Incidence and etiology of mortality in polytrauma patients: an analysis of material from Multitrauma Centre of the University Teaching Hospital no 1 in Szczecin, over a period of 3 years (2017-2019).

The pattern of traumatic death is a subject of great interest in the worldwide literature. Most studies have aimed to improve trauma care and raise awareness of avoidable fatal complications. The objective of present study was an epidemiological and clinical analysis of causes of traumatic death of the patients treated in Multitrauma Centre of the University Teaching Hospital no 1 in Szczecin, over a period of 3 years (2017-2019). Material of the study comprised of medical data of 32 patients in a mean age of 63 years, who died following polytrauma injury. Time of death form admission to the Multitrauma Centre, primary cause of death, spectrum and sites of injuries, as well as method of treatment (operative or conservative) were variables considered in the analysis. Results. The predominant mechanisms of injury were traffic accidents - 22 cases (69%) followed by falls from height 8 (25%) and other mechanism - 2 cases (6%). The most common primary cause of death was brain injury - 17 patients (53%) followed by pelvic or spine fractures - 5 (16%). The predominant constituents of polytrauma were bony injuries (pelvis, spine and limbs) - 28 cases (87%), followed by head injuries - 25 (78%), chest - 24 (75%) and abdominal injuries - 17 (53%). Eighteen patients (56%) required operative treatment; craniotomy for brain injuries was the most commonly performed - in 11 patients followed by laparotomy - in five. Five other patients underwent endovascular procedure - embolization of pelvic arteries. Twelve patients (38%) died in the first two days from admission to the trauma centre, five (16%) in the first week and 15 later than one week form admission. Conclusions. Head injuries, pelvic fractures with associated retroperitoneal bleeding and severe injuries affecting several body parts were identified to be the most dangerous for polytrauma patients’ survival. A trend to decrease mortality due to haemorrhagic shock was observed, but it remains unchanged for central nervous system injuries.

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An analysis of causes of trauma, spectrum of injuries and treatment outcomes of patients treated in 2015 year in Multitrauma Centre of the University Teaching Hospital No 1 in Szczecin. Comparison of results form years 2015 and 2007

Polish Journal of Surgery ◽

10.5604/01.3001.0013.2953 ◽

2019 ◽

Vol 91 (4) ◽

pp. 1-5

Author(s):

Dawid Dziubiński ◽

Urszula Abramczyk ◽

Dawid Ciechanowicz ◽

Jan Kozłowski ◽

Cezary Pakulski ◽

...

Keyword(s):

Teaching Hospital ◽

Surgical Intervention ◽

Bone Fractures ◽

Head Injuries ◽

Clinical Analysis ◽

University Teaching ◽

Body Parts ◽

Fall From Height ◽

Life Threatening ◽

The University

Multitrauma is defined as injury involving two or more different body parts, with a condition that at least one of these injuries is life-threatening. They represent serious traumas, requiring treatment in the intensive care units and frequently surgical intervention. The objective of this study was epidemiological and clinical analysis of patients treated in 2015 year in Multitrauma Centre of the University Teaching Hospital no 1 in Szczecin, and comparison the results with outcomes of similar study conducted in the same Centre in 2007 year. Clinical material comprised medical notes of 82 patients, 52 men (63%) and 30 women (37%), with a mean age of 44 years, who sustained multitrauma injuries. An analysis included causes of traumas, spectrum of injuries, involvement of body parts, methods and outcomes of the treatment. Results. The most common cause of multitrauma was traffic accident - 45 cases (55%), followed by fall from height - 22 (27%) and other mechanism - 15 (18%). The most frequent component of multitrauma made bone fractures (spine, pelvis, limbs) - 64 cases (78%), followed by head traumas - 63 (77%), chest - 53 (65%) and abdominal 30 (36%) injuries. A total of 48 patients (58%) required surgical intervention, the most frequently fixation of bone fractures - 24 patients (29%), repair of abdominal and head injuries - 18 (22%) either. Of 82 treated patients 64 (78%) survived and 18 (22%) died. A mean period of stay in Multitrauma Centre was 23 days for survived patients and 17 days for those who died. Comparing to similar analysis conducted 8 years earlier, a change in involvement of particular body parts comprising multitrauma injury was observed: number of head injuries increased of 14%, number of chest traumas and bone fractures decreased of 21% and 11%, respectively. The survival rate improved of 10%.

