Analysis of prospective trauma registry data in francophone Africa: A pilot study from cameroon

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

Research output: Contribution to journalArticle

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 Yaounde; 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.

Original languageEnglish (US)
Pages (from-to)2534-2542
Number of pages9
JournalWorld journal of surgery
Volume38
Issue number10
DOIs
StatePublished - Oct 2014

ASJC Scopus subject areas

  • Surgery

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    Juillard, C. J., Stevens, K. A., Monono, M. E., Mballa, G. A. E., Ngamby, M. K., McGreevy, J., Cryer, G., & Hyder, A. A. (2014). Analysis of prospective trauma registry data in francophone Africa: A pilot study from cameroon. World journal of surgery, 38(10), 2534-2542. https://doi.org/10.1007/s00268-014-2604-1