Editorial Comments—Changing Pattern of Pediatric Maxillofacial Injuries at the Accident and Emergency Department of the University Teaching Hospital, Ibadan–A Four-Year Experience

AbstractIntroduction:Maxillofacial injuries are common among polytraumatized patients, and in Nigeria, the incidence seems to be on the increase. This probably is related to the drive of industrialization and the increase in the number of road traffic accidents. Delays in attending to severe maxillofacial injuries can be grave because of concomitant injuries that can be life threatening.Methods:This is a prospective review of maxillofacial injuries in patients ≤16 years of age who were seen at the Accident and Emergency Department between October 2002 and December 2006. In all the patients, the accident and emergency physicians carried out initial resuscitation, and thereafter, they were referred to the maxillofacial unit on call.Results:A total of 611 patients with maxillofacial injuries were seen during the study period and of this, 134 (22%) were ≤16 years old. The male:female ratio was 1.1:1.0. Road traffic accident (RTA) was the most common etiological factor in 73 (54.5%) cases, while gunshot injuries accounted for 6 (4.4%) cases. Soft tissue lacerations were the most common maxillofacial injuries occurring in 90 (55.9%) cases; mandibular fractures were the most common bony injury in 17 (13.4%).Conclusions:The upsurge in maxillofacial gunshot injuries in the pediatric age group is alarming and this may be a reflection of the global changes (westernization and drug-related offenses like armed robberies) and the harsh economic conditions in this community.

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Psychiatric Service in 1967 at the Royal Infirmary of Edinburgh

Scottish Medical Journal ◽

10.1177/003693306801301105 ◽

1968 ◽

Vol 13 (11) ◽

pp. 388-393 ◽

Cited By ~ 1

Author(s):

R. C. B. Aitken ◽

G. M. Carstairs

Keyword(s):

Emergency Department ◽

Teaching Hospital ◽

Psychiatric Service ◽

Royal Infirmary ◽

Epidemiological Features ◽

Accident And Emergency ◽

Large Teaching Hospital ◽

Treatment Centre ◽

Accident And Emergency Department ◽

General Wards

The psychiatric service provided at a large teaching hospital is reviewed. Epidemiological features are reported on the patients seen from 4 sources: poisoning treatment centre; general wards; psychiatric out-patient clinic; and accident and emergency department. Substantial increase in the referral rates from the first two sources is noted. Distributions of the diagnoses are given, with details of the further management offered.

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Analysis of Road Traffic Crashes—Related Maxillofacial Injuries Severity and Concomitant Injuries in 201 Patients Seen at the UCH, Ibadan

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0034-1378183 ◽

2014 ◽

Vol 7 (4) ◽

pp. 284-289 ◽

Cited By ~ 4

Author(s):

Timothy Aladelusi ◽

Victor Akinmoladun ◽

Adeola Olusanya ◽

Oladimeji Akadiri ◽

Abiodun Fasola

Keyword(s):

Emergency Department ◽

Injury Severity ◽

Road Traffic ◽

Maxillofacial Injuries ◽

Maxillofacial Injury ◽

Concomitant Injuries ◽

Traffic Crashes ◽

Road Traffic Crashes ◽

Accident And Emergency ◽

Accident And Emergency Department

The objective of this study was to determine the prevalence of road traffic crashes (RTC)–related maxillofacial injuries, the concomitant injuries occurring with them, and to assess the relationship between the severity of maxillofacial and concomitant injuries. This was a prospective study involving 201 victims of RTC seen at the Accident and Emergency Department of the University College Hospital, Ibadan with maxillofacial injuries during the study period. Demographic data of the patients, the types of maxillofacial injuries, and concomitant injuries sustained were recorded. Severity of maxillofacial injury was determined using the maxillofacial injury severity scale (MFISS), while the severity of concomitant injuries was based on the ISS. Correlations between types and severity of maxillofacial injury and types and severity of concomitant injury were conducted to determine the predictability of concomitant injuries based on maxillofacial injury severity. Data were processed using SPSS Statistical software (SPSS, version 20.0 for windows, IBM SPSS Inc, Chicago, IL). Maxillofacial injuries constituted 25.4% of RTC-related admission by the Accident and Emergency Department. A total of 151 (75.1%) patients who presented with concomitant injuries participated in the study. Eighty-one (53.6%) sustained injuries to more than one body region. Head injury was the commonest (99, 65.6%) concomitant injury, followed by orthopedic injury (69, 45.7%). Increasing severity of maxillofacial injury showed a positive correlation with increasing ISS. Also, positive correlation was noted with increasing severity of maxillofacial injury and presence of polytrauma ( p = 0.01), traumatic brain injury ( p = 0.034), and eye injuries ( p = 0.034). There was a high prevalence of maxillofacial injuries in victims of RTC. There was a high incidence of concomitant injuries noted with these maxillofacial injuries. Significantly, this study showed a direct relationship between the severity of maxillofacial injury and head, ocular and polytrauma. This study further emphasizes the need for thorough examination of patients presenting with RTC-related maxillofacial injuries.

