All Title Author
Keywords Abstract


Socio-Demographic Profile of Adults Admitted in Emergency for Brain Trauma Injuries at the University Hospital of Brazzaville (Congo)

DOI: 10.4236/ojmn.2019.91006, PP. 43-48

Keywords: Traumatic Brain Injury, Road Accident, Brazzaville

Full-Text   Cite this paper   Add to My Lib

Abstract:

The aim of this study was to evaluate socio-demographic profile of adults admitted in emergency for Traumatic Brain Injury (TBI) at the University Hospital of Brazzaville in the Republic of Congo. We performed a prospective study within a period of six months, into the surgical unit of the emergency department of the University Hospital of Brazzaville. A total of 2617 patients were recorded, among which 268 cases were TBI (10.25%) where 142 cases were sampled in our series. The average age was 36.7 ± 16.6 years. The sex ratio was 6.1. The TBI was mainly due to road accident in 121 cases (85.2%) described as follows: motorcycle accident about 48 cases (39.7%) and the pedestrian’s injuries about 42 (34.8%). In the majority of the cases, cautions were not taken by the drivers; during the case of the motorcycle accident, about 97.9% of the riders did not wear a helmet. The TBI remains a growing public health concern in the low-income countries, like in Africa. Measurements on the road traffic regulation are to be strengthened to reduce the growth of this silent epidemic.

References

[1]  Rusnak, M. (2013) Traumatic Brain Injury: Giving Voice to a Silent Epidemic. Nature Reviews Neurology, 9, 186-187.
https://doi.org/10.1038/nrneurol.2013.38
[2]  Rubiano, A.M., Carney, N., Chesnut, R. and Puyana, J.C. (2015) Global Neurotrauma Research Challenges and Opportunities. Nature, 527, 193-197.
https://doi.org/10.1038/nature16035
[3]  Dewan, M.C., Rattani, A., Gupta, S., Baticulon, R.E., Hung, Y.-C., Punchak, M., Agrawal, A., Adeleye, A.O., Shrime, M.G., Rubiano, A.M., Rosenfeld, J.V. and Park, K.B. (2018) Estimating the Global Incidence of Traumatic Brain Injury. Journal of Neurosurgery, 4, 1-18.
https://doi.org/10.3171/2017.10.JNS17352
[4]  Odero, W., Garner, P. And Zwi, A. (1997) Road Traffic Injuries in Developing Countries: A Comprehensive Review of Epidemiological Studies. Tropical Medicine & International Health, 2, 445-460.
https://doi.org/10.1111/j.1365-3156.1997.tb00167.x
[5]  Masson, F., Thicoipe, M., Aye, P., Mokni, T., Senjean, P., Schmitt, V., Dessalles, P.H., Cazaugade, M., Labadens, P., Aquitaine Group for Severe Brain Injuries Study. (2001) Epidemiology of Severe Brain Injuries : A Prospective Population-Based Study. The Journal of Trauma, 51, 481-489.
https://doi.org/10.1097/00005373-200109000-00010
[6]  Qureshi, J.S., Ohm, R., Rajala, H., Mabedi, C., Sadr-Azodi, O., Andrén-Sandberg, A. and Charles, A.G. (2013) Head Injury Triage in a Sub Saharan African Urban Population. International Journal of Surgery, 11, 265-269.
https://doi.org/10.1016/j.ijsu.2013.01.011
[7]  Ekouele Mbaki, H.B., Boukassa, L., Ngakosso, O.B., Kinata Bambino, S.B., Elombila, M. and Moyikoua, R. (2016) Neurosurgery Practice at the University Hospital of Brazzaville (Congo): 21 Months of Activity. African Journal of Neurological Sciences, 35, 47-54.
[8]  Ekouele Mbaki, H.B., Otiobanda, G.F., Elombila, M., Boukassa, L., Moyikoua, R., Gombet, T.R. and Okiemy, G. (2016) Traumatic Brain Injuries in Adults: Epidemiological Aspects and Management at the University Hospital of Brazzaville (Congo). Revue Africaine d’Anesthésiologie et Médecine d’Urgence, 21, 27-32.
[9]  Motah, M., Sende Ngonde, C., Beyiha, G., Bellen Priso, E., Malongte Nguemgne, C., Gonsu Fotsin, J., Verbova, L.N. and Ebana Mvogo, C. (2011) Management of Isolated Brain Trauma Injuries at General Hospital of Douala. Health Sciences and Diseases, 12, 1-6.
[10]  Coulibaly, Y., Mp, E., Diallo, A., Doumbia, D., Keita, M., Keita, A., Diallo, A., Diango, D.M., Ongoïba, N., Diallo, G. and Sidibe, S. (2004) Head Trauma in the Hospital du Point G: About 80 Cases. Mali Médical, 19, 3-4.
[11]  Saidi, H., Ben Kasyoka, M. and Ogengo, J. (2014) Mortality after Road Traffic Crashes in a System with Limited Trauma Data Capability. Journal of Trauma Management and Outcomes, 8, 4.
https://doi.org/10.1186/1752-2897-8-4
[12]  Wong, J.C., Linn, K.A., Shinohara, R.T. and Mateen, J. (2016) Traumatic Brain Injury in Africa in 2050: A Modeling Study. European Journal of Neurology, 23, 382-386.
https://doi.org/10.1111/ene.12877
[13]  Mac Kenzie, E.J., Siegal, J.H., Shapiro, S., Moody, M. and Smith, R.T. (1988) Functional Recovery and Medical Costs of Trauma: An Analysis by Type and Severity of Injury. Journal of Trauma-Injury Infection & Critical Care, 28, 281-297.
https://doi.org/10.1111/ene.12877
[14]  Li, M., Zhao, Z., Yu, G. and Zhang, J. (2016) Epidemiology of Traumatic Brain Injury over the World: A Systematic Review. Austin Neurology & Neurosciences, 1, 1-14.
https://doi.org/10.4172/2327-5146.1000275
[15]  Kraus, J.F., Peek-Asa, C. and McArthur, D. (2000) The Independent Effect of Gender on Outcomes Following Traumatic Brain Injury: A Preliminary Investigation. Neurosurgical Focus, 8, 1-7.
https://doi.org/10.3171/foc.2000.8.1.156
[16]  Bachani, A.M., Koradia, P., Herbert, H.K., Mogere, S., Akungah, D., Nyamari, J., Osoro, E., Maina, W. and Stevens, K.A. (2012) Road Traffic Injuries in Kenya: The Health Burden and Risk Factors in Two Districts. Traffic Injury Prevention, 13, 24-30.
https://doi.org/10.1080/15389588.2011.633136

Full-Text

comments powered by Disqus