The characteristics and outcomes of trauma admissions to an adult general surgery ward in a tertiary teaching hospital

Bedada, Alemayehu Ginbo; Tarpley, Margaret J.; Tarpley, John L.

doi:10.1016/j.afjem.2021.04.002

Cited by 7 publications

(1 citation statement)

References 22 publications

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“…Botswana's first Government emergency medical system (EMS) was initiated by Botswana in 2012 [39] and comprised of nurses, EMTs, healthcare assistants, and drivers; they were stationed in six centers covering significant towns and villages. Pre-hospital care has not been centrally coordinated, and government ambulances are used to transport most patients needing emergency care in rural areas [ 24 , 40 ]. There is no clear standard of pre-hospital care training, and general nurses provide most of the ambulance care [26] .…”

Section: Emergency Departments and Emergency Nursing Carementioning

confidence: 99%

Nurses and emergency nursing care in Botswana

Mamalelala

Dithole

Maripe-Perera

2023

African Journal of Emergency Medicine

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Section: Emergency Departments and Emergency Nursing Carementioning

confidence: 99%

Nurses and emergency nursing care in Botswana

Mamalelala

Dithole

Maripe-Perera

2023

African Journal of Emergency Medicine

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Experiences of rural nurses with emergency patient transport in a resource limited setting

Mamalelala,

Holzemer,

Seloilwe

et al. 2023

International Emergency Nursing

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Perioperative mortality among trauma patients in Northwest Ethiopia: a prospective cohort study

Endeshaw,

Dejen,

Zewdie

et al. 2023

Sci Rep

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Trauma is the leading cause of mortality in persons under 45 and a significant public health issue. Trauma is the most frequent cause of perioperative mortality among all surgical patients. Little is known about perioperative outcomes among trauma patients in low-income countries. This study aimed to assess the incidence and identify predictors of perioperative mortality among adult trauma victims at Tibebe Ghion Specialised Hospital. From June 1, 2019, to June 30, 2021, a prospective cohort study was conducted at Tibebe Ghion Specialized Hospital. Demographic, pre-hospital and perioperative clinical data were collected using an electronic data collection tool, Research Electronic Data Capture (REDCap). Cox proportional hazard model regression was used to assess the association between predictors and perioperative mortality among trauma victims. Crude and adjusted hazard ratio (HR) with a 95% confidence interval (CI) was computed; a p-value < 0.05 was a cutoff value to declare statistical significance. One thousand sixty-nine trauma patients were enrolled in this study. The overall incidence of perioperative mortality among trauma patients was 5.89%, with an incidence rate of 2.23 (95% CI 1.74 to 2.86) deaths per 1000 person-day observation. Age ≥ 65 years (AHR = 2.51, 95% CI: 1.04, 6.08), patients sustained blunt trauma (AHR = 3.28, 95% CI: 1.30, 8.29) and MVA (AHR = 2.96, 95% CI: 1.18, 7.43), trauma occurred at night time (AHR = 2.29, 95% CI: 1.15, 4.56), ASA physical status ≥ III (AHR = 3.84, 95% CI: 1.88, 7.82), and blood transfusion (AHR = 2.01, 95% CI: 1.08, 3.74) were identified as a significant predictor for perioperative mortality among trauma patients. In this trauma cohort, it was demonstrated that perioperative mortality is a healthcare burden. Risk factors for perioperative mortality among trauma patients were old age, patients sustaining blunt trauma and motor vehicle accidents, injuries at night, higher ASA physical status, and blood transfusion. Trauma care services need improvement in pre-hospital and perioperative care.

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The characteristics and outcomes of trauma admissions to an adult general surgery ward in a tertiary teaching hospital

Cited by 7 publications

References 22 publications

Nurses and emergency nursing care in Botswana

Nurses and emergency nursing care in Botswana

Experiences of rural nurses with emergency patient transport in a resource limited setting

Perioperative mortality among trauma patients in Northwest Ethiopia: a prospective cohort study

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