Prise en charge de la douleur postoperatoire chez l’enfant au Chu Tokoin De Lome (Togo)

Tomta, K; Mouzou, T; Egbohou, P; Bissang, A; Ahouangbevi, S; Chobli, M.

doi:10.4314/jrsul.v12i2.68005

Cited by 3 publications

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“…This explains the high frequency of accidents on public roads, which accounted for 96% of aetiologies in our study. This predominance of road accidents was also found in the series by Tomta et al in Lomé in 2011, who reported 76.96% [18]; similarly, Akodjènou et al in Benin in 2019 found a frequency of 90% [14].…”

Section: Discussionsupporting

confidence: 69%

“…The incidence of TBI in developing countries varies between 150 and 316 cases per 100,000 inhabitants per year [6]. In Togo, TBI accounted for 27.13% of patients admitted to the intensive care unit in Lomé in 2011 [7]. Road traffic accidents are the main cause in both developed and developing countries [7] [8].…”

Section: Introductionmentioning

confidence: 99%

“…In Togo, TBI accounted for 27.13% of patients admitted to the intensive care unit in Lomé in 2011 [7]. Road traffic accidents are the main cause in both developed and developing countries [7] [8]. Statistics show that at least 70% of those injured by two-wheeled vehicles are either killed as a result of head injuries or suffer sequelae for the rest of their lives [8].…”

Section: Introductionmentioning

confidence: 99%

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Management of Traumatic Brain Injuries at the Kara Regional Hospital

Dossouvi,

Towoezim,

Moumouni

et al. 2024

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Introduction: Traumatic Brain Injury (TBI) is a major public health problem causing significant morbidity and mortality in young adults. This study aimed to describe the epidemiological, diagnostic, therapeutic, and evolutionary aspects of TBI. Materials and Methods: This was a prospective, descriptive study conducted from 1 April 2022 to 31 March 2023 on patients admitted to and treated for cranioencephalic trauma in the General Surgery department of Kara Regional Hospital. Results: Eighty-three (83) patients with cranioencephalic trauma were managed out of 773 patients admitted to the department during the study period. The mean age was 34 ± 14.98 years and the sex ratio was 3.6 in favour of men. Motorbike taxi drivers were the social group most affected (n = 33, 40%). The causes of trauma were dominated by public road accidents (n = 80; 96%). TBI was mild (n = 40; 48%), moderate (n = 35; 42%) and severe (n = 8; 10%). Cerebral CT scans were performed in 19 patients (23%). Cerebral contusion (n = 4) was the most frequent cerebral lesion. Six patients (7%) with severe head injuries were transferred to Kara University Hospital. Six deaths (7%) occurred in patients with severe head injuries. The main sequelae were intermittent headaches in all patients reviewed, and memory problems (6%). Conclusion: Traumatic brain injuries are common at Kara Regional Hospital. Severe cranial trauma is less frequent but leads to death because of financial difficulties and limited technical facilities.

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Section: Discussionsupporting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Management of Traumatic Brain Injuries at the Kara Regional Hospital

Dossouvi,

Towoezim,

Moumouni

et al. 2024

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“…As far as traumatic comas are concerned, 20.9% of our patients had died. This rate is near the one reported by Tomta et al (19.11%) [7], but it is however below 52.2% reported by Abdelhamid et al in Morocco [16]. Nevertheless, we registered 36.8% of deaths in non-traumatic comas.…”

Section: Evolution and Prognostic Datacontrasting

confidence: 51%

Prognostic Factors of Comas in the Intensive Care Unit of the University Teaching Hospital of Parakou (Benin)

Adélin¹,

Armel²,

Eugene³

et al. 2015

JBBS

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Background: Coma is a highly frequent situation associated with several diseases. Objective: That is to assess the prognostic factors of comas at the intensive care unit of the university teaching hospital of Parakou. Patients and Methods: It is a cross-sectional study with descriptive and analytical purpose based on prospective gathering of data. It has been performed from March 1 to July 31, 2014. The population study consists of 100 adult patients admitted to the intensive care unit for coma. The vital and functional prognosis data are studied. Results: The admission frequency of comatose patients to the intensive care unit is 44.4%. Patients' mean age is 27 ± 13.9 years with extremes of 16 and 88 years. The average length of stay in the intensive care unit is 5.2 ± 5.6 days with extremes of 2 hours 30 minutes and 30 days. Mortality rate is 30%. Poor prognostic factors are: average Glasgow score of 6.8 ± 2.9 (p = 0.01), average outpatient simplified severity index (OSSI) of 9.1 ± 3.5 (p = 0.02), pupillary abnormality (p = 0.00), motor weakness (p = 0.00), average glycemia of 1.5 ± 0.82 g/L (p = 0.02), average systolic blood pressure of 130.9 ± 44.5 mm Hg (p = 0.03), average diastolic blood pressure of 80.8 ± 22.3 mm Hg (p = 0.03), average respiratory rate of 30.9 ± 10.6 cycles/min (p = 0.03) and average temperature of 37.8˚C ± 1.2˚C (p = 0.03). Conclusion: Coma is a pathological entity with high frequency in clinical medicine. Its positive diagnosis is easy, * Corresponding author. but etiological research is hard. Hospital mortality is high and influenced by several factors. Taking into account, those factors in care strategies can improve their prognosis.

