Head trauma: A significant public health concern among young men in Botswana. Etiology referral patterns and opportunities for interventions

Cox, Megan; Becker, Ted; Motsumi, Mpapho Joseph

doi:10.4081/jphia.2018.798

Cited by 3 publications

(3 citation statements)

References 18 publications

(18 reference statements)

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“…In this study, trauma was the leading cause of avoidable deaths. This nding is in keeping with previous studies conducted locally, showing trauma as the most common acute presentation and head injury as a signi cant public concern among young men in the country (12)(13)(14). Sixty-eight percent (68.2%) of road tra c collision (RTC) deaths in our country are considered preventable (15).…”

Section: Discussionsupporting

confidence: 90%

Impact of regular mortality and morbidity conferences on preventable death rates.

Motsumi

Chinyepi

Rackara

et al. 2023

Preprint

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Introduction: The role of mortality and morbidity conferences (M&MC) in surgical departments is to provide education and improve patient care. However, evidence in the literature that M&MCs reduce preventable deaths is sparse. Therefore, this study aimed to assess the impact of routine M&MC on the preventable death rate over four years. Methodology: This study used a quantitative research methodology. In this retrospective audit of the M&MC data, we collected all mortality data from the date the database started, July 2016, to December 2019, for the surgery department. The department adopted and adapted the criteria and definitions of preventability based on WHO guidelines for trauma quality improvement programs. We used the Pearson correlation statistic to evaluate the correlation between the time (years) since the start of routine M&MC and the preventable death rate. We secured ethical approval. Results: There were 4660 registered admissions from July 2016 to December 2019. Of these, 267 deaths were recorded, resulting in a crude mortality rate of 6%. Overall, the department considered 23% (61/267) of the deaths as preventable. A strong linear correlation (R2 = 0.982, p = 0.009) between the preventable death rate and time(years) since the commencement of routine M&MC was found. Trauma was the leading cause of preventable deaths (27.0%, 17/61). Conclusion: Our findings suggest that routine M&MCs have the desired effect of reducing preventable death rates. Further studies are required to investigate this observed effect.

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Section: Discussionsupporting

confidence: 90%

Impact of regular mortality and morbidity conferences on preventable death rates.

Motsumi

Chinyepi

Rackara

et al. 2023

Preprint

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“…An epidemiological review of emergency presentations to Botswana's largest referral hospital-Princess Marina Hospital (PMH)- in 2011 revealed that trauma was the second most common presenting problem in all age groups [ 7 ]. Trauma care in Botswana is currently inconsistent and not delivered in a systematic fashion and the country does not have a trauma registry or formal system for reporting trauma statistics in the health system [ 8 , 9 ]. Missing data variables and patient file unavailability are frequently encountered problems affecting trauma data retrieval [ [8] , [9] , [10] ].…”

Section: Introductionmentioning

confidence: 99%

“…Trauma care in Botswana is currently inconsistent and not delivered in a systematic fashion and the country does not have a trauma registry or formal system for reporting trauma statistics in the health system [ 8 , 9 ]. Missing data variables and patient file unavailability are frequently encountered problems affecting trauma data retrieval [ [8] , [9] , [10] ]. Manually searching and retrieval of these paper-based patient files from the registry department is a daunting process.…”

Section: Introductionmentioning

confidence: 99%

Developing a trauma registry in a middle-income country – Botswana

Motsumi

Mashalla

Sebego

et al. 2020

African Journal of Emergency Medicine

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Background Botswana has a large burden of disease from injury, but no trauma registry. This study sought to design and pilot test a trauma registry at two hospitals. Methods A cross sectional study was piloted at a tertiary hospital and a secondary level hospital in Botswana. The study consisted of two stages: stage 1 – stakeholders' consultation and trauma registry prototype was designed. Stage 2 consisted of two phases: Phase I involved retrospective collection of existing data from existing data collection tools and Phase II collected data prospectively using the proposed trauma registry prototype. Results The pre-hospital road traffic accident data are collected using hard copy forms and some of these data were transferred to a stand-alone electronic registry. The hospital phase of road traffic accident data all goes into hard copy files then stored in institutional registry departments. The post-hospital data were also partially stored as hard copies and some data are stored in a stand-alone electronic registry. The demographics, pre-hospital, triage, diagnosis, management and disposition had a high percent variable completion rate with no significant difference between phases I and II. However, the primary survey variables in Phase I had a low percent variable completion rate which was significantly different from the high completion rates in phase II at both hospitals. A similar picture was observed for the secondary survey at both hospitals. Conclusion Electronic trauma registries are feasible and data completion rate is high when using the electronic data registry as opposed to data collected using the existing paper-based data collection tools.

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Do regular morbidity and mortality conferences reduce preventable death rates? Our experience at Princess Marina Hospital

Motsumi,

Chinyepi,

Rackara

et al. 2023

Eur Surg

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Summary Background The role of morbidity and mortality conferences (M&MC) in surgical departments is to provide education and improve patient care. However, there is sparse evidence in the literature that M&MCs reduce preventable deaths. Therefore, this study aimed to assess the impact of routine M&MC on reducing the preventable death rate over 4 years at a tertiary hospital in Botswana. Methods This study used a quantitative research methodology. In this retrospective audit of the M&MC data, we collected all mortality data for the surgery department from the time the database started, July 2016, to December 2019. The department adopted and adapted the criteria and definitions of preventability based on the World Health Organization (WHO) guidelines for trauma quality improvement programs. We used the Pearson correlation statistic to evaluate the correlation between the time (years) since the start of routine M&MC and the preventable death rate. Ethical approval for the study was obtained. Results There were 4660 registered admissions from July 2016 to December 2019. Of these, 267 deaths were recorded, resulting in a crude mortality rate of 6%. Overall, the department considered 23% (61/267) of the deaths as preventable. A strong linear correlation (R2 = 0.982, p = 0.009) was found between the preventable death rate and time (years) since the commencement of routine M&MC. Trauma was the leading cause of preventable deaths (24.6%, 15/61). Conclusion Our findings suggest that routine M&MCs have the desired effect of reducing preventable death rates. Further studies are required to investigate this observed effect.

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Head trauma: A significant public health concern among young men in Botswana. Etiology referral patterns and opportunities for interventions

Cited by 3 publications

References 18 publications

Impact of regular mortality and morbidity conferences on preventable death rates.

Impact of regular mortality and morbidity conferences on preventable death rates.

Developing a trauma registry in a middle-income country – Botswana

Do regular morbidity and mortality conferences reduce preventable death rates? Our experience at Princess Marina Hospital

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