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Rosenberg, A., Mukeshimana, L., Uwamahoro, A., Dworkin, M., Nsengimana, V., Kankindi, E., Niyonsaba, M., Uwitonze, J.M., Kabagema, I., Dushime, T. and Jayaraman, S. (2020) The Initial Prehospital Management of Traumatic Brain Injuries in Kigali, Rwanda. Prehospital and Disaster Medicine, 35, 533-537.
https://doi.org/10.1017/S1049023X20000813

has been cited by the following article:

• TITLE: Management of Traumatic Brain Injuries at the Kara Regional Hospital

  AUTHORS: Tamegnon Dossouvi, Tchaa Hodabalo Towoezim, Abdel Kader Moumouni, Kokou Kanassoua, Iroukora Kassegne, Ekoue David Dosseh

  KEYWORDS: Traumatic Brain Injury, Road Accident, Motorcyclist, Cerebral Contusion, Togo

  JOURNAL NAME: Surgical Science, Vol.15 No.2, February 9, 2024

  ABSTRACT: Introduction: Traumatic Brain Injury (TBI) is a major public health problem causing significant morbidity and mortality in young adults. This study aimed to describe the epidemiological, diagnostic, therapeutic, and evolutionary aspects of TBI. Materials and Methods: This was a prospective, descriptive study conducted from 1 April 2022 to 31 March 2023 on patients admitted to and treated for cranioencephalic trauma in the General Surgery department of Kara Regional Hospital. Results: Eighty-three (83) patients with cranioencephalic trauma were managed out of 773 patients admitted to the department during the study period. The mean age was 34 ± 14.98 years and the sex ratio was 3.6 in favour of men. Motorbike taxi drivers were the social group most affected (n = 33, 40%). The causes of trauma were dominated by public road accidents (n = 80; 96%). TBI was mild (n = 40; 48%), moderate (n = 35; 42%) and severe (n = 8; 10%). Cerebral CT scans were performed in 19 patients (23%). Cerebral contusion (n = 4) was the most frequent cerebral lesion. Six patients (7%) with severe head injuries were transferred to Kara University Hospital. Six deaths (7%) occurred in patients with severe head injuries. The main sequelae were intermittent headaches in all patients reviewed, and memory problems (6%). Conclusion: Traumatic brain injuries are common at Kara Regional Hospital. Severe cranial trauma is less frequent but leads to death because of financial difficulties and limited technical facilities.