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Displaying 461 - 470 out of 483 matching injury records.

Assault Cases in Maiduguri Metropolis: A Comparative Study of Police and Accident and Emergency Units' Records

Submitted By Christine Wang
Submitted On Tuesday, April 13th, 2010 @ 19:40:44 PDT -0700
Article Publication Year 2005
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Author And
Journal Reference
Maxillofacial Unit, Department of Radiology, University of Maiduguri Teaching Hospital, P MB 1414, Maiduguri, Borno State, Nigeria
  H. Olasoji
  A. Tahir
  U. Na'Aya

Nigerian Postgraduate Medical Journal. Dec. 2005. 12(4), 286-8
Related Countries Nigeria
Cause Of Injury W20-W49
X85-Y09
Nature Of Injury S00-T98
Abstract BACKGROUND:
Information on the incidence of assault cases such as armed robbery, fights and house burglaries in most Nigerian cities are usually based on data collected from police records with little or no attempt to tap medical sources of information.

OBJECTIVE:
The aim of this study was therefore to compare the rate of recording of assault cases in the Maiduguri metropolitan area by the police at the Maiduguri central police station and the Accident and Emergency unit (A and E) of the University of Maiduguri Teaching Hospital. Possible reasons why assault victims report or do not report to the police before seeking for treatment was also investigated.

METHOD:
All victims of assault who attended the A and E unit of the hospital over a one year period (2002-2003) were interviewed and relevant data collected in a prepared form. Findings were compared with the record of assault cases within the same period at the Maiduguri central police station.

RESULT:
185 patients presented at A and E with body injuries due to assault during period of study. 108 (58%) informed the police before attending hospital, out of which majority (38.9%) claimed an 'instinctive reaction to do so' as the reason for informing the police. A significant proportion (61%) of those that did not inform the police claimed that the feeling that 'nothing will come out of it' as the reason. Only 41% of cases reported to the police were recorded. There was a tendency by the police to record cases where gun was used or the victim was a female.

CONCLUSION:
The true picture of violence in most Nigerian cities can better be assessed by collecting data from both the relevant A and E department as well as from the police. The need for the populace to develop confidence and trust in the police cannot be overemphasised.

Missed Injuries: A Ugandan Experience

Submitted By Jerome Nsajju
Submitted On Tuesday, June 1st, 2010 @ 01:33:17 PDT -0700
Article Publication Year 2007
Visit Journal Web Site www.injuryjournal.com
View Full Article download.journals.elsevierhealth.com
Author And
Journal Reference
Directorate of Surgery, Mulago Hospital, Kampala, Uganda
  Caesar Okello
  I. Ezati
  A. Gakwaya

International Journal of the Care for the Injured, January 2007. 38(1),112-117
Related Countries Uganda
Cause Of Injury V01-Y98
Nature Of Injury S00-T98
Abstract BACKGROUND:
Missed injuries (MIs) have been noted worldwide in all trauma centres that have studied them, and they are a significant cause of patient morbidity and mortality.

OBJECTIVE:
To establish the prevalence, contributing factors and short-term outcome of missed injuries in cases of multiple and major trauma.

METHOD:
Longitudinal prospective study involving 403 patients over 5 months.

RESULTS:
Missed injuries were discovered in 78 cases (prevalence 19.4%). Contributing factors included incomplete assessment (52.5%), radiological errors, surgical failures and patient's arrival time. The most affected body regions were the head and neck, extremities and pelvic girdle and contents; in the abdomen, 49.1% of injuries were missed. Among the 28 deaths in the study, 21 occurred in cases with missed injuries, and 13 (62%) of these deaths were directly attributable to missed injuries (R2=12.5, p=0.0001, 95% CI 5.5–28.35).

CONCLUSION:
There is need for improvement in patient assessment and monitoring, in efficiency of the trauma team, and for staff redistribution to address the increase in night arrivals.

