Epidemiology of traumatic orthopaedic injuries at Princess Marina Hospital, Botswana

Abstract

Background: Traumatic injuries pose a significant and increasing challenge to healthcare systems worldwide. One major type of traumatic injury is the traumatic orthopaedic injury, whose epidemiology is unknown in Botswana. The aim of the study, therefore, was to evaluate the age, sex, type, and determinants of traumatic orthopaedic injuries for inpatients at Princess Marina Hospital from August 2014 to January 2015. Methods: We performed a descriptive study by retrospectively collecting data on age, sex, date of admission, date of injury, date of discharge, radiological investigation, and injury types and determinants from medical records of patients admitted to orthopaedic wards. Results: The median age of patients with traumatic orthopaedic injuries was 33.5 years (n=372). Males were more frequently injured than females, with a sex ratio of 7:3. Fractures were the most common type of traumatic orthopaedic injury (413 injuries, 75.5%). The most common injury determinants were falls (145 patients/39.0%), road traffic accidents (95 patients/25.5%), and assaults (57 patients/15.3%). Conclusions: Young adult males were the group most affected by traumatic orthopaedic injuries. Fractures were the most common type of traumatic orthopaedic injuries, with falls being the most common injury determinant. These findings may guide efforts to improve healthcare delivery and public health policy.

Epidemiology of Trauma Patients Admitted to a Trauma Center in New Delhi, India

“…Fractures of the bones were the most common radiologically proven injury suffered by the patients in our center. Similar results were seen in the study by Manwana et al, 18 in Botswana. Only 36% patient patients had injuries that could not be proven radiologically.…”

Patterns of orthopedic and trauma admissions to a tertiary teaching and referral health facility in Kenya: Chart review

“…However, this differs with retrospective study done in South Africa that revealed interpersonal violence was the major mechanism of injury of orthopaedic admissions at 60% followed by RTA at 19% (18). Also, a retrospective study done in Botswana and Tanzania showed falls as a leading cause of orthopaedic injuries and RTA second at 36% (21,28). Falls were the commonest mechanism of injury amongst orthopaedic admissions in children and those above 65 years of age.…”

Analisis Faktor yang Mempengaruhi Kualitas Tidur Pasien Ortopedi Pasca Pembedahan yang Menjalani Rawat Inap

“…Cedera akibat berbagai macam trauma merupakan salah satu penyebab kematian dan kecacatan terbesar di seluruh dunia, cedera akibat kecelakaan lalu lintas khususnya di negara berkembang merupakan masalah sosial yang dapat merugikan sumber daya manusia dan secara finansial (Soleymanha, M, 2014). Cedera ortopedi (termasuk soft tissue injury, cedera otot atau tulang dan sendi) merupakan cedera terbanyak yang diakibatkan oleh kecelakaan lalu lintas dan trauma lain, world Healthof Organisation (WHO) menganggap trauma sebagai masalah yang penting dan patut mendapat perhatian lebih (Soleymanha, M, 2014).Penelitian yang dilakukan oleh Manwana, et.al pada tahun 2018 tentang epidemiologi cedera ortopedi di rumah sakit di Botswana memperoleh hasil bahwa, cedera akibat trauma ortopedi terbanyak yaitu fraktur sebanyak 75.5% dari 372 pasien yang dirawat dengan cedera ortopedi (Manwana, Mokone, Kebaetse, & Young, 2018).…”