Saidi H S
Department of Human Anatomy and Surgery, College of Health Sciences, University of Nairobi, PO Box 30197, Nairobi, Kenya.
East Afr Med J. 2003 Sep;80(9):480-3. doi: 10.4314/eamj.v80i9.8746.
To describe the emergency care of injuries at a main city hospital.
A prospective study.
Data were collected between February 1st, 1999 and 30th April, 1999 from the records of the 2000 bed Kenyatta National Hospital (KNH) in Nairobi, Kenya.
Two hundred and forty injury patients admitted at KNH were analysed.
All patients were analysed for demographics, environment of injury hospital arrival and Emergency Department times. The effects of injury severity, place of injury and time of day on these time intervals were analysed statistically.
Road injury admissions formed 31% of all injury admissions. The mean age was 30 years. Males comprised 84.6% of all patients. The proportions of patients under 20 years of age was 20% with a peak age of 20-29 years. Majority (43.3%) of the injured resided in deprived neighbourhood of East Nairobi. The mean pre-hospital time was 2.56 hours. The Emergency Department disposition time was 3.36 hours. Injuries of all severities, as determined by the Injury Severity Score (ISS), were treated. The pace of care did not match severity of the injuries. Only 17.5% reached their areas of definitive care within sixty minutes.
Injuries following road traffic accidents (RTAs) are common in Nairobi. The response to injury is slow and haphazard. The insitution of a care incorporating the city's health centers and pre-hospital triage may optimise care.
描述一家主要城市医院的创伤急救情况。
前瞻性研究。
数据收集于1999年2月1日至1999年4月30日期间，来自肯尼亚内罗毕拥有2000张床位的肯雅塔国家医院（KNH）的记录。
对KNH收治的240名创伤患者进行分析。
分析所有患者的人口统计学特征、受伤环境、入院时间和急诊科停留时间。对损伤严重程度、受伤地点和一天中的时间对这些时间间隔的影响进行统计学分析。
道路创伤入院患者占所有创伤入院患者的31%。平均年龄为30岁。男性占所有患者的84.6%。20岁以下患者的比例为20%，峰值年龄为20 - 29岁。大多数（43.3%）伤者居住在内罗毕东部贫困社区。院前平均时间为2.56小时。急诊科处置时间为3.36小时。对所有由损伤严重度评分（ISS）确定的严重程度的损伤进行了治疗。救治速度与损伤严重程度不匹配。只有17.5%的患者在60分钟内到达确定性治疗区域。
道路交通事故（RTAs）导致的创伤在内罗毕很常见。对创伤的反应缓慢且随意。建立一个整合城市健康中心和院前分诊的护理体系可能会优化护理。
