Outcome of head injuries in general surgical units with an off-site neurosurgical service

Zulu, B. M. W.; Mulaudzi, Thanyani Victor; Madiba, T. E.; Muckart, D. J. J.

doi:10.1016/j.injury.2007.01.002

Cited by 22 publications

(31 citation statements)

References 17 publications

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“…These are compelling issues for debate in Nigeria and all of the LMIC with the extra-acute burden of HI as noted. On one hand and similar to the statistics from the industrialized nations discussed above, MiHI constitutes a great percentage of the burden of the regions' HI, and has very good outcome 10,17 . It constituted 60% of our earlier study of HI in the same unit and had good vs poor outcome rates of 97.6 vs 2.4%.…”

Section: The Global Picturesupporting

confidence: 60%

Inter-hospital transfer for neurosurgical management of mild head injury in a developing country: A needless use of scarce resources?

Adeleye

Okonkwo

2011

The Indian Journal of Neurotrauma

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Some authorities in the world's industrialized nations now believe that the care of patients with mild (and even some moderate) head injury (MiHI) in general is an unnecessary additional burden on their already over-tasked neurosurgical workforce. There is a high rate of inter-hospital transfer for neurosurgical evaluation of cases of MiHI in Nigeria, an African developing country. This may be needless in many cases. We therefore conducted a prospective in-hospital cohort study of cases of MiHI managed in a new neurosurgical service in a Nigerian university teaching hospital over an 8-month period. Clinical and in-hospital outcome characteristics of the cases were analysed and presented in descriptive statistics. Subgroup analysis was then carried out between cases presenting directly post-trauma in our unit and those referred to us for neurosurgical management from other health facilities. Inferences were made based on the chi-squared test and the 2-tailed t-test, and the significant level was set at p < 0.05. Eighty-four cases of MiHI were analysed, 72 males, 12 females. The causative trauma was road traffic related in 65.5%, and 25.0% had other extracranial injuries. The admission GCS was 14 or 15 in 93%. Seventy percent of the cases were referred from other (including tertiary) medical facilities. With mean length of stay of 6.15 days, the over-all inhospital good vs poor outcome rates were 97.6 vs 2.4% on the dichotomised GOS. There was no significant difference (p > 0.10) between the two subgroups with respect to either the post treatment in-hospital outcome variables, or in their clinical determinants. Majority of the cases of mild head injury that were so treated in this study population did not need the inter-hospital transfer for neurosurgical management. Large studies are needed to determine the clinicopathologic indices predictive of the few cases that may be an exception to this assumption.

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Section: The Global Picturesupporting

confidence: 60%

Inter-hospital transfer for neurosurgical management of mild head injury in a developing country: A needless use of scarce resources?

Adeleye

Okonkwo

2011

The Indian Journal of Neurotrauma

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“…In 2007, a South African study (prospective observational, total n = 316, initial 86 and subsequent 230) investigated the outcome of head injuries in general surgical units with an offsite neurosurgical consultation service. 142 This publication was based on two sequential studies. The first was a pilot study in a single surgical unit over 18 months, followed by a larger study over 6 months in six surgical units.…”

Section: Health Outcomesmentioning

confidence: 99%

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

Bashshur

Krupiński

Thrall

et al. 2016

Telemedicine and e-Health

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Introduction: Radiology was founded on a technological discovery by Wilhelm Roentgen in 1895. Teleradiology also had its roots in technology dating back to 1947 with the successful transmission of radiographic images through telephone lines. Diagnostic radiology has become the eye of medicine in terms of diagnosing and treating injury and disease. This article documents the empirical foundations of teleradiology. Methods: A selective review of the credible literature during the past decade (2005-2015) was conducted, using robust research design and adequate sample size as criteria for inclusion. Findings: The evidence regarding feasibility of teleradiology and related information technology applications has been well documented for several decades. The majority of studies focused on intermediate outcomes, as indicated by comparability between teleradiology and conventional radiology. A consistent trend of concordance between the two modalities was observed in terms of diagnostic accuracy and reliability. Additional benefits include reductions in patient transfer, rehospitalization, and length of stay.

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“…13, October-December, 2014 young adults, commonly males who were involved in a RTA. [21][22][23][24][25] Most patients in this study did not survive their head injury. The proportion of patients who died during ICU admission is similar to 56% reported by a study in Kenya.…”

Section: Outcome Analysismentioning

confidence: 99%

Effect of demographic and injury etiologic factors on intensive care unit mortality after severe head injury in a low middle income country

Jaja

Eghwrudjakpor

2014

Ann Afr Med

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Outcome of head injuries in general surgical units with an off-site neurosurgical service

Cited by 22 publications

References 17 publications

Inter-hospital transfer for neurosurgical management of mild head injury in a developing country: A needless use of scarce resources?

Inter-hospital transfer for neurosurgical management of mild head injury in a developing country: A needless use of scarce resources?

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

Effect of demographic and injury etiologic factors on intensive care unit mortality after severe head injury in a low middle income country

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