Abstract
Background: There are many reports from different parts of the world addressing different aspects of surgical mortality. However, none has been done in this centre as it relates to orthopaedics and trauma admissions. Such data are invaluable to health planning and epidemiological monitoring. Objective: To retrospectively review all mortalities arising from orthopaedics and trauma admission as they present to Irrua specialist Teaching Hospital (ISTH) Irrua from Jan 2005-Dec 2014. Method: Medical records of case mortalities among orthopaedic and trauma admissions over ten years (Jan 2005-Dec 2014) were retrospectively reviewed. Results: Over this period, 2129 admissions and 45 deaths were recorded, with an overall crude mortality rate of 2.11%. No death was recorded among the paediatric age group. Thirty-four patients (75.56%) died from trauma (fracture) related diagnosis, majority of which were from head injury followed by infection 5 (11.11%), tumours 4, (8.89%) and disc herniation 2 (4.44%). Males were more affected 77.78% and median age at death was 44 years. Medical co-morbidities were found in 37.77% of the deceased patients. Conclusion: Patients with trauma related cases particularly head injuries, topped the list of mortalities. Young and middle aged adult males were most affected. Need for manpower development, investment in diagnostic and therapeutic facilities and preventive measures is emphasised.
Highlights
In the year 1998/1999, there were 3.8 million acute admissions in hospitals throughout the United Kingdom andHow to cite this paper: Edomwonyi, E.O., Enemudo, R.E. and Okafor, I.A. (2015) Pattern of Mortalities among Orthopaedic and Trauma Admissions in Irrua
[1] Centralised data of this nature are not available in Nigeria, but isolate and institution based studies [2] [3] from south-west Nigeria reveal that 5444 admissions into surgical wards over 5 years and 2418 orthopaedic and trauma admissions over 10 years respectively
Between January 2005 and Dec. 31st 2014, we retrospectively studied all orthopaedics and trauma patients presenting to Irrua specialist Teaching Hospital (ISTH) Irrua Edo State of Nigeria, who were admitted and subsequently died
Summary
In the year 1998/1999, there were 3.8 million acute admissions in hospitals throughout the United Kingdom andHow to cite this paper: Edomwonyi, E.O., Enemudo, R.E. and Okafor, I.A. (2015) Pattern of Mortalities among Orthopaedic and Trauma Admissions in Irrua. The difference in number as well as nature of cases admitted may result from hospital policies on admissions, literacy levels of the societies, patronage of traditional bone-setters (TBS), and development of orthopaedic subspecialties and availability of facilities for admissions and treatment. These factors may influence the outcome [4]-[7]. Orthopaedics ward admissions range from relatively healthy patients admitted for deformity corrections to those with simple fractures, polytrauma and chronic illnesses These cover a whole spectrum of ages and added medical co-morbidities. Need for manpower development, investment in diagnostic and therapeutic facilities and preventive measures is emphasised
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