000			03305nam a22002057a 4500
008			210823b |||||||| |||| 00| 0 eng d
022			_2Tanzania Journal of Health Research _aeISSN: 1821-9241
022			_2Tanzania Journal of Health Research _aprint ISSN: 1821-6404
100			_a Abdul Issa _923230
222			_a aetiology, injuries, characteristics, treatment outcome, Tanzania
245			_aAetiological spectrum, injury characteristics and treatment outcome of multiple injuries at a tertiary care hospital in Tanzania
260			_aMwanza, Tanzania: _b Catholic University of Health and Allied Sciences CUHAS - Bugando & _bTanzania Journal of Health Research _c2018-08-28
490			_aIssaA., MbelengeN., ChalyaP. L., & GilyomaJ. M. (2018). Aetiological spectrum, injury characteristics and treatment outcome of multiple injuries at a tertiary care hospital in Tanzania. Tanzania Journal of Health Research, 20(4). https://doi.org/10.4314/thrb.v20i4.3 _vTanzania Journal of Health Research Volume 20 Issue 4
520			_aAbstract: Background: Multiple injuries constitute a public health problem and contribute significantly to high morbidity, mortality and long-term disabilities worldwide. This study describes the etiological spectrum, injury characteristics and treatment outcome of multiple injuries at a tertiary care hospital in Tanzania. Methods: This was a descriptive prospective study involving multiple injury patients admitted to Bugando Medical Centre (BMC) from March 2013 to June 2013 inclusive. Results: Out of 712 trauma patients who were admitted to BMC during the study period, 150 (21.1%) had multiple injuries. Their male to female ratio was of 2.3:1. The majority of patients were in the second decade of life. Road traffic accidents (RTAs) were the most common (93.3%) cause of injury. The majority of patients, 142 (94.7%) sustained blunt injuries. Twelve (8.0%) patients had pre-hospital care. The limbs (89.2%) and the head (78.7%) were the most common body regions injured. The majority of patients (85.3%) sustained severe injuries (ISS ≥ 16). Out of 150 patients, 46 (30.7%) had 65 missed injuries. A total of 142 (94.7%) patients were treated surgically. Wound debridement (87.3%) was the most common surgical procedure performed. The complication and mortality rates were 54.7% and 38.7%, respectively. The overall median length of hospital stay (LOS) was 23 days. Co-morbid illness, HIV positivity, CD4 count (≤ 200 cells/μl), severe trauma (ISS ≥ 16), admission Systolic Blood Pressure < 90 mmHg, missed injuries and surgical site infection significantly influenced mortality (P < 0.001). Patients who developed complications and those who had long bone fractures stayed longer in the hospital (p < 0.001). Conclusion: Road traffic accidents remain a major cause of multiple injuries at BMC and contribute significantly to unacceptably high morbidity and mortality. Urgent preventive measures targeting at reducing the occurrence of road traffic accidents is necessary to reduce the incidence of multiple injuries in our centre.
700			_a Nkinda Mbelenge _923231
700			_a Phillipo L. Chalya _915821
700			_a Japhet M. Gilyoma _922731
856			_u https://doi.org/10.4314/thrb.v20i4.3
942			_2ddc _cVM
999			_c18891 _d18891