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Prevalence and Risk Factors Associated with Needle Sticks and Sharp Injuries among Nurses at the Accident and Emergency Department of Komfo Anokye Teaching Hospital, Kumasi-Ghana

International Journal of Research in Nursing ◽

10.3844/ijrnsp.2020.47.53 ◽

2020 ◽

Vol 11 (1) ◽

pp. 47-53

Author(s):

Augustine Kumah ◽

Hilda Agortimevor ◽

Francis Akakpo ◽

Hope Akpeke ◽

Gideon Azi ◽

...

Keyword(s):

Risk Factors ◽

Emergency Department ◽

Teaching Hospital ◽

Factors Associated ◽

Accident And Emergency ◽

Accident And Emergency Department ◽

Needle Sticks

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Characteristics and determinants of adult patients with acute poisoning attending the accident and emergency department of a teaching hospital in Qatar

Human & Experimental Toxicology ◽

10.1177/0960327113479043 ◽

2013 ◽

Vol 32 (9) ◽

pp. 921-929 ◽

Cited By ~ 4

Author(s):

IF Khudair ◽

Z Jassim ◽

Y Hanssens ◽

WA Alsaad

Keyword(s):

Emergency Department ◽

Teaching Hospital ◽

Acute Poisoning ◽

Adult Patients ◽

Accident And Emergency ◽

Accident And Emergency Department

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Differences in the Treatment Outcomes of Referred and Non-referred Patients at the Accident and Emergency Department (AED) of Komfo Anokye Teaching Hospital (KATH)

Prehospital and Disaster Medicine ◽

10.1017/s1049023x17001224 ◽

2017 ◽

Vol 32 (S1) ◽

pp. S40

Author(s):

Sonia Cobbold ◽

Paa Kobina Forson ◽

Joseph Bonney ◽

Evans X. Amuzu

Keyword(s):

Emergency Department ◽

Treatment Outcomes ◽

Teaching Hospital ◽

Accident And Emergency ◽

Accident And Emergency Department

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Antibiotic Use in an Accident and Emergency Department in a Teaching Hospital in Ghana

Open Forum Infectious Diseases ◽

10.1093/ofid/ofx163.531 ◽

2017 ◽

Vol 4 (suppl_1) ◽

pp. S247-S247

Author(s):

Alex Owusu-Ofori ◽

Eno Biney ◽

Chris Oppong

Keyword(s):

Emergency Department ◽

Teaching Hospital ◽

Antibiotic Use ◽

Accident And Emergency ◽

Accident And Emergency Department

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Incidence and reasons for leave against medical advice among orthopedic and trauma patients at the university college hospital Ibadan

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20205555 ◽

2020 ◽

Vol 7 (1) ◽

pp. 1

Author(s):

Tolulope O. Ogunrewo ◽

Oluwadayo A. Magbagbeola ◽

Samuel T. Oladejo ◽

Adeoye Allen-Taylor

Keyword(s):

Emergency Department ◽

Medical Advice ◽

Clinical Event ◽

College Hospital ◽

Against Medical Advice ◽

Accident And Emergency ◽

University College ◽

Accident And Emergency Department ◽

The University ◽

Orthopedic Patients

Background: Leave against medical advice (LAMA) of hospitalized patients is an adverse clinical event in which a patient chooses to leave the hospital before it is medically advisable to do so and it negatively affects the treatment outcome. Because of this, the study was designed to determine the incidence of and indications for LAMA among orthopedic patients who presented at the accident and emergency department of the university college hospital, Ibadan.Methods: This was a prospective hospital-based study determining the incidence of LAMA among orthopedic patients who presented at the accident and emergency department of the university college hospital, Ibadan between September 2019 and March 2020.Results: A total of 289 patients with orthopedic conditions presented within the study period and about 12.46% of these LAMA. The male to female ratio observed in this study is 2:1. The age range was between 8 and 93 years. Trauma from motorbike and motor vehicle accidents accounted for over 80% of the etiology. The most important factor influencing LAMA is financial constraints (63.9%) and LAMA was signed mostly by the patients (25%).Conclusions: LAMA among orthopedic patients in Ibadan is mostly due to financial reasons, therefore, factors that will reduce the cost of management such as the accessibility to health insurance schemes will significantly reduce the incidence of LAMA among orthopedic patients in Nigeria.

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