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“…Dans l'étude une perte de connaissance initiale a été noté chez 85.3% des patients avec une durée de la perte de connaissance supérieure à 1 heure dans la majorité des cas soit 10.2%. Ces taux sont supérieurs à celle de Tomta [18] à Lomé qui était de 58.3%.…”

Section: 1unclassified

Aspects épidémio-cliniques et tomodensitométriques des lésions crânio-encéphaliques des accidentés de la voie publique par engins à deux roues à Bouaké (Côte d’Ivoire)

Admin,

KONATE Issa,

YAO Brou Lambert

et al. 2020

J Afr Imag Méd

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Objective: To describe the epidemiological, clinical and computed tomography aspects of cranio-encephalic lesions of road accident victims by two-wheeled vehicles in Bouaké Patients and methods: Cross-sectional descriptive study carried out from January 1, 2015 to October 31, 2016 in two medical imaging departments in Bouaké. It included traumatic brain injuries proved on non-enhanced ct-scan. The studied variables was epidemiological, clinical and ct-scan lesions. Results: One hundred and fifty patients were included, among which 139 men. The mean age was 30.8 years (extremes: 2 to 83 years); 32% of patients was aged between 21 and 30 years. The accident involved a motorcycle in 95.3% of the cases in a motor cycle against motor cycle mechanism. The victim was the driver or passenger of the motor cycle in 74 and 14% of the cases, respectively. The victim was wearing a safety helmet in 6.7% of the cases. Computed tomography revealed cerebral and extra-parenchymal (67%), bony (25%), scalp (8%) brain lesions. Parenchymal and extra-parenchymal brain lesions were dominated by hemorrhagic contusion (68.4%) and frontal subdural hematoma (37.6%), respectively. The site of the fracture was left-temporo-parietal in 34.6%. Conclusion: Road traffic accident victims involving two-wheel drive vehicles are mostly young men who rarely wear a safety helmet. The motorbike-motorbike mechanism accident and the hemorrhagic brain contusion was mostly observed. Prevention based on wearing a safety helmet and respecting the road safety code should be observed. RESUME Objectif : Décrire les aspects épidémio-cliniques et tomodensitométriques des lésions crânio-encéphaliques des accidentés de la voie publique par engins à deux roues à Bouaké. Patients et méthodes : Etude transversale descriptive réalisée du 1er Janvier 2015 au 31 Octobre 2016 dans deux services d’imagerie médicale de Bouaké. Elle a inclus des traumatisés crâniens documentés par un scanner crânio-encéphalique sans injection de produit de contraste. Les variables étudiées portaient sur les aspects épidémio-cliniques et tomodensitométriques. Résultats: Cent cinquante patients étaient inclus dont 139 hommes. L’âge moyen était de 30.8 ans (2 et 83 ans). Dans 32% des cas l’âge était compris entre 21 et 30 ans. L’accident impliquait une moto dans 95,3% des cas dans un mécanisme moto contre moto. La victime était conductrice et passager de la moto respectivement dans 74 et 14% des cas. La victime portait un casque de sécurité dans 6,7% des cas. La tomodensitométrie a révélé des lésions cérébrales parenchymateuses cérébrales et extra-parenchymateuses (67%), osseuses (25%), du scalp (8%). Les lésions cérébrales parenchymateuses et extra-parenchymateuses étaient dominées respectivement par la contusion œdémato-hémorragique (68,4%) et l’hématome sous-dural frontal (37,6%). Le siège de la fracture était temporo-pariétal gauche dans 34,6%. Conclusion : Les accidentés de la voie publique impliquant les engins à deux roues motrices sont en majorité des hommes jeunes portant rarement un casque de sécurité. Le mécanisme moto-moto prédomine et la contusion œdémato-hémorragique était la lésion la plus fréquente. La prévention parr le port de casque de sécurité et le respect du code de sécurité routière doit être renforcée.

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Prise en charge de la douleur postoperatoire chez l’enfant au Chu Tokoin De Lome (Togo)

Cited by 3 publications

References 0 publications

Management of Traumatic Brain Injuries at the Kara Regional Hospital

Management of Traumatic Brain Injuries at the Kara Regional Hospital

Prognostic Factors of Comas in the Intensive Care Unit of the University Teaching Hospital of Parakou (Benin)

Aspects épidémio-cliniques et tomodensitométriques des lésions crânio-encéphaliques des accidentés de la voie publique par engins à deux roues à Bouaké (Côte d’Ivoire)

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