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Neurological findings in pediatric penetrating head injury at a university teaching hospital in Durban, South Africa: a 23-year retrospective study

Journal of Neurosurgery Pediatrics ◽

10.3171/2016.5.peds167 ◽

2016 ◽

Vol 18 (5) ◽

pp. 550-557 ◽

Cited By ~ 4

Author(s):

Kadhaya David Muballe ◽

Timothy Hardcastle ◽

Erastus Kiratu

Keyword(s):

Teaching Hospital ◽

Cranial Nerve ◽

Brain Injuries ◽

Head Injuries ◽

University Teaching ◽

Significant Feature ◽

Stab Wounds ◽

Gunshot Injuries ◽

Neurological Abnormalities ◽

Stab Injuries

OBJECTIVES Penetrating traumatic brain injuries (TBIs) can be divided into gunshot wounds or stab wounds based on the mechanisms of injury. Pediatric penetrating TBIs are of major concern as many parental and social factors may be involved in the causation. The authors describe the penetrating cranial injuries in pediatric patient subgroups at risk and presenting to the Department of Neurosurgery at the University of KwaZulu-Natal, by assessment of the Glasgow Coma Scale (GCS) score and review of the common neurological manifestations including cranial nerve abnormalities. METHODS The authors performed a retrospective chart review of children who presented with penetrating TBIs between 1985 and 2007 at a university teaching hospital. Descriptive statistical analysis with univariate and multivariate logistic regression was used to assess the variables. RESULTS Out of 223 children aged 16 years and younger with penetrating TBIs seen during the study period, stab wounds were causal in 127 (57%) of the patients, while gunshot injuries were causal in 96 (43%). Eighty-four percent of the patients were male. Apart from abnormal GCS scores, other neurological abnormalities were noted in 109 (48.9%) of the patients, the most common being cranial nerve deficits (22.4%) and hemiparesis. There was a strong correlation between left-sided stab wounds and development of seizures. The mean age of patients with neurological abnormalities was 11.72 years whereas that of patients with no neurological abnormalities was 8.96 years. CONCLUSIONS Penetrating head injuries in children are not as uncommon as previously thought. There was no correlation between the age group of the patients and the mechanism of injury, which implies that stab or gunshot injuries could occur in any of our pediatric population with the same frequency. While gunshot injuries accounted for 56% of the patient population, stab injuries still accounted for 44%. Following penetrating head injuries, neurological abnormalities tend to occur in the older subgroup of the pediatric patients. The most common neurological abnormalities were hemiparesis followed by cranial nerve deficits. Facial nerve deficits were the most commonly seen cranial nerve abnormality. Immediate convulsions were a significant feature in patients with stab injuries to the head compared to those with gunshot injuries.

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Location and Size of Coronary Ostia in Normal Autopsied Hearts at the University Teaching Hospital, Lusaka, Zambia

Asian Pacific Journal of Health Sciences ◽

10.21276/apjhs.2016.3.4.31 ◽

2016 ◽

Vol 3 (4) ◽

pp. 199-203 ◽

Cited By ~ 1

Author(s):

Moono Silitongo ◽

◽

Dailesi Ndlovu ◽

Kasonde Bowa ◽

Krikor Erzingatsian ◽

...

Keyword(s):

Teaching Hospital ◽

University Teaching ◽

Coronary Ostia ◽

The University

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Attitude to Exercise in Pregnant Women Attending Antenatal Care at the University Teaching Hospital in Lusaka, Zambia

Journal of Preventive and Rehabilitative Medicine ◽

10.21617/jprm.2016.0101.4 ◽

2016 ◽

Vol 1 (1) ◽

pp. 22-26

Author(s):

Loveness Nkhata ◽

Esther Nkandu ◽

Hastings Shula ◽

Margaret Mweshi

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Teaching Hospital ◽

University Teaching ◽

The University

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Patients’ Satisfaction with Outpatient Pharmacy Services at the University Teaching Hospital and Ndola Central Hospital in Zambia

Journal of Preventive and Rehabilitative Medicine ◽

10.21617/jprm.2016.0101.3 ◽

2016 ◽

Vol 1 (1) ◽

pp. 13-18 ◽

Cited By ~ 2

Author(s):

Aubrey Kalungia ◽

Tamara Kamanga

Keyword(s):

Teaching Hospital ◽

University Teaching ◽

Pharmacy Services ◽

Central Hospital ◽

Patients Satisfaction ◽

The University

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Aphakia Correction by Injection of Foldable Intra Ocular Lens in the Anterior Chamber

Ophthalmology and Eye Diseases ◽

10.4137/oed.s12672 ◽

2013 ◽

Vol 5 ◽

pp. OED.S12672

Author(s):

Kagmeni Giles ◽

Moukouri Ernest ◽

Domngang Christelle ◽

Nguefack-Tsague Georges ◽

Cheuteu Raoul ◽

...

