Abstract
Injuries are a neglected burden despite accounting for 9% of deaths worldwide which is 1.7 times that of hiv, tb and malaria combined. Trauma remains overlooked as research and resources are focused on infectious diseases. Uganda with limited trauma epidemiological data has one of the highest traumatic injury rates. This study describes demographics, management and outcomes of patients admitted to mulago hospital trauma unit. This study was a retrospective record review from july 2012 to december 2015. A data collected included age, time and vitals of admission plus interventions, management and outcomes after which it was analyzed. 834 patient records were reviewed. The predominant age group was 18-35 and 86% of the patients were male. 54% of the patients presented during day and majority of the admission had gcs of less than 8. Antibiotics were given to 467 patients with mechanical ventilation (301) and intubation (289) as the frequent interventions done. 52% of admitted patients were discharged and 40% died. Most admissions' were of youthful age and had severe head injuries (gcs<8). 56% received antibiotics with frequent interventions beig mechanical ventilation and intubation. 52% of admitted patients were discharged and 40% died.
Highlights
Injuries are a neglected burden despite accounting for 9% of deaths worldwide which is 1.7 times that of hiv, tb and malaria combined
Outcomes of admitted patients: 52% of admitted patients were discharged and 40% died, with 8% having unknown outcome. This three-year retrospective study is the first of its kind on the patients admitted to the Mulago National Referral and Teaching Hospital (MNRTH) shock trauma unit that received the highest acuity level of patients in the A&E
Our study showed that majority of injury admissions are of the youthful age group, meaning we shall continuously experience trauma related injury and death as demographic national data shows that the majority of Uganda’s population is youthful with 95% between 0-54 years of age and 48% aged 0-14 10
Summary
Injuries are a neglected burden despite accounting for 9% of deaths worldwide which is 1.7 times that of hiv, tb and malaria combined. This study describes demographics, management and outcomes of patients admitted to mulago hospital trauma unit. Injuries are a neglected epidemic worldwide, with the seminal Global Burden of Disease (GBD) framework in 1990 estimating that injuries accounted for more than 15% of all ill-health in the world with a forecast to increase to 20% by 2020 1. The estimate of the actual fatality may significantly higher if all injuries were formally recorded, the crude rate in Uganda, is the Police annual crime and traffic/road safety report, showed
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