Neurosurgery Unit, Department of Surgery, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.
World Neurosurg. 2013 Sep-Oct;80(3-4):251-4. doi: 10.1016/j.wneu.2012.11.063. Epub 2012 Nov 24.
Trauma remains one of the important causes of severe disability and high mortality. In this study, we looked at the epidemiology of neurotrauma in our region so as to highlight essential factors for trauma prevention program.
This is a cross-sectional study of all neurotrauma cases admitted to the neurosurgery service of our hospital over an 18-month period. Information was obtained on patients' demographic data, etiology of injury, duration of injury, site, and cause of accident among others.
One hundred forty-three patients were included in the study. The injuries occurred mostly in males and in the third decade. Most of the patients were students and traders. Eighty-one percent of the accidents were due to road traffic crash (RTC), and the most common contributory factors were head-on collision (46.2%) and overtaking (28.6%). Five of six patients who had RTC in the first decade of life were pedestrians. There were more crashes within the cities. None of the patients who had motorcycle accidents used helmet and only four patients used seatbelts at the time of the accident. Transfer to hospital was mostly in vehicles other than ambulance.
Neurotrauma in our study was mostly due to RTC and it is most common in young male students. Contributory factors were head on collision and overtaking.
创伤仍然是导致严重残疾和高死亡率的重要原因之一。本研究旨在了解本地区神经创伤的流行病学特征,以便突出创伤预防计划的重要因素。
这是一项对我院神经外科 18 个月期间收治的所有神经创伤病例进行的横断面研究。收集了患者的人口统计学数据、损伤病因、损伤持续时间、损伤部位以及事故原因等信息。
本研究共纳入 143 例患者。损伤主要发生在男性和 30 岁以下人群。大多数患者为学生和商人。81%的事故是由道路交通碰撞(RTC)引起的,最常见的促成因素是正面碰撞(46.2%)和超车(28.6%)。在生命的第一个十年中发生 RTC 的 6 名患者中有 5 名是行人。城市内发生的碰撞更多。发生摩托车事故的患者中没有一个人戴头盔,只有 4 名患者在事故发生时使用安全带。送往医院的交通工具大多是救护车以外的车辆。
本研究中的神经创伤主要是由 RTC 引起的,最常见于年轻男性学生。促成因素是正面碰撞和超车。