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World Journal of Surgery
Published in: World Journal of Surgery 10/2014

01-10-2014

Analysis of Prospective Trauma Registry Data in Francophone Africa: A Pilot Study from Cameroon

Authors: Catherine J. Juillard, Kent A. Stevens, Martin Ekeke Monono, Georges Alain Etoundi Mballa, Marquise Kouo Ngamby, Jolion McGreevy, Gill Cryer, Adnan A. Hyder

Published in: World Journal of Surgery | Issue 10/2014

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Abstract

Introduction

Injury rates in sub-Saharan Africa are among the highest in the world, but prospective, registry-based reports from Cameroon are limited. We aimed to create a prospective trauma registry to expand the data elements collected on injury at a busy tertiary center in Yaoundé Cameroon.

Methods

Details of the injury context, presentation, care, cost, and disposition from the emergency department (ED) were gathered over a 6-month period, by trained research assistants using a structured questionnaire. Bivariate and multivariate models were built to explore variable relationships and outcomes.

Results

There were 2,855 injured patients in 6 months, comprising almost half of all ED visits. Mean age was 30 years; 73 % were male. Injury mechanism was road traffic injury in 59 %, fall in 7 %, penetrating trauma in 6 %, and animal bites in 4 %. Of these, 1,974 (69 %) were discharged home, 517 (18 %) taken to the operating room, and 14 (1 %) to the intensive care unit. The body areas most severely injured were pelvis and extremity in 43 %, head in 30 %, chest in 4 %, and abdomen in 3 %. The estimated injury severity score (eISS) was <9 in 60 %, 9–24 in 35 %, and >25 in 2 %. Mortality was 0.7 %. In the multivariate analysis, independent predictors of mortality were eISS ≥9 and Glasgow Coma Score ≤12. Road traffic injury was an independent predictor for the need to have surgery. Trauma registry results were presented to the Ministry of Health in Cameroon, prompting the formation of a National Injury Committee.

