Comparative Analysis of Traumatic Deaths in Nigeria

Ehikhamenor, Edeaghe; Ojo, MA

doi:10.1017/s1049023x00002454

Cited by 18 publications

(15 citation statements)

References 5 publications

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“…Studies from different parts of Nigeria have shown that RTA is the most common cause of traumatic death [6][7] accidental death [8] as well as death due to surgical emergencies [9]. In all these and similar reports, abdominal injury with splenic damage was very common both in children as well as in adults [10,11].…”

Section: Discussionmentioning

confidence: 96%

Histopathological study and audit of the spleen in Nigerians

Adelusola¹,

Osasan²,

Afolabi³

2008

African Journal of Health Sciences

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SUMMARYStudies on the spleen in Nigerians are rare. This study reviewed retrospectively the gross and histopathological findings in spleens received at the histopathology laboratory of the Obafemi Awolowo University Hospital (OAUTHC), Ile-Ife, Nigeria. 119 consecutive splenectomy specimens received within a period of 18 years were analysed with respect to age, sex, pathological diagnoses and indication for splenectomy. There were 76 males and 43 females with a mean age of 34.8 years (STD 19.6 years). Spleen weight, size, the presence of malarial parasite as well as fibrosis was not documented in many cases. The most frequent finding both grossly and microscopically was haemorrhagic necrosis from laceration of the spleen arising from trauma (62.7% of all cases). Road traffic accident (RTA) accounted for 86% of all trauma cases and was the predominant finding in both sexes up to the age of 50 years. Thereafter, haematological malignancy was the predominant finding in the spleen. Chronic lymphocytic leukaemia (CLL) was the most common haematological malignancy in the spleen. The indications for splenectomy correlated well with the histological findings (kappa=0.81). Pathological description of spleen specimens is inadequate. Trauma is the major reason for splenectomy. In elderly Nigerians, splenectomy specimen would likely show CLL.

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Section: Discussionmentioning

confidence: 96%

Histopathological study and audit of the spleen in Nigerians

Adelusola¹,

Osasan²,

Afolabi³

2008

African Journal of Health Sciences

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“…High level of unemployment has led to increasing number of illtrained commercial motorcycle riders; ethno-political violence and armed robbery are on the rise in the country. 3,7 Due to persistent energy crisis, there is frequent adulteration of petroleum products, storage of petrol around residential buildings for fuelling domestic power generators, sporadic fire accidents and burns. These problems have contributed to high trauma related morbidity and mortality in the country.…”

Section: Discussionmentioning

confidence: 99%

“…Trauma is one of the leading causes of morbidity and mortality worldwide but constitutes an exceptionally huge burden in countries with limited resources 1,2 . In Nigeria, the number of deaths due to trauma-induced injuries is on the increase 3,4 . Major trauma refers to severe injuries often presenting as life threatening emergency, requiring either immediate surgical intervention or intensive care or both 5 .…”

Section: Introductionmentioning

confidence: 99%

Trauma admissions to the ICU of a tertiary hospital in a low resource setting

Adenekan¹,

Faponle²

2010

Afr J Anaes Int Care

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Background: Trauma remains a leading cause of morbidity and mortality in resource challenged economies. In Nigeria, the number of deaths due to trauma-induced injuries is on the rise. Major trauma victims are usually admitted into the intensive care unit in our hospital. The aim of this study is to assess the outcome of the trauma cases admitted to the ICU. Methods: We performed an eight-year retrospective review of all trauma admissions into our multidisciplinary six bed intensive care unit (ICU) to assess the impact of trauma on the ICU. Data collected was processed using the Statistical Packages for the Social Scientists 16.0. Results: Three hundred and seventy two cases (372) cases of major trauma were admitted during the study period, representing 41.6% of the total ICU admissions. The male to female ratio was 2.3:1, while the mean age of the trauma patients was 32.8 yrs compared to 37.0 yrs for non-trauma cases. Trauma admissions were almost exclusively emergencies (93.8%) with a mean ICU length of stay of 7.7 ± 8.1 days. Survivors had a statistically significant longer length of stay (LOS) than non-survivors (11.6 ± 9.8 vs. 4.2 ± 3.9 days [p = 0.0001]). Mortality rate of trauma patients was significantly higher than that of all ICU admissions (53.2% vs. 37.9%, p = 0.0001). Road traffic crashes were responsible for most deaths (68.6%) followed by burn injuries (29.9%). Conclusion: Trauma is a leading cause of intensive care utilization in our hospital,. Management strategy should include increased public enlightenment campaign, enforcement of safety rules and improved pre-and in-hospital care of trauma victims.

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“…Nigeria has one of the highest rates of fatal road traffic accidents worldwide and the number is still rising (Ehikhamenor and Ojo, 2005). Most accidental deaths were associated with head injury or multiple severe injuries.…”

Section: Discussionmentioning

confidence: 99%

Pattern of coroners' autopsies at Ring Road State Hospital, Ibadan, Nigeria: a retrospective study (1994-2000)

Akang

Akinremi²,

Oje

et al. 2009

Med Sci Law

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This study reviews 1,993 coroners' autopsies performed at the Adeoyo and Ring Road State Hospitals, Ibadan, over a seven-year period (January 1994 to December 2000). The most common indication for a coroner's autopsy was accidental death (59.6%), followed by homicidal death (20.7%), sudden natural death (11.6%), maternal death (1.4%) and suicidal death (0.4%). The overall male to female ratio was 2.8:1 and the majority of victims were in the fourth decade of life. Road traffic accidents were the leading cause of accidental death. Homicidal deaths were 9.3 times more common in male than female victims and the most common mode of death was firearm injuries. In contrast to an earlier study from University College Hospital, Ibadan, the present study has revealed a predominance of accidental and homicidal deaths, with a relatively lower rate of maternal deaths.

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Comparative Analysis of Traumatic Deaths in Nigeria

Cited by 18 publications

References 5 publications

Histopathological study and audit of the spleen in Nigerians

Histopathological study and audit of the spleen in Nigerians

Trauma admissions to the ICU of a tertiary hospital in a low resource setting

Pattern of coroners' autopsies at Ring Road State Hospital, Ibadan, Nigeria: a retrospective study (1994-2000)

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