Suleman Shahzmah, Kotecha Vihar, Lorenz Doug, Uttoh Charles, Yalimo Rebecca, Fant Colleen
Bugando Medical Center, P.O. Box 1370, Mwanza, Tanzania.
Catholic University of Health and Allied Sciences-Bugando, P.O. Box 1464, Mwanza, Tanzania.
Int J Emerg Med. 2024 Dec 23;17(1):196. doi: 10.1186/s12245-024-00775-2.
Over 90% of trauma deaths occur in low- and middle-income countries (LMICs). The trauma burden in Tanzania is similar to the global rate of 10% and road traffic injuries result in a 40% mortality. To understand epidemiology of trauma referrals and care we aimed to describe the patients presenting to a tertiary, referral hospital in Tanzania for trauma care, their injuries and mechanism of injury, and describe the care received.
A cross-sectional study was done at the emergency department of this tertiary referral hospital in the northwestern zone of Tanzania between March - August 2023. All patients presenting to the emergency for trauma were approached and those who could consent or assent were enrolled. Data was collected on the WHO Trauma form and injury severity was calculated with Kampala trauma score II. Data was entered into Redcap and analyzed using R statistical software. Descriptive statistics and frequency tables and charts were used to present data.
At the Emergency department, 12% of the patients were categorized as trauma. Median age was 29 years (IQR 20-41 years) with a 79% male predominance. Most patients (78%) presented with major injuries resulting from road traffic accidents. There was high acuity, with 57% had Kampala trauma score < 6. The most prevalent injuries were musculoskeletal and skin. Most patients (84%) attended one prior hospital before being referred. Mwanza region contributed the highest to the trauma referrals (53%) and the most common intervention was intravenous canulation (98%).
Trauma-related referrals are common in the young with the majority presenting from the Mwanza region. Most patients were referred from another health facility in line the with Tanzanian referral channel. Most patients had severe injury and amongst all IV cannulation was the most prevalent lifesaving intervention at EMD.
超过90%的创伤死亡发生在低收入和中等收入国家（LMICs）。坦桑尼亚的创伤负担与全球10%的比率相似，道路交通伤害导致40%的死亡率。为了解创伤转诊和护理的流行病学情况，我们旨在描述前往坦桑尼亚一家三级转诊医院接受创伤护理的患者、他们的损伤情况和损伤机制，并描述所接受的护理。
2023年3月至8月在坦桑尼亚西北部地区的这家三级转诊医院的急诊科进行了一项横断面研究。对所有因创伤前往急诊科的患者进行了接触，那些能够同意或表示同意的患者被纳入研究。使用世界卫生组织创伤表格收集数据，并使用坎帕拉创伤评分II计算损伤严重程度。数据录入Redcap并使用R统计软件进行分析。使用描述性统计以及频率表和图表来呈现数据。
在急诊科，12%的患者被归类为创伤患者。中位年龄为29岁（四分位间距20 - 41岁），男性占主导，比例为79%。大多数患者（78%）因道路交通事故导致重伤。病情严重程度高，57%的患者坎帕拉创伤评分<6。最常见的损伤是肌肉骨骼和皮肤损伤。大多数患者（84%）在被转诊之前曾就诊于一家医院。姆万扎地区的创伤转诊患者最多（53%），最常见的干预措施是静脉置管（98%）。
与创伤相关的转诊在年轻人中很常见，大多数患者来自姆万扎地区。大多数患者是按照坦桑尼亚的转诊渠道从另一家医疗机构转诊而来。大多数患者伤势严重，在急诊科，静脉置管是最普遍的挽救生命的干预措施。
