Pattern of trauma in elderly patients seen at the trauma centre of national hospital Abuja, Nigeria

Okoye, Onyedika; Olaomi, Oluwole; Osi-Ogbu, Ogugua; Gwaram, Usman Adamu

doi:10.1016/j.afjem.2021.06.001

Cited by 6 publications

(4 citation statements)

References 36 publications

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“…Our study found that 13.3% of the injury population at KCMC was older than 65 years of age, compared to previous studies which had around 9%, from different regions in Tanzania (7)(8)(9). In studies conducted in other areas of Africa, the older adult injury population made up less than 5% of their injury population (28)(29)(30). KCMC's larger older adult injury population may be due to the demographic shift occurring globally.…”

Section: Discussioncontrasting

confidence: 68%

The older the injured, the worse the outcomes: A comparison of injury patterns and in-hospital outcomes between younger and older adult trauma patients at a tertiary hospital in Northern Tanzania.

Shewiyo,

Njau,

de Oliveira

et al. 2024

Preprint

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Background: The number of older adults (>60 years) is projected to double by 2050 in Sub-Saharan Africa (SSA). This demographic shift has increased the number of traumatic injuries in this population with 1 in 10 trauma patients in Tanzania being an older adult. Geriatric specialization is all but absent in many LMICs healthcare systems including Tanzania. To inform interventions to optimize healthcare among this unique population, this study aimed to describe the characteristics of injuries and in-hospital complications among older adult trauma patients treated at Kilimanjaro Christian Medical Centre (KCMC), a tertiary hospital in Northern Tanzania.Methods: This was a cross-sectional secondary analysis using an adult injury registry from the KCMC in Tanzania. KCMC is a tertiary hospital located in the Kilimanjaro region serving >15 million people. This study included all adult trauma patients (>18 years) from the trauma registry from 2020-2024. We described the injured older adult trauma patients’ socio-demographics, clinical characteristics, and injury patterns compared to younger patients. The main outcomes were length of stay (LOS) and in-hospital mortality. Ethics approval for the study was obtained from the following ethics boards: KCMC, the National Institute for Medical Research in Tanzania, and Duke University. Results: Our study included 3,296 adult injured patients with (13.3%) being older adults (>60 years). The median age of the sample was 34 years (IQR: 26-48) with older adults having a median age of 70 (IQR: 64-79). There were significant differences in all patient characteristics and in-hospital outcomes between older and younger injured adults. Older adult injured patients had higher female representativeness (43%) than younger patients (16%) (p<0.001). Older adult patients took an average of 4 hours longer to reach care following injury compared to younger adults (p<0.001). The majority of older adults had fall mechanisms (56%) while the majority of younger adults had road traffic crash mechanisms (67%) (p<0.001). The majority of older adults had mild severity of injury (86%) than younger adults (27%) (p<0.001). However, the majority of older adult patients required hospitalization (91%) or surgery (66%) following injury than younger adults (85%, 58% respectively) (p=0.002). Older adult injury patients had higher proportions of NCDs: diabetes (12%) and hypertension (26%) compared to younger patients (1% and 2% respectively) (p<0.001). Lastly, older adults spent on average 4 days more at the hospital than younger adults with higher proportions of in-hospital deaths (9%) than the younger adults (4%) (p<0.001). Conclusion: Our study demonstrates the significant differences between the injured older adult patients and the younger adult patients at KCMC. Specifically, older adults had a higher proportion of comorbidities; took longer times to reach care; required hospitalization and surgeries from minor mechanisms (falls); and had twice as long hospital stays and in-hospital deaths. Our findings highlight the differences in care required for older adult trauma patients and provide evidence to support the creation and implementation of older adult-specific interventions to improve outcomes and mobilize healthcare resources for this growing population following trauma.

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Section: Discussioncontrasting

confidence: 68%

The older the injured, the worse the outcomes: A comparison of injury patterns and in-hospital outcomes between younger and older adult trauma patients at a tertiary hospital in Northern Tanzania.

