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Blunt Abdominal Trauma in a Teaching Hospital, Calabar, Nigeria

DOI: 10.4236/ijcm.2012.37124, PP. 693-696

Keywords: Blunt Abdominal Trauma, Prevention, Motorcycles

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Abstract:

Background: Road traffic injury remains a major source of blunt abdominal trauma (BAT). Road traffic injury and other forms of trauma have become a major health problem throughout the world especially in low and middle-income countries. In a previous study (2005-2007), abdominal trauma constituted 79 (4.8%) of trauma cases; BAT, 40 (53%) and penetrating abdominal trauma (PAT), 39 (47%). Effective policies on road safety should be developed based on local research and not on adapted models. We present this study to highlight the possible effect of legislation on the ban of the use of motorcycles on blunt abdominal trauma. Methods: Patients that presented to the University of Calabar Teaching Hospital, Calabar with BAT from 2008-2010 were prospectively studied based on a questionnaire following the legislation prohibiting the use of motorcycles. Results: A total of 12,083 patients presented during the study period, trauma patients totaled 4942 (41%), of this, 48 (1%) suffered abdominal trauma: BAT 19 (40%), penetrating abdominal trauma (PAT) 29 (60%). The age range of the patients was from 5 to 48 years (mean 26.6 years) with a M:F = 5.3:1. Road traffic accident (RTA) 17 (90%) [Motorvehicle 7 (37%), motorcycles 10 (53%)] was the commonest cause of trauma. The spleen was the commonest injured organ 14 (74%). Conclusion: Road traffic injury constitutes a public health challenge and the hallmark is prevention. Legislation prohibiting the use of motorcycles may have been responsible for the reduction in BAT.

References

[1]  G. Ruhinda, P. Kyamanywa, D. Kitya and F. Banjunirwe, “Abdominal Injury at Mbarara Regional Referral Hospital, Uganda,” East and West African Journal of Surgery, Vol. 13, No. 2, 2008, pp. 29-36.
[2]  C. Mock, R. Quansah, R. Krishman, C. Arreola-Risa and F. Rivara, “Strenghtening the Prevention and Care of Injuries Worldwide,” Lancet, Vol. 363, No. 9427, 2004, pp. 2172-2179. doi:10.1016/S0140-6736(04)16510-0
[3]  M. E. Asuquo, A. U. Etiuma, O. O. Bassey, G. Ugare, O. Ngim, C. Agbor, A. Ikpeme and W. Ndifon, “A Prospective Study of Blunt Abdominal Trauma at the University of Calabar Teaching Hospital, Calabar, Nigeria,” European Journal of Trauma and Emergency Surgery, Vol. 36, No. 2, 2010, pp. 164-168. doi:10.1007/s00068-009-9104-2
[4]  J. Udeani, J. Geibel, J. A. Salome, S. M. Keim, et al., “Blunt Abdominal Trauma,” 2011. http://emedicine.Medscape.com/articles/1980980-overview
[5]  M. Asuquo, V. Nwagbara, A. Inyang and G. Ugare, “Blunt Abdominal Trauma in Calabar,” Nigerian Journal of Surgery, Vol. 16, No. 1, 2006, pp. 12-15.
[6]  M. E. Asuquo, O. O. Bassey, A. U. Etiuma, G. Ugare and O. Ngim, “A Prospective Study of Penetrating Abdominal Trauma at the University of Calabar Teaching Hospital, Calabar, Southern Nigeria,” European Journal of Trauma and Emergency Surgery, Vol. 35, No. 3, 2009, pp. 277-280. doi:10.1007/s00068-008-8089-6
[7]  A. E. Archibong, E. E. Ikpi, I. A. Ikpeme, M. E. Asuquo, M. S. Umoh and S. G. Akpan, “Motorcycle Related Abdominal Trauma in Children in Calabar-Nigeria,” Mary Slessor Journal of Medicine, Vol. 3, No. 2, 2003, pp. 47-50.
[8]  P. Perel, M. McGuire, K. Eapen and A. Ferraro, “Research on Preventing Road Traffic Injuries in Developing Countries Is Needed,” British Medical Journal, Vol. 328, 2004, p. 895. doi:10.1136/bmj.328.7444.895
[9]  S. T. Edino, “Pattern of Abdominal Injuries in Aminu Kano Teaching Hospital, Kano, Nigeria,” Nigerian Postgraduate Medical Journal, Vol. 10, 2003, pp. 56-59.
[10]  C. E. Ohanaka, P. C. Iribhogbe and R. O. Ofoegbu, “Gunshot Injuries in Benin City, Nigeria,” Nigerian Journal of Surgery, Vol. 10, 2000, pp. 1-5.
[11]  S. J. Mong, J. A. Lyle and M. Black, “A Review of Gunshot Deaths in Stathclyde 1989-1998,” Medicine, Science and the Law, Vol. 41, 2001, pp. 260-265.
[12]  D. Dogo, T. Yawe, A. W. Hassan and B. Tahir, “Pattern of Abdominal Trauma in North Eastern Nigeria,” Nigerian Journal of Surgical Research, Vol. 2, 2000, pp. 48-51.
[13]  B. A. Ayoade, B. A. Salami, A. O. Tade, A. A. Musa and O. A. Olawoye, “Abdominal Injuries in Olabisi Onabanjo University Teaching Hospital Sagamu, Nigeria: Pattern and Outcome,” Nigerian Journal of Orthopaedics and Trauma, Vol. 5, No. 2, 2006, pp. 45-49.
[14]  M. E. Asuquo and G. Ugare, “Trauma in a Teaching Hospital Outpost: Comprehensive Health Centre, Okoyong, Cross River State, Nigeria,” European Journal of Trauma and Emergency Surgery, Vol. 36, No. 1, 2010, pp. 49-52. doi:10.1007/s00068-009-9013-4
[15]  Z. Wang and J. Jiang, “An Overview of Research Advance in Road,” Traffic Injury Prevention, Vol. 4, No. 1, 2003, pp. 9-16. doi:10.1080/15389580309860
[16]  M. Asuquo, M. Umoh, V. Nwagbara, G. Ugare, C. Agbor and E. Japhet, “Penetrating Abdominal Trauma: Experience in a Teaching Hospital, Calabar, Southern Nigeria,” International Journal of Clinical Medicine, Vol. 3, No. 5, 2012, pp. 427-431.

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