Nottidge Timothy E, Nottidge Bolanle A, Udomesiet Ifiok C, Uduehe Enoette E
Department of Orthopaedics and Traumatology, University of Uyo Teaching Hospital, Akwa Ibom, Nigeria.
Department of Physiotherapy, University of Uyo Teaching Hospital, Akwa Ibom, Nigeria.
Niger J Surg. 2021 Jan-Jun;27(1):9-15. doi: 10.4103/njs.NJS_67_19. Epub 2021 Mar 9.
Trauma is a worldwide problem that results in significant morbidity and mortality in developing countries.
This study looks at the demography of trauma from data abstracted from a Nigerian trauma registry and considers the peculiarities of a low-resource setting from this perspective.
Trauma registry data from January 2013 to June 2014 were analyzed.
A total of 542 patients were included in the study. The mean age of the patients was 33.43 ± 12.79 years; the median time from injury to arrival at the hospital was 3 h (interquartile range IQR 1 - 5.1 h); three-quarters of the patients sustained their injuries on the road-tricycles were rarely involved in road traffic injuries (RTIs) (6.9% of RTIs) but were used in transporting a third of the patients whose data on means of transportation were captured. There were 15 (2.7%) deaths in the first 24 h period postinjury covered by the study - 13 (86.7%) of these patients had head-and-neck injury. About half of the assault injury (50.5%) was from persons known to the victim. The shock indices suggested that a majority of the patients were not at a high risk of mortality.
Most of the trauma patients at our hospital were in low- to middle-income categories. The median time to arrival of injured patients was 3 h (IQR 1 - 6 h). Most injuries occurred on the road because of RTIs. The involvement of tricycles in accidents was uncommon, but they were used fairly commonly by lay responders in transporting the injured victim to hospital. A high proportion of assailants were known to the victim. The use of trauma registries provides essential data for prioritizing limited resources and can guide a contextualized approach to reducing trauma and improving trauma patient care.
创伤是一个全球性问题，在发展中国家会导致严重的发病率和死亡率。
本研究通过分析从尼日利亚创伤登记处提取的数据，来审视创伤的人口统计学特征，并从这一角度考虑资源匮乏地区的特点。
对2013年1月至2014年6月的创伤登记数据进行分析。
本研究共纳入542例患者。患者的平均年龄为33.43±12.79岁；受伤至到达医院的中位时间为3小时（四分位间距IQR为1 - 5.1小时）；四分之三的患者在道路上受伤——三轮车很少卷入道路交通伤害（RTIs）（占RTIs的6.9%），但在记录了交通方式数据的患者中，有三分之一是乘坐三轮车前来就医的。在本研究涵盖的伤后24小时内有15例（2.7%）死亡——其中13例（86.7%）患者有头颈部损伤。约一半的攻击伤（50.5%）来自受害者认识的人。休克指数表明大多数患者死亡风险不高。
我院大多数创伤患者属于低收入至中等收入人群。受伤患者到达医院的中位时间为3小时（IQR为1 - 6小时）。大多数损伤因道路交通伤害发生在道路上。三轮车卷入事故的情况不常见，但非专业救援人员在将受伤受害者送往医院时相当普遍地使用三轮车。很大一部分袭击者是受害者认识的人。使用创伤登记处可为有限资源的优先分配提供重要数据，并可指导采取因地制宜的方法来减少创伤和改善创伤患者的护理。