Burn Injuries in Port Harcourt, Nigeria

Submitted By Christine Wang
Submitted On Sunday, July 18th, 2010 @ 20:49:19 PDT -0700
Article Publication Year 1989
Visit Journal Web Site www.sciencedirect.com
Author And
Journal Reference
Burns and Plastic Surgery Unit, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
  D. Datubo-Brown
  B. Kejeh

Burns. June 1989. 15(3),152-154
Related Countries Nigeria
Cause Of Injury X00-X09
X10-X19
Nature Of Injury T20-T32
Abstract The pattern of burn injuries in Port Harcourt, Nigeria is presented for the first time. Ninety-two patients were studied and 43 (46.74 per cent) of them were children in the 0–5 years age range. Thirty-seven of the children in this group suffered from scalds and six from flame burns. Petrol fire was the commonest cause of flame burns. The overall mortality was 26.09 per cent and the majority of deaths occurred in burns covering over 50 per cent of the total body surface area. Improved parental supervision of children, in particular toddlers, a more reliable public power supply system, a ban on carrying petrol in open containers in the streets and public enlightenment campaigns are advocated by the authors as preventive measures.

Analysis of Surgical Admissions to the Ethio-Swedish Children's Hospital (1984-1988) in Addis Ababa

Submitted By Christine Wang
Submitted On Tuesday, April 20th, 2010 @ 21:34:36 PDT -0700
Article Publication Year 1990
Visit Journal Web Site ethiopianmedicalassociation.com
Author And
Journal Reference
Department of Paediatrics and Child Health, Faculty of Medicine, Addis Ababa University, Ethiopia
  E. Daniel
  G. Melaku
  M. Yoo
  Y. Agzew
  W. Gebre

Ethiopian Medical Journal. Jan 1990. 28(1), 15-22
Related Countries Ethiopia
Cause Of Injury V01-V99
W00-X59
X10-X19
Nature Of Injury S00-T98
Abstract Surgical problems in children result in significant morbidity and mortality. A retrospective analysis of all surgical patients admitted to the Ethio-Swedish Children's Hospital (ESCH) over a five year period from 1984 to 1988 was made. There were a total of 2,281 surgical patients admitted, accounting for 22% of all hospital admissions (total = 10,364). The gastrointestinal and musculoskeletal systems were the most common systems involved. Acute appendicitis accounted for 13.9% (N = 318), cleft-lip and palate 8% (N = 183), and burns 6.9% (N = 157) of all surgical admissions. Accidents and trauma accounted for 25% of the surgical admissions (N = 564). Of these, the most common conditions were burns, car accidents, accidental falls, and foreign body aspirations. The over all mortality rate was 4% (N = 98). Acute appendicitis, intussusception, acute laryngotracheobronchitis (ALTB), and burns were associated with a high mortality. Of the neonatal admissions, one third died shortly after surgery, probably due to anaesthetic, fluid and electrolyte imbalance. Examination of the general pattern of surgical admissions revealed that many of the conditions were preventable, or amenable to medical therapy if detected early. Health education of the public is therefore necessary in order to reduce the morbidity and mortality of these conditions.

Pattern of Surgical Admissions in Gondar Teaching Hospital, Ethiopia

Submitted By Christine Wang
Submitted On Tuesday, April 20th, 2010 @ 21:39:42 PDT -0700
Article Publication Year 1997
Visit Journal Web Site ajol.info
Author And
Journal Reference
Gondar College of Medical Sciences, Ethiopia
  K. Ghebrat

East African Medical Journal. Dec 1997. 74(12),812-5
Related Countries Ethiopia
Cause Of Injury V01-Y98
Nature Of Injury S00-S09
T08-T14
Abstract A retrospective study based on the principal discharge diagnosis of 4121 surgical in-patients, who were admitted to Gondar College of Medical Sciences Hospital over a three year period, is made to document the commonest surgical conditions prevalent in the north west region of Ethiopia. Intestinal obstruction was the commonest cause of surgical admission followed by head injury and soft tissue injury.

The Pattern of Orthopedic Admissions in Tikur Anbessa University Hospital, Addis Ababa

Submitted By Christine Wang
Submitted On Tuesday, April 20th, 2010 @ 21:58:41 PDT -0700
Article Publication Year 2005
Visit Journal Web Site ethiopianmedicalassociation.com
Author And
Journal Reference
Department of Orthopedics, Tikur Anbessa Hospital, Addis Ababa, Ethiopia
  E. Ahmed
  T. Chaka

