27  |  Issue : 1  |  Page : 9-15

Developing a low-resource approach to trauma patient care - findings from a nigerian trauma registry


1 Department of Orthopaedics and Traumatology, University of Uyo Teaching Hospital, Akwa Ibom, Nigeria
2 Department of Physiotherapy, University of Uyo Teaching Hospital, Akwa Ibom, Nigeria
3 Department of Orthopaedics and Traumatology; Department of Accident and Emergency, University of Uyo Teaching Hospital, Akwa Ibom, Nigeria
4 Department of Surgery, University of Uyo Teaching Hospital, Akwa Ibom, Nigeria

Correspondence Address:
Dr. Timothy E Nottidge
Department of Orthopaedics and Traumatology, University of Uyo Teaching Hospital, Akwa Ibom
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/njs.NJS_67_19

Rights and Permissions

Background: Trauma is a worldwide problem that results in significant morbidity and mortality in developing countries. Objective: This study looks at the demography of trauma from data abstracted from a Nigerian trauma registry and considers the peculiarities of a low-resource setting from this perspective. Methods: Trauma registry data from January 2013 to June 2014 were analyzed. Results: A total of 542 patients were included in the study. The mean age of the patients was 33.43 ± 12.79 years; the median time from injury to arrival at the hospital was 3 h (interquartile range IQR 1 – 5.1 h); three-quarters of the patients sustained their injuries on the road-tricycles were rarely involved in road traffic injuries (RTIs) (6.9% of RTIs) but were used in transporting a third of the patients whose data on means of transportation were captured. There were 15 (2.7%) deaths in the first 24 h period postinjury covered by the study – 13 (86.7%) of these patients had head-and-neck injury. About half of the assault injury (50.5%) was from persons known to the victim. The shock indices suggested that a majority of the patients were not at a high risk of mortality. Conclusion: Most of the trauma patients at our hospital were in low- to middle-income categories. The median time to arrival of injured patients was 3 h (IQR 1 – 6 h). Most injuries occurred on the road because of RTIs. The involvement of tricycles in accidents was uncommon, but they were used fairly commonly by lay responders in transporting the injured victim to hospital. A high proportion of assailants were known to the victim. The use of trauma registries provides essential data for prioritizing limited resources and can guide a contextualized approach to reducing trauma and improving trauma patient care.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed4362    
    Printed342    
    Emailed0    
    PDF Downloaded134    
    Comments [Add]    
    Cited by others 1    

Recommend this journal