Shewiyo,

Njau,

de Oliveira

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…[ 6 ] The sex distribution in our review reveals equal affectation (M:F; 1:1.1); however, other studies showed greater affectation in males for some, whereas others showed higher affectation in females. [ 6 24 ] Some of the reasons given for increased male affectation include men adventurous nature as well as the bread-winning role of men.…”

Section: Discussionmentioning

confidence: 74%

The Burden of Geriatric Trauma at the University College Hospital, Ibadan Nigeria

Ogunrewo

Alonge

2022

Journal of West African College of Surgeons

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Background: Geriatric populations presently account for 9% of the world population and this is expected to increase. Injuries to the elderly accounted for 5.8 million accident and emergency visits in the US as well as 4% of patients treated for traumatic injuries in Abuja, Nigeria. Traumatic injury is therefore a major cause of morbidity in the elderly as such the need for the study in our environment. Aims and Objectives: The aim of this study was to review the incidence and types of traumatic injury among the elderly population that presented at the University College Hospital Ibadan and to determine the causes of traumatic injury involving the geriatric age group in our environment. Materials and Methods: A retrospective hospital-based study involving the records of geriatric patients that presented with traumatic injuries between January 2014 and June 2021 at the geriatric center and the accident and emergency department of the hospital. The record was retrieved from the Total Quality Management Unit of the hospital. Results: Approximately 7.61% of the traumatic injury that presented at the accident and emergency department within the study period involved geriatric patients with a male-to-female ratio of 1:1.08, whereas 0.3% of the patients for inpatient care at the geriatric center had a traumatic injury. Fall was the most common cause of traumatic injury observed and fracture was the most common traumatic injury observed. Conclusion: Less than 10% of the patients with the traumatic injury that presented at the University College Hospital Ibadan are in the geriatric age group. Most of the traumatic injury involving geriatric patients in our environment is due to low energy falls and fracture is the most common injury observed with the femur being the most affected bone. Therefore, interventions directed at reducing the incidence of falls in our environment will hopefully help in reducing the incidence of traumatic injuries in older person.

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“…[ 6 ] The sex distribution in our review reveals equal affectation (M:F; 1:1.1); however, some studies showed greater affectation in males, whereas others showed higher affectation in females. [ 6 24 ] Some of the reasons given for increased male affectation include men adventurous nature as well as the bread winning role of men.…”

Section: Discussionmentioning

confidence: 91%

“…[ 5 ] In a report from Abuja, Nigeria, elderly patients accounted for 4% of patients treated for trauma-related injuries. [ 6 ]…”

Section: Introductionmentioning

confidence: 99%

The Burden of Geriatric Trauma at the University College Hospital, Ibadan, Nigeria

Ogunrewo

Alonge

2021

Journal of West African College of Surgeons

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Background: Geriatric populations presently account for 9% of the world population and this is expected to increase. Injuries to the elderly accounted for 5.8 million accident and emergency visits in the USA as well as 4% of patients treated for traumatic injuries in Abuja, Nigeria. Traumatic injury is therefore a major cause of morbidity in the elderly as such the need for the study in our environment. Aims and Objectives: The aim(s) of this article is to review the incidence and types of traumatic injury among elderly population who presented at the University College Hospital, Ibadan, Nigeria and to determine the causes of traumatic injury involving the geriatric age group in our environment. Materials and Methods: A retrospective hospital-based study involving the records of geriatric patients who presented with traumatic injuries between January 2014 and June 2021 at the geriatric center and the accident and emergency department of the hospital. The record was retrieved from the Total Quality Management Unit of the hospital. Results: About 7.61% of the traumatic injury that presented at the accident and emergency department within the study period involved geriatric patients with a male-to-female ratio of 1:1.08, whereas 0.3% of the patients for inpatient care at the geriatric center had traumatic injury. Fall was the most common cause of traumatic injury observed and fracture the most common traumatic injury observed. Conclusion: Less than 10% of the patients with traumatic injury who presented at the University College Hospital, Ibadan, Nigeria are in the geriatric age group. Most of the traumatic injury involving geriatric patients in our environment is due to low energy falls, and fracture is the most common injury observed, with the femur being the most affected bone. Therefore, interventions directed at reducing the incidence of falls in our environment will hopefully help in reducing the incidence of traumatic injuries in the older population.

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Pattern of trauma in elderly patients seen at the trauma centre of national hospital Abuja, Nigeria

Cited by 6 publications

References 36 publications

The older the injured, the worse the outcomes: A comparison of injury patterns and in-hospital outcomes between younger and older adult trauma patients at a tertiary hospital in Northern Tanzania.

The older the injured, the worse the outcomes: A comparison of injury patterns and in-hospital outcomes between younger and older adult trauma patients at a tertiary hospital in Northern Tanzania.

The Burden of Geriatric Trauma at the University College Hospital, Ibadan Nigeria

The Burden of Geriatric Trauma at the University College Hospital, Ibadan, Nigeria

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