Ethiopian Medical Journal. Apr 2005. 43(2),85-91
Related Countries Ethiopia
Cause Of Injury V01-V99
W00-W19
Nature Of Injury S00-T98
Abstract A one-year (April 1st 2003-March 31st 2004) prospective descriptive study of orthopedic admissions to Tikur Anbessa University Hospital (TAUH) was made in order to determine the burden of musculoskeletal conditions together with the present provision of care. A total of 824 patients were admitted of whom 576 were males and 248 females (M:F 2.3:1). The median age was 15 years (range 3 months to 80 years). Trauma was the cause for admission in 507 (61.5%), with road traffic accidents accounting for 211 (41.6%) and a fall for 195 (38.5%). 'Elective' patients waited for an average of 33.5 days for their admission. The mean duration of stay in hospital between admission and elective operation was 11.7 days. The post-operative stay was 20.6 days and the average length of hospital stay of all patients admitted was 35.4 days. The bed occupancy rate was 97.4% with an average time between the discharge of one patient and the admission of another (turnover interval) of 24 hours. Eighty-seven percent of the patients (97/112) who had previously visited a traditional healer presented with a chronic infection, a neglected or a complicated fracture or an advanced tumor. Eleven patients died (1.4%). Health education in the community and of traditional healers, together with a reduction of road traffic accidents would significantly reduce morbidity and mortality in Ethiopia. Major attempts must be made to reduce both the length of time patients wait for elective surgery after being admitted and their post-operative stay in order to serve more people. But it is vital to continue to teach conservative management of fractures as these will be the only methods available for the foreseeable future in hospital outside the centers of excellence. A series of specific recommendation are made to improve our care of orthopedic and trauma patients. We also suggest a broad based community study with an orthopedic input, which would help to produce a better profile and sound decisions to enable this... [more]

Epidemiology and Mortality of Burns at the Queen Elizabeth Central Hospital Blantyre, Malawi

Submitted By Christine Wang
Submitted On Tuesday, April 20th, 2010 @ 22:05:15 PDT -0700
Article Publication Year 2010
Visit Journal Web Site ajol.info
Author And
Journal Reference
Department of Microbiology, College of Medicine, Blantyre, Malawi
  O. Komolafe
  J. James
  M. Makoka
  L. Kalongeolera

Central African Journal of Medicine. Nov-Dec 2003. 49(11-12), 130-4
Related Countries Malawi
Cause Of Injury X00-X09
X10-X19
Nature Of Injury T20-T32
Abstract OBJECTIVES:
To determine the most common causes, population most at risk and the pattern of mortality of burn injuries at the Queen Elizabeth Central Hospital, Blantyre, Malawi.

DESIGN:
Retrospective cross sectional study.

SETTING:
Burns Unit, Queen Elizabeth Central Hospital (QECH), Blantyre, Malawi.

SUBJECTS:
One thousand eight hundred and twenty five case files of burn patients admitted to the QECH, Blantyre, between January 1994 and December 1999, involving 941 male and 884 female patients among whom 145 were epileptic.

MAIN OUTCOME MEASURE:
Aetiology of burns and the population most at risk at the QECH, Blantyre. RESULTS: More males (52%) than females (48%) suffered from burns during the six year study period. Children below age five (55%) were most at risk while 89% were below 30 years of age. Hot water (38%) was the most common cause of burns, but among epileptic patients, it was open fire (83%). While 71% of all inpatients had superficial burns (less than 10% TBSA) 22% had deep burns requiring grafting. Almost all the patients (98%) had multiple antibiotic therapy combined with topical application of silver sulfadiazine. Overall mortality was 12% but among the epileptic patients it was 16%.

CONCLUSION:
Children under five years of age were the major victims of burn injuries in this study. There is, therefore, need to mount effective awareness campaigns in order to target the root causes of burns in children.

Epidemiology of Childhood Burns in Maiduguri North-Eastern Nigeria

Submitted By Christine Wang
Submitted On Tuesday, April 20th, 2010 @ 22:09:46 PDT -0700
Article Publication Year 2004
Visit Journal Web Site ajol.info
Author And
Journal Reference
Department of Surgery, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
  B. Gali
  A. Madziga
  H. Naaya

Nigerian Journal of Medicine. Apr-Jun 2004. 13(2),144-7
Related Countries Nigeria
Cause Of Injury X00-X09
X10-X19
Nature Of Injury T20-T32
Abstract BACKGROUND:
Burns is a global problem and has its toll especially in a developing region like ours where poverty and ignorance are still rife. Previous studies in the sub-region have lumped children and adults together. We retrospectively studied the factors that lead to burns in children and the peculiarities in managing them.

METHODS:
All case notes of burns injury in children managed at the University of Maiduguri Teaching Hospital between 1991-2000 were retrospectively studied.

