Pattern of Mortalities among Orthopaedic and Trauma Admissions in Irrua

Abstract

Background: There are many reports from different parts of the world addressing different aspects of surgical mortality. However, none has been done in this centre as it relates to orthopaedics and trauma admissions. Such data are invaluable to health planning and epidemiological monitoring. Objective: To retrospectively review all mortalities arising from orthopaedics and trauma admission as they present to Irrua specialist Teaching Hospital (ISTH) Irrua from Jan 2005-Dec 2014. Method: Medical records of case mortalities among orthopaedic and trauma admissions over ten years (Jan 2005-Dec 2014) were retrospectively reviewed. Results: Over this period, 2129 admissions and 45 deaths were recorded, with an overall crude mortality rate of 2.11%. No death was recorded among the paediatric age group. Thirty-four patients (75.56%) died from trauma (fracture) related diagnosis, majority of which were from head injury followed by infection 5 (11.11%), tumours 4, (8.89%) and disc herniation 2 (4.44%). Males were more affected 77.78% and median age at death was 44 years. Medical co-morbidities were found in 37.77% of the deceased patients. Conclusion: Patients with trauma related cases particularly head injuries, topped the list of mortalities. Young and middle aged adult males were most affected. Need for manpower development, investment in diagnostic and therapeutic facilities and preventive measures is emphasised.

Patients’ Satisfaction With Inpatient Orthopedic Physiotherapy Services at a Tertiary Hospital in Ghana

“…Its effect on productivity is also eminent as most of the study participants were employed and in their productive years. The study findings resonate the findings of previous studies conducted in other African orthopedic health settings and geographical locations within Ghana (18 –21). This continuing menace may be due to lack of enforcement of road laws, deplorable states of roads, poor lighting, lack of understanding, and observation of road signs precipitated by low levels of education as observed in this study.…”

“…Majority of the study participants were in their productive years (≤55). This may be closely related to the most common cause of admission found in this study, RTA, since RTAs have been found to be more common in younger populations by most studies (18 –21). A probable explanation for this trend could be because most traumatic incidents occur irrespective of comorbid conditions; increasing age is not directly correlated with these conditions.…”

Pattern of trauma admission and outcome among patients presented to Jimma University Specialized Hospital, south-western Ethiopia

“…From a demographic study of trauma worldwide, it commonly occurs in young productive force with more occurrence in males. 13 14 One-third of the deaths occurred in the age range of 11–40 years, which is similar to the research done in other low and middle-income countries. 1 9 15 Probably, this could be due to the majority of outdoor activities performed by adults and children in low and middle-income countries like Ethiopia, 15 and males are more affected with traumas.…”

Epidemiology And Pattern Of Orthopaedic Trauma In Patients Admitted To The Surgical Ward Of A Regional Hospital

“…An in-ward crude mortality rate of 1.98 was observed over the study period, similar to a study conducted in Nigeria 18 but slightly lower than two other studies conducted in sub-Saharan Africa 19 and the United Kingdom 20 .…”