Back to Search
Start Over
Outcome at two weeks in patients with Traumatic brain injury following road traffic accidents in an urban tertiary hospital in Uganda
Outcome at two weeks in patients with Traumatic brain injury following road traffic accidents in an urban tertiary hospital in Uganda
- Source :
- Cogent Medicine, Vol 4, Iss 1 (2017)
- Publication Year :
- 2017
- Publisher :
- Informa UK Limited, 2017.
-
Abstract
- Road traffic accidents (RTAs) are a major global public health problem and are now a recognized neglected pandemic. Head injuries cause immediate death in 25% of acute trauma. We conducted this study to determine the immediate outcomes in adult with head injury following RTA. A prospective study was conducted among 178 adult patients and followed up for two weeks to determine immediate outcomes. Multivariate logistic regression analysis was used to determine predictor variables of immediate outcome. Majority had moderate disability (38.2%), then severe disability (25.8%) and good recovery (24.7%) at two weeks. Persistent vegetative state and death occurred in 2% and 9% of patients respectively. Sixty-three percent of patients had favourable outcome. Convulsions, intracerebral haemorrhage had significant p-values at bivariate analysis (0.019, 0.008 respectively) at GCS. Vomiting, convulsions, extra cerebral haemorrhage and intracerebral haemorrhage had significant association P values (0.000, 0.001, 0.000 and 0.000 respectively) at two weeks by GOS. Level of consciousness (p-value = 0.000), intracerebral haemorrhage (p = 0.003), skull fractures (p = 0.001) and surgery (p = 0.016) were statistically significant at multivariate analysis. GCS and GOS were important in assessment of immediate outcomes at 2 weeks but GOS was a more reliable assessment tool.
- Subjects :
- medicine.medical_specialty
Traumatic brain injury
lcsh:Medicine
General Biochemistry, Genetics and Molecular Biology
03 medical and health sciences
uganda
0302 clinical medicine
road traffic accidents (rta)
Pandemic
adults
medicine
In patient
030212 general & internal medicine
Road traffic
Applied Psychology
immediate outcomes
business.industry
Public health
lcsh:R
Head injury
medicine.disease
Medical emergency
Acute trauma
business
head injury
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 2331205X
- Volume :
- 4
- Database :
- OpenAIRE
- Journal :
- Cogent Medicine
- Accession number :
- edsair.doi.dedup.....6350eecfaa0c1f8b4762a5b6ffc4a39b
- Full Text :
- https://doi.org/10.1080/2331205x.2017.1326205