RESULTS:
A total of 219 children were studied. Children of age below 5 years were affected more than children above 5 years (168 vs. 51) with toddlers 1-2 years constituting a significant proportion of those below 5 years (71 vs. 168). The male to female ratio was 1.6:1 with a preponderance of male children below 10 years and the females between 11-15 years of age. The commonest cause of burns was scald (64.4%) in the household, which is usually accidental, but 3 were suicide attempts by teenage pregnant females 11-15 years protesting forced marriages, a cultural problem in our environment. Flame burns ranked second (27.4%) and results mainly from careless storage, adulteration and hawking of petroleum products. More than 50% of the patients sustained major burns resulting in high morbidity and mortality rate of 16%.

CONCLUSION:
Burn is a major public health problem and will require public/school health education campaign on childhood household safety. Appropriate legislation and enforcement on the sale of petroleum products would help to reduce the scourge.

Injury Registration in a Developing Country. A Study Based on Patients' Records from Four Hospitals in Dar es Salaam, Tanzania

Submitted By Christine Wang
Submitted On Tuesday, April 20th, 2010 @ 22:16:04 PDT -0700
Article Publication Year 2001
Visit Journal Web Site ajol.info
Author And
Journal Reference
Department of Community Health Sciences, Faculty of Medicine, University of Calgary, Alberta, CA
  D. Mutasingwa
  L. Aaro

Central African Journal of Medicine. 2001. 47(8), 203-208
Related Countries Tanzania
Cause Of Injury V01-V99
W00-W19
X10-X19
X85-Y09
Nature Of Injury S00-T98
Abstract BACKGROUND:
A recent study conducted in some parts of Tanzania has revealed that injuries rank as the third major leading cause of death among the adult population only after tuberculosis and HIV/AIDS. Critical to any injury prevention activities is a reliable surveillance system. Such a system may for instance be based on hospital registration of injuries.

OBJECTIVES:
The aim of this study was to evaluate available hospital records for the purpose of describing the epidemiology of injuries among inpatients in four hospitals in Dar es Salaam, Tanzania.

METHODS:
The study utilized patients' medical records for the year 1998. The final sample included 1098 cases from four hospitals. Data handling and analysis was performed using statistical software SPSS for windows version 10.0. Cross tabulations with Chi-square testing for independence, t-test for difference between means (independent groups) and one way analysis of variance was used.

RESULTS:
The age group 21 to 30 years formed the largest proportion of injury-related admissions. The male to female ratio was 2.3 to 1. The largest categories of injuries were road traffic injuries (43.7%), violence and assaults (23.5%), and falls (13.8%). Burns accounted for 6.5% of the cases. The following variables were routinely recorded in case notes: gender (100%), nature of injury/principal diagnosis (99.6%), body part injured (99.4%), and age (96.4%).

CONCLUSIONS:
There is a need for improving the way injuries are recorded in hospitals. Hospitals' records could provide a useful tool for monitoring injury preventive activities in developing countries like Tanzania.

Pattern of Trauma Resulting from Motorcycle Accidents in Nigerians: A Two-Year Prospective Study

Submitted By Christine Wang
Submitted On Sunday, August 29th, 2010 @ 21:57:59 PDT -0700
Article Publication Year 1994
Visit Journal Web Site www.afrijmed.org.ng
Author And
Journal Reference
Department of Surgery, University of Ilorin, Nigeria.
  E. Odelowo

African Journal of Medicine and Medical Sciences. June 1994. 23(2),109-112
Related Countries Nigeria
Cause Of Injury V20-V29
Nature Of Injury S00-T19
Abstract A two-year prospective study of injuries sustained from motor-cycle accidents (MCA) was conducted at the University of Ilorin Teaching Hospital, Ilorin, Nigeria, in 1983 and 1984 after repeal of the national mandatory helmet law. MCA patients constituted 10.3% of 715 road traffic accident (RTA) patients and also presented a 5.7:1 male preponderance. Peak age was 18 to 30 years. Nearly 75% sustained lower extremity, chest and cranioencephalic injuries. Non-operative management sufficed in 34 patients (45.9%) while 30 (40.5%) and 10 (13.5%) require operations respectively. Eighteen (24.3%) and 17 (23.0%) patients required local/spinal and general anesthesia respectively. Mortality was 6.8% (5 patients). This analysis of MCA injuries provides objective basis for current comparison with what obtains in jurisdictions with/without mandatory helmet law and future comparison when the law is re-enacted in our state.
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