Sawe Hendry R, Mfinanga Juma A, Mbaya Khalid R, Koka Phillip M, Kilindimo Said S, Runyon Michael S, Mwafongo Victor G, Wallis Lee A, Reynolds Teri A
Department of Emergency Medicine, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es Salaam, Tanzania.
Department of Emergency Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
BMC Emerg Med. 2017 Oct 13;17(1):30. doi: 10.1186/s12873-017-0141-6.
Trauma contributes significantly to the burden of disease and mortality throughout the world, but particularly in developing countries. In Tanzania, there is an enormous research gap on trauma; the limited data available reflects realities in cities and areas with moderately- to highly-resourced treatment centers. Our aim was to provide a description of the injury epidemiology across all of Tanzania. Our data will serve as a basis for future larger studies.
This is a subgroup analysis of a cross-sectional, prospective study of the clinical epidemiology of patients presenting at all public district and regional hospitals in Tanzania. The study was conducted between May 2012 and December 2012. A team of emergency doctors used a purpose-designed data collection sheet to gather the demographic and clinical information of all patients presenting during the day-site visit to each hospital. Descriptive statistics, including means, standard deviations, medians, and ranges are reported.
A total of 5227 patients were seen in 24-h period in 105 (100% response rate) district (or designated district) and regional hospitals in mainland Tanzania. Of these patients, 508 (9.7%) presented with trauma-related complaints. Among patients with trauma-related complaints, 286 (56.3%) were male, and the overall median age of 30 (interquartile range of 22-35) years. Road traffic crash was the most common mechanism of injury, accounting for 227 (44.7%) complaints. Open wounds and bone fractures were the two most frequent diagnoses, with a combined 300 (59%) cases. Most of the patients - 325 (64%) - were discharged, 11 (2.2%) went to operating theatres and 4 (0.8%) of patients died while receiving care at the acute intake areas.
Trauma-related complaints constitute a substantial burden among patients seeking care in acute intake areas of hospitals across Tanzania. There is a need to develop, implement and study systems that can support the improvement of trauma care and optimize outcomes of trauma patients.
创伤在全球疾病负担和死亡率中占很大比例，在发展中国家尤为如此。在坦桑尼亚，创伤方面存在巨大的研究空白；现有的有限数据反映了城市以及拥有资源适度到高度丰富的治疗中心地区的实际情况。我们的目的是描述整个坦桑尼亚的损伤流行病学情况。我们的数据将作为未来更大规模研究的基础。
这是对坦桑尼亚所有公立地区和区域医院就诊患者临床流行病学的横断面、前瞻性研究的亚组分析。该研究于2012年5月至2012年12月进行。一组急诊医生使用专门设计的数据收集表，收集每家医院日间现场就诊期间所有患者的人口统计学和临床信息。报告了描述性统计数据，包括均值、标准差、中位数和范围。
在坦桑尼亚大陆的105家（回复率100%）地区（或指定地区）和区域医院的24小时内，共诊治了5227名患者。其中，508名（9.7%）患者有与创伤相关的主诉。在有创伤相关主诉的患者中，286名（56.3%）为男性，总体中位年龄为30岁（四分位间距为22 - 35岁）。道路交通事故是最常见的受伤机制，占227例（44.7%）主诉。开放性伤口和骨折是最常见的两种诊断，共300例（59%）。大多数患者——325名（64%）——出院，11名（2.2%）进入手术室，4名（0.8%）患者在急性接诊区接受治疗时死亡。
在坦桑尼亚各医院急性接诊区寻求治疗的患者中，与创伤相关的主诉构成了相当大的负担。有必要开发、实施和研究能够支持改善创伤护理并优化创伤患者治疗效果的系统。
