TITLE:
Mortality of Traumatic Injuries in Traumatological Emergencies of the Yalgado Ouedraogo University Hospital Center in Ouagadougou (Burkina Faso)
AUTHORS:
Mamoudou Sawadogo, Sayouba Tinto, Malick Diallo, Alexandre Stanislas Korsaga, Anatole Ouedraogo, Didier Denne, Christian Darga, Songahir Christophe Da
KEYWORDS:
Mortality, Traumatic Injuries, Emergencies, Accidents
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.12 No.1,
January
28,
2022
ABSTRACT: Background: Serious trauma is the main
cause of death for people under 40 years old. According to the WHO, in 2002,
nearly 1.2 million people died worldwide from road traffic injuries. The vast
majority (90%) are from low and middle-income countries. The diagnostic
performance, the quality of the treatments offered, and the optimization of
trauma care channels, make it possible to improve the management of serious
trauma. This is not always the case in our context of a country with limited
resources. Objectives: The objective is o describe the epidemiological, diagnostic and
therapeutic aspects of premortal death in patients with traumatic injuries. Methods: This was a descriptive study with retrospective collection in the trauma
emergency department of Yalgado Ouedraogo Teaching Hospital (Ouagadougou,
Burkina Faso). All patients who died on the ward while in the hospital or on
arrival were included. Results: 192 deaths were listed. The annual
mortality was 1.6%, the sex ratio was 6.1 and the average age was 36 years.
Road traffic accidents were the main etiology: 163 deaths (85%). Head injuries were the most common
injuries: 45.3% of deceased patients had a Glasgow score ≤ 8. There was no
pre-hospital care in 63% of the patients who died. The first six hours, on-call
periods and the weekend were correlated with the death rate. Discussion: the
high mortality in road traffic accident injuries in Africa is due to the weakness of pre-hospital care, the
non-medicalization of the transport of the injured and also the
non-wearing of helmets by motorcyclists. The MGAP (Mechanism, Glasgow coma scale, Age, arterial Pressure) score is reliable in predicting the mortality of serious injuries.