Epidemiology of injuries, outcomes, and hospital resource utilisation at a tertiary teaching hospital in Lusaka, Zambia
Injuries represent a global public health threat and that threat is disproportionally felt especially in low and middle income countries (LMICs) that experience 90% of global mortality from injury. Few LMICs have robust datasets describing patient injuries and injury care. Objective: To develop a ho...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2014-09-01
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| Series: | African Journal of Emergency Medicine |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211419X14000329 |
| _version_ | 1819128725894070272 |
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| author | Philip Seidenberg Kathryn Cerwensky Rae Oranmore Brown Emily Hammond Yona Mofu James Lungu Yakub Mulla Godfrey Biemba Hani Mowafi |
| author_facet | Philip Seidenberg Kathryn Cerwensky Rae Oranmore Brown Emily Hammond Yona Mofu James Lungu Yakub Mulla Godfrey Biemba Hani Mowafi |
| author_sort | Philip Seidenberg |
| collection | DOAJ |
| description | Injuries represent a global public health threat and that threat is disproportionally felt especially in low and middle income countries (LMICs) that experience 90% of global mortality from injury. Few LMICs have robust datasets describing patient injuries and injury care. Objective: To develop a hospital-based trauma registry in an urban hospital in Lusaka, Zambia to assess patterns of injury, transport methods and duration, injury severity, outcomes and hospital resource utilisation.
Methods: From September 2011 to February 2012, all injured patients presenting to the Surgical Emergency Centre at University Teaching Hospital (UTH) were prospectively enrolled in an observational study to describe the epidemiology and the circumstances of injury of patients presenting to UTH, a 1400 bed urban hospital which is the primary trauma centre for Lusaka. Data on injured patients were collected by trained staff 24 h/day including: circumstances of trauma, transport method and time, injury type and location, vital signs on arrival, and disposition. Additional data regarding length of stay, HIV testing, operative procedures, use of blood products, and 30-day vital status were recorded for admitted patients.
Results: A total of 3498 patients were enrolled in the trauma registry. Patients were primarily male (71.8%), young (median age 24 years), and the majority arrived by private vehicle (51.8%) or public transport (37.1%). The most common reported mechanisms of injury were falls (26.3%), road traffic accidents (25.6%) and assault (20.0%). Hospital resource utilisation data were available for 863 of the 1769 (48.7%) admitted patients. Of these, 661 (76.6%) had X-rays, 468 (57.5%) had a surgical procedure performed, 390 (45.2%) underwent HIV testing, and 50 (5.8%) received blood products. The case fatality rate was 3%.
Conclusion: Limited dataset trauma registries can capture important epidemiologic data that can characterise injury care, identify patterns of injury, and inform hospital-based intervention strategies in Zambia. |
| first_indexed | 2024-12-22T08:32:24Z |
| format | Article |
| id | doaj.art-c110d63ad75c4e4ab2361e76b634a3b5 |
| institution | Directory Open Access Journal |
| issn | 2211-419X |
| language | English |
| last_indexed | 2024-12-22T08:32:24Z |
| publishDate | 2014-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | African Journal of Emergency Medicine |
| spelling | doaj.art-c110d63ad75c4e4ab2361e76b634a3b52022-12-21T18:32:27ZengElsevierAfrican Journal of Emergency Medicine2211-419X2014-09-014311512210.1016/j.afjem.2014.01.006Epidemiology of injuries, outcomes, and hospital resource utilisation at a tertiary teaching hospital in Lusaka, ZambiaPhilip Seidenberg0Kathryn Cerwensky1Rae Oranmore Brown2Emily Hammond3Yona Mofu4James Lungu5Yakub Mulla6Godfrey Biemba7Hani Mowafi8Department of Emergency Medicine, University of New Mexico, Albuquerque 87131, USABoston University School of Public Health, Center for Global Health and Development, Boston, MA, USADepartment of Surgery, University of Zambia School of Medicine, Lusaka, ZambiaBoston University School of Public Health, Center for Global Health and Development, Boston, MA, USAUniversity Teaching Hospital, Lusaka, ZambiaZambia Center for Applied Health Research and Development, Lusaka, ZambiaDepartment of Surgery, University of Zambia School of Medicine, Lusaka, ZambiaBoston University School of Public Health, Center for Global Health and Development, Boston, MA, USADepartment of Emergency Medicine, Yale School of Medicine, New Haven 06519, CT, USAInjuries represent a global public health threat and that threat is disproportionally felt especially in low and middle income countries (LMICs) that experience 90% of global mortality from injury. Few LMICs have robust datasets describing patient injuries and injury care. Objective: To develop a hospital-based trauma registry in an urban hospital in Lusaka, Zambia to assess patterns of injury, transport methods and duration, injury severity, outcomes and hospital resource utilisation. Methods: From September 2011 to February 2012, all injured patients presenting to the Surgical Emergency Centre at University Teaching Hospital (UTH) were prospectively enrolled in an observational study to describe the epidemiology and the circumstances of injury of patients presenting to UTH, a 1400 bed urban hospital which is the primary trauma centre for Lusaka. Data on injured patients were collected by trained staff 24 h/day including: circumstances of trauma, transport method and time, injury type and location, vital signs on arrival, and disposition. Additional data regarding length of stay, HIV testing, operative procedures, use of blood products, and 30-day vital status were recorded for admitted patients. Results: A total of 3498 patients were enrolled in the trauma registry. Patients were primarily male (71.8%), young (median age 24 years), and the majority arrived by private vehicle (51.8%) or public transport (37.1%). The most common reported mechanisms of injury were falls (26.3%), road traffic accidents (25.6%) and assault (20.0%). Hospital resource utilisation data were available for 863 of the 1769 (48.7%) admitted patients. Of these, 661 (76.6%) had X-rays, 468 (57.5%) had a surgical procedure performed, 390 (45.2%) underwent HIV testing, and 50 (5.8%) received blood products. The case fatality rate was 3%. Conclusion: Limited dataset trauma registries can capture important epidemiologic data that can characterise injury care, identify patterns of injury, and inform hospital-based intervention strategies in Zambia.http://www.sciencedirect.com/science/article/pii/S2211419X14000329 |
| spellingShingle | Philip Seidenberg Kathryn Cerwensky Rae Oranmore Brown Emily Hammond Yona Mofu James Lungu Yakub Mulla Godfrey Biemba Hani Mowafi Epidemiology of injuries, outcomes, and hospital resource utilisation at a tertiary teaching hospital in Lusaka, Zambia African Journal of Emergency Medicine |
| title | Epidemiology of injuries, outcomes, and hospital resource utilisation at a tertiary teaching hospital in Lusaka, Zambia |
| title_full | Epidemiology of injuries, outcomes, and hospital resource utilisation at a tertiary teaching hospital in Lusaka, Zambia |
| title_fullStr | Epidemiology of injuries, outcomes, and hospital resource utilisation at a tertiary teaching hospital in Lusaka, Zambia |
| title_full_unstemmed | Epidemiology of injuries, outcomes, and hospital resource utilisation at a tertiary teaching hospital in Lusaka, Zambia |
| title_short | Epidemiology of injuries, outcomes, and hospital resource utilisation at a tertiary teaching hospital in Lusaka, Zambia |
| title_sort | epidemiology of injuries outcomes and hospital resource utilisation at a tertiary teaching hospital in lusaka zambia |
| url | http://www.sciencedirect.com/science/article/pii/S2211419X14000329 |
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