Keyword(s):

Visual Acuity ◽

Intraocular Pressure ◽

Anterior Chamber ◽

Teaching Hospital ◽

Case Series ◽

University Teaching ◽

Case Series Study ◽

The Mean ◽

The University

We assessed the outcomes of the use of anterior chamber foldable lens for unilateral aphakia correction at the University Teaching Hospital of Yaounde. In this retrospective, non-comparative, consecutive case series study, we reviewed the records of patients who underwent an operation for aphakia correction by the means of injection of an angular supported foldable lens between January 2009 and December 2011 in the University Teaching Hospital Yaounde. Student's paired t-test was carried out to compare preoperative and postoperative visual acuity (VA) and intraocular pressure (TOP). P-values less than 0.05 were considered statistically significant. Twenty-one patients were included in the study; twelve were male (57.1%) and nine were female (42.9%). The mean age was 55.38 ± 17.67 years (range 9–75 years). The mean follow-up duration was 5.95 ± 3.14 months (range 2–12 months). The mean logMAR visual acuity was 1.26 ± 0.46 pre-operatively and 0.78 ± 0.57 post-operatively ( P = 0.003). The change in intraocular pressure was not statistically significant. Complications included intraocular hypertension (over 21 mmHg) in 3 patients (14.3%) and macular edema, pupillar ovalization, and retinal detachment in one patient each. The results indicate that injection of an angular support foldable lens in the anterior chamber is a useful technique for the correction of aphakia in eyes without capsular support. More extended follow-up, however, and a larger series of patients are needed to ascertain the effectiveness and safety of this procedure.

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Profil Évolutif Des Accidents Vasculaires Cérébraux Hémorragiques À Yaoundé (Hôpital Général& Centre Hospitalier Et Universitaire)

European Scientific Journal ESJ ◽

10.19044/esj.2016.v12n21p197 ◽

2016 ◽

Vol 12 (21) ◽

pp. 197

Author(s):

Patrice Emmanuel Awono Ateba ◽

Justin Ndié ◽

Julienne Louise Ngo Likeng ◽

Benjamin Alexandre Nkoum

Keyword(s):

General Hospital ◽

Teaching Hospital ◽

Public Health Problem ◽

Premature Mortality ◽

Cross Sectional Study ◽

University Teaching ◽

Evolutionary Trend ◽

Cross Sectional ◽

Duration Of Hospitalization ◽

The University

Nowadays, strokes constitute a real public health problem in the world. In Cameroon, because of the people’s lifestyle potential risk factor, the prevalence of hemorrhagic strokes as well as its mortality is on the rise. This study was aimed at analyzing the evolutionary profile of hemorrhagic strokes at the General Hospital and the University Teaching Hospital in Yaoundé. A retrospective cross-sectional study with a qualitative component was carried out at the General Hospital and the University Teaching Hospital in Yaoundé for 2 months. Were included, all patients with a diagnosis of hemorrhagic strokes confirmed by CT Scan. With the help of a scale, patient data over a 30 month’s period (2013-2015) were collected. Over 1037 patients hospitalized in intensive care unit at the General Hospital and the University Teaching Hospital in Yaoundé, 122 cases of hemorrhagic strokes were diagnosed, that is a prevalence of 11.8%. The average age was 58±10.52 and the most vulnerable age range was between 50 and 70 years with 67.2%. Men were most affected (60.7%) with a sex ratio of 1.54(74 men/48 women). Among these cases of hemorrhagic strokes still hospitalized, 70 had died giving a lethality rate of 57.4%. Only the duration of hospitalization had an effect on the outcome of patients with hemorrhagic strokes. Actually the patients, victims of hemorrhagic strokes who had had less than 21 days of hospitalization, had 2.91 chances of dying as compared to those patients hospitalized for over 21 days (OR=2.91 IC 95% [5.1-65.7]; p=0.000). The late admission to reanimation, the difficulties encountered by victims of hemorrhagic strokes and their careers, to handle the enormous cost of their treatment and the insufficiencies of the technical platform, were factors also influencing the evolution of hemorrhagic strokes hospitalized in reanimation at the General Hospital and the University Teaching Hospital in Yaoundé. Despite certain efforts aimed at reducing premature mortality, the prevalence of hemorrhagic strokes was increasing in reanimation at the General Hospital and University Teaching Hospital in Yaoundé. Only multisectorial actions of sensitization, the restructuring and amelioration of the care of this ailment will help reverse the evolutionary trend.

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