Head Computed Tomography Scan in Isolated Traumatic Brain Injury in a Low-Income Country

Kabore, Armel Flavien; Ouedraogo, Aziz; Ki, Kélan Bertille; Traore, Salah Seif Idriss; Traoré, Ibrahim Alain; Bougouma, Cheik Tidiane Hafiz; Arnaudovski, Darko; Diallo, O.; Zabsonre, S.; Ouédraogo, Nazinigouba; Augustin, Pascal

doi:10.1016/j.wneu.2017.07.160

Cited by 7 publications

(6 citation statements)

References 26 publications

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“… 61 In Burkina Faso, CT scan access in Ouagadougou was limited by lack of funding when indicated in 20% of cases. 10 Indeed, perceived and actual costs of care are a well noted factor in delaying access to quality care after injury. 26 27 51 57 62 In CHAS, we found a non-significant trend that patients more commonly needed to borrow or sell following injury than other conditions.…”

Section: Discussionmentioning

confidence: 99%

“…Open access facility based often with small case numbers and limited to a single mechanism of injury pattern. [6][7][8][9][10] Road traffic collisions (RTCs) have been investigated specifically, and the WHO has estimated that in 2016 there were 30.5 per 100 000 road traffic fatalities in Burkina Faso, above the average for Africa (26.6) which is the continent with the highest death rate globally. 11 RTC victim data from the tertiary referral hospital in the capital Ouagadougou identified that 87% of road traffic victims attending for tertiary care emergency department were from two wheel motor vehicles; a quarter of these experienced disability beyond 30 days.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

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Non-fatal injuries in rural Burkina Faso amongst older adults, disease burden and health system responsiveness: a cross-sectional household survey

et al. 2021

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ObjectivesThis study aimed to evaluate the epidemiology of injury as well as patient-reported health system responsiveness following injury and how this compares with non-injured patient experience, in older individuals in rural Burkina Faso.DesignCross-sectional household survey. Secondary analysis of the CRSN Heidelberg Ageing Study dataset.SettingRural Burkina Faso.Participants3028 adults, over 40, from multiple ethnic groups, were randomly sampled from the 2015 Nouna Health and Demographic Surveillance Site census.Primary and secondary outcome measuresPrimary outcome was incidence of injury. Secondary outcomes were incidence of injury related disability and patient-reported health system responsiveness following injury.Results7.7% (232/3028) of the population reported injury in the preceding 12 months. In multivariable analyses, younger age, male sex, highest wealth quintile, an abnormal Generalised Anxiety Disorder score and lower Quality of Life score were all associated with injury. The most common mechanism of injury was being struck or hit by an object, 32.8%. In multivariable analysis, only education was significantly negatively associated with odds of disability (OR 0.407, 95% CI 0.17 to 0.997). Across all survey participants, 3.9% (119/3028) reported their most recent care seeking episode was following injury, rather than for another condition. Positive experience and satisfaction with care were reported following injury, with shorter median wait times (10 vs 20 min, p=0.002) and longer consultation times (20 vs 15 min, p=0.002) than care for another reason. Injured patients were also asked to return to health facilities more often than those seeking care for another reason, 81.4% (95% CI 73.1% to 87.9%) vs 54.8% (95% CI 49.9% to 53.6%).ConclusionsInjury is an important disease burden in this older adult rural low-income and middle-income country population. Further research could inform preventative strategies, including safer rural farming methods, explore the association between adverse mental health and injury, and strengthen health system readiness to provide quality care.

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Section: Discussionmentioning

confidence: 99%

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Non-fatal injuries in rural Burkina Faso amongst older adults, disease burden and health system responsiveness: a cross-sectional household survey

et al. 2021

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“…Several studies have examined the epidemiology of severe TBI in LMIC and reported gaps in the management of patients due to economic barriers ( Abiiro et al., 2014 ; Bonow et al., 2018 ; Kabore et al., 2017 ; Stewart et al., 2015 ). Our group has recently demonstrated excess mortality of 24% in a large cohort of patients at a tertiary referral center in Tanzania, from gaps in in-hospital care of severe TBI patients resulting in a 2-week mortality of 67% ( Mangat et al., 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Affordability impacts therapeutic intensity of acute management of severe traumatic brain injury patients: An exploratory study in Tanzania

Schenck¹,

Joackim²,

Lazaro³

et al. 2023

Brain and Spine

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“…O traumatismo cranioencefálico (TCE) pode ser definido como uma disfunção do sistema nervoso central de origem traumática, responsável por substancial morbimortalidade sobretudo em países em desenvolvimento. (DAVANZO;SIEG;TIMMONS, 2017;KABORE et al, 2017) Pela heterogeneidade das lesões, a conduta torna-se, em muitos casos, desafiadora e dependente da investigação por imagem. O comprometimento anatômico pode ser evidenciado pela análise da imagem de tomografia computadorizada (TC) de crânio.…”

Section: Introductionunclassified

Preditores tomográficos de mortalidade intra-hospitalar em TCE grave em um hospital terciário no Nordeste do Brasil / Tomographic predictors of in-hospital mortality in severe TBI in a tertiary hospital in Northeast Brazil

Melo¹,

Rocha²,

Souza³

et al. 2022

Braz. J. Hea. Rev.

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Introdução: O traumatismo cranioencefálico pode ser definido como uma disfunção do sistema nervoso central de origem traumática, responsável por substancial morbimortalidade sobretudo em países em desenvolvimento. O objetivo desse trabalho é identificar preditores tomográficos de mortalidade intra-hospitalar em um hospital terciário do nordeste do Brasil. Metodologia: Trata-se de um estudo de coorte retrospectivo com análise da sobrevida de 187 pacientes, durante o período de fevereiro de 2017 a março de 2018, que foram admitidos com TCE grave e que tinham TC de crânio realizada à admissão no Hospital de Urgência de Sergipe. Resultados: A idade média foi de 34,7 anos (14 a 94 anos), sendo 165 (88,2%) do sexo masculino. Do total de 187 pacientes com TCE grave, 56 (29,9%) tiveram como desfecho óbito no seguimento de 60 dias e, destes, 45 (80,3%) foram a óbito nos primeiros 15 dias de internamento. Foi identificado como fator preditor independente de mortalidade intra-hospitalar apenas o apagamento de cisternas da base com RR 3,7 (IC95% 1,9-6,9, p<0,001). Conclusão: somente o apagamento de cisternas foi identificado como preditor independente de mortalidade, aumentando em quase quatro vezes o risco de morte intra-hospitalar.Palavras-chave: trauma craniano, escala de coma de glasgow, epidemiologia, tomografia computadorizada.

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Head Computed Tomography Scan in Isolated Traumatic Brain Injury in a Low-Income Country

Cited by 7 publications

References 26 publications

Non-fatal injuries in rural Burkina Faso amongst older adults, disease burden and health system responsiveness: a cross-sectional household survey

Non-fatal injuries in rural Burkina Faso amongst older adults, disease burden and health system responsiveness: a cross-sectional household survey

Affordability impacts therapeutic intensity of acute management of severe traumatic brain injury patients: An exploratory study in Tanzania

Preditores tomográficos de mortalidade intra-hospitalar em TCE grave em um hospital terciário no Nordeste do Brasil / Tomographic predictors of in-hospital mortality in severe TBI in a tertiary hospital in Northeast Brazil

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