Conclusions

Injuries comprise a significant proportion of ED visits and utilization of surgical services in Yaoundé. A prospective approach allows for more extensive information. Thorough data from a prospective trauma registry can be used successfully to advocate for policy towards prevention and treatment of injuries.
Literature
1.
2.
Department of Injuries and Violence Prevention WHO (2002) The injury chart book: a graphical overview of the global burden of injuries. World Health Organization, Geneva
3.
Bowley DM, Khavandi A, Boffard KD et al (2002) The malignant epidemic–changing patterns of trauma. S Afr Med J 92(10):798–802PubMed
4.
5.
Hofman K, Primack A, Keusch G et al (2005) Addressing the growing burden of trauma and injury in low- and middle-income countries. Am J Public Health 95(1):13–17PubMedCrossRefPubMedCentral
6.
World Health Organization (2004) Statistical Annex of the World Health Report 2004. World Health Organization, Department of Measurement and Health Information
7.
World Health Organization (2004) Mortality and health status: causes of death. World Health Organization
8.
Mefire AC, Pagbe JJ, Fokou M et al (2010) Analysis of epidemiology, lesions, treatment and outcome of 354 consecutive cases of blunt and penetrating trauma to the chest in an African setting. S Afr J Surg 48(3):90–93PubMed
9.
Bahebeck J, Atangana R, Mboudou E et al (2005) Incidence, case-fatality rate and clinical pattern of firearm injuries in two cities where arm owning is forbidden. Injury 36(6):714–717PubMedCrossRef
10.
Bahebeck J, Masso-Misse P, Essomba A et al (2005) Abdominal gunshot wound: description of 86 cases in Cameroon. Med Trop (Mars) 65(6):554–558
11.
Essomba A, Masso-Misse P, Tchembe R et al (1997) Blunt trauma of the liver. An analysis of a series of 29 cases. J Chir (Paris) 134(4):154–157
12.
Juillard C, Etoundi Mballa GA, Bilounga Ndongo C et al Patterns of injury and violence in Yaounde Cameroon: an analysis of hospital data. World J Surg 35(1):1–8
13.
Thanni LO, Kehinde OA (2006) Trauma at a Nigerian teaching hospital: pattern and documentation of presentation. Afr Health Sci 6(2):104–107PubMedPubMedCentral
14.
Yu KL, Bong CN, Huang MC et al (2009) The use of hospital medical records for child injury surveillance in northern Malawi. Trop Doct 39(3):170–172PubMedCrossRef
15.
Rutta E, Mutasingwa D, Ngallaba SE et al (2001) Epidemiology of injury patients at Bugando Medical Centre. Tanzania. East Afr Med J 78(3):161–164
16.
Chichom Mefire A, Etoundi Mballa GA, Azabji Kenfack M et al (2013) Hospital-based injury data from level III institution in Cameroon: retrospective analysis of the present registration system. Injury 44(1):139–143PubMedCrossRef
17.
Holder Y, Peden M, Krug E et al (2004) Injury surveillance guidelines. World Health Organization and Center for Disease Contro and Prevention, Geneva
18.
Hyder AA, Sugerman DE, Puvanachandra P et al (2009) Global childhood unintentional injury surveillance in four cities in developing countries: a pilot study. Bull World Health Organ 87(5):345–352PubMedCrossRefPubMedCentral
19.
Holder Y, Peden M, Krug E et al (2001) Injury surveillance guidelines. World Health Organization, Geneva
20.
21.
Labinjo M, Juillard C, Kobusingye OC et al (2009) The burden of road traffic injuries in Nigeria: results of a population-based survey. Inj Prev 15(3):157–162PubMedCrossRef
22.
Talwar S, Jain S, Porwal R et al (1999) Trauma scoring in a developing country. Singapore Med J 40(6):386–388PubMed
23.
McLellan BA, Koch JP, Wortzman D et al (1989) Early identification of high-risk patients using the “estimated” injury severity score and age. Accid Anal Prev 21(3):283–290PubMedCrossRef
24.
Institut National de la Statistique (INS) et ORC Macro (2004) Enquête Démographique et de Santé du Cameroun 2004, INS et ORC Macro, Calverton
25.
26.
StataCorp (2009) Stata Statistical Software: Release 11. StataCorp LP, College Station, TX
27.
28.
29.
30.
Tollefson TT, Larrabee WF Jr (2012) Global surgical initiatives to reduce the surgical burden of disease. JAMA 307(7):667–668PubMedCrossRef
31.
32.
Gosselin RA, Gyamfi YA, Contini S (2010) Challenges of meeting surgical needs in the developing world. World J Surg 35(2):258–261CrossRefPubMedCentral
33.
Juillard C, Labinjo M, Kobusingye O et al (2010) Socioeconomic impact of road traffic injuries in West Africa: exploratory data from Nigeria. Inj Prev 16(6):389–392PubMedCrossRef
34.
Spangenberg K, Mock C (2006) Utilization of health services by the injured residents in Kumasi, Ghana. Int J Inj Contr Saf Promot 13(3):194–196PubMedCrossRef
35.
Esperato A, Bishai D, Hyder AA (2012) Projecting the health and economic impact of road safety initiatives: a case study of a multi-country project. Traffic Inj Prev 13(Suppl 1):82–89PubMedCrossRef
36.
Nwomeh BC, Lowell W, Kable R et al (2006) History and development of trauma registry: lessons from developed to developing countries. World J Emerg Surg 1:32PubMedCrossRefPubMedCentral
37.
Payne SR, Waller JA (1989) Trauma registry and trauma center biases in injury research. J Trauma 29:424PubMedCrossRef
38.
39.
Taye M, Munie T (2003) Trauma registry in Tikur Anbessa Hospital, Addis Ababa, Ethiopia. Ethiop Med J 41(3):221–226PubMed
40.
Schultz CR, Ford HR, Cassidy LD et al (2007) Development of a hospital-based trauma registry in Haiti: an approach for improving injury surveillance in developing and resource-poor settings. J Trauma 63(5):1143–1154PubMedCrossRef
41.
Chardbunchachai W, Suppachutikul A, Santikarn C (2002) Development of service system for injury patients by utilizing data from the trauma registry (ISBN: 974-294-569-1), Office of Research and Textbook Project, Khon Kaen Hospital, Khon Kaen
42.
Mock C, Maier RV, nii-Amon-Kotei D (1997) Low utilization of formal medical services by injured persons in a developing nation. J Trauma 42:504–513PubMedCrossRef
43.
London JA, Mock CN, Quansah RE et al (2001) Priorities for improving hospital based trauma care in an African city. J Trauma 51:747–753PubMedCrossRef
44.
American College of Surgeons Committee on Trauma (2005) National Trauma Data Bank Report 2005. American College of Surgeons, Chicago
45.
American College of Surgeons Committee on Trauma: Subcommittee on Trauma Registry Programs (2003) National Trauma Data Bank Report Reference Manual: Background, caveats, and resources. Chicago; American College of Surgeons
46.
Metadata
Title
Analysis of Prospective Trauma Registry Data in Francophone Africa: A Pilot Study from Cameroon
Authors
Catherine J. Juillard
Kent A. Stevens
Martin Ekeke Monono
Georges Alain Etoundi Mballa
Marquise Kouo Ngamby
Jolion McGreevy
Gill Cryer
Adnan A. Hyder
Publication date
01-10-2014
Publisher
Springer US
Published in
World Journal of Surgery / Issue 10/2014
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-014-2604-1

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