Unnecessary admissions of head-injured patients at the University Hospital of the West Indies

Crandon, Ivor W; Harding-Goldson, H. E.; Benaris, M.; McDonald, AH

doi:10.1590/s0043-31442007000300006

Cited by 6 publications

(5 citation statements)

References 8 publications

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“…Our results showed that the most common cause of injury was motor vehicle accidents, the high prevalence of RTA (71%), was consistent with 96%, 62.3 from Nigeria (Solagberu et al, 2002;Thanni & Kehinde, 2006). According to reports, this rate is higher than that of the Netherlands (19%) (Oskam et al, 1994), Kenya (18% to 31%), the West Indies (20%), and Kenya (19%) (Crandon et al, 1994).…”

Section: Discussionsupporting

confidence: 86%

Pattern of Traumatic Deaths in Patients Admitted to Soad Kafafy Hospital. Medicolegal Study

Khater,

Ramadan,

Khattab

2023

The Egyptian Journal of Forensic Sciences and Applied Toxicolog

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Background:The fifth most frequent cause of reported impairment is trauma, and is thought to be responsible for 10% of all deaths globally. For the first four decades of life, it continues to be the biggest threat to public health and the main reason for death and disability. Objectives: The current study aims to evaluate cases of death due to traumatic injuries admitted to Soad Kafafy Hospital regarding the manner of exposure, causes of injury, mechanism of injury, and time between admission and death. Methods: This study was a cross-sectional retrospective study conducted on cases of traumatic injury admitted to Soad kafafy hospital from the first of January till the last day of December 2019. Data was collected from the patient's records regarding demographic data, department of admission, and other data on medico-legal aspects such as exposure, causes of injury, mechanism of injury and time between admission and death. Results: thirty-five deaths due to traumatic causes were included within the study period. The majority of cases were males (71.4%) and the majority of them were within the first (< 10 years) and the fourth (30-40 years) age groups. The majority of cases were exposed to motor vehicle accidents and died due to head trauma. There was a significant correlation between the cause of injury, cause and manner of death, and period of survival. Conclusions and Recommendations: Motor vehicle accidents were the most common cause of injury-related deaths, the majority of causes fall under category A (CNS causes) and the highest percentage of deaths occurred after more than seven days. however, homicidal physical attacks, with Class A (CNS) injuries, and acute or early mortality were anticipated. Therefore, Prompt identification and early treatment are critical when a patient meets those criteria.

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Section: Discussionsupporting

confidence: 86%

Pattern of Traumatic Deaths in Patients Admitted to Soad Kafafy Hospital. Medicolegal Study

Khater,

Ramadan,

Khattab

2023

The Egyptian Journal of Forensic Sciences and Applied Toxicolog

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“…Nine of these were GSWs primarily as a result of looting and robbery attempts. Previous studies done at this institution revealed that trauma accounted for approximately 20% of admissions and that interpersonal violence accounted for approximately 40% of these cases (6). The high number of GSW-related injuries in a natural disaster is alarming and it places a heavy burden on the limited budget of the health sector.…”

Section: Discussionmentioning

confidence: 92%

The effect of hurricane Ivan on emergency department operations at the University Hospital of the West Indies

Williams¹,

Williams-Johnson²,

French³

et al. 2005

West Indian med. j.

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events such as earthquakes or fires which involve the hospital directly. A preparatory or warning phase, however, may be possible in many instances, such as hurricanes. During this time, inventories should be established and needs should be anticipated.Hurricane disasters may cause large spontaneous or organized population movements, often to areas where health services cannot cope with the new situation, thus leading to an increase in morbidity and mortality. Displacing large populations may also increase the risks of outbreaks of communicable diseases both in the displaced and the host community, where large populations of displaced persons may be crowded together and share unsanitary conditions or

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“…Countries relying on paper for data collection with subsequent computer entry included Cameroon, 31 Pakistan, 36 and India. 33 In contrast electronic data collection and web-based storage was utilized by several national databases including Malaysia, 26 Jamaica 24 , 25 and the Iranian NSCIR, 20 all of which used a different custom web-based application. In Rwanda, an electronic secure web-based prehospital registry using a REDCap database, developed at Vanderbilt University in Nashville, Tennessee, USA, had been previously created in collaboration with the authors of the study.…”

Section: Resultsmentioning

confidence: 99%

“…The summary of our literature review appears in Figure 1. We found 20 studies reporting on 10 national trauma registries for Brazil, 11,12 China, [13][14][15] Fiji, [16][17][18] Iran, [19][20][21][22][23] Jamaica, 24,25 Malaysia, 26 Egypt, 27 Pakistan, 28 Rwanda 29 and Mexico. 30 The trauma registry data for Brazil was unobtainable, so we included 9 different countries in five different WHO regions: Africa (Rwanda), the Americas (Jamaica and Mexico), the Eastern Mediterranean (Egypt, Iran and Pakistan), South-East-Asia (India), the Western Pacific (China, Fiji and Malaysia).…”

Section: Systematic Scoping Review: Data Extractionmentioning

confidence: 99%

Neurotrauma Surveillance in National Registries of Low-and Middle-Income Countries: A Scoping Review and Comparative Analysis of Data Dictionaries

Barthélemy

Hackenberg

Lepard

et al. 2021

Int J Health Policy Manag

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Background: Injury is a major global health problem, causing >5,800,000 deaths annually and widespread disability largely attributable to neurotrauma. 89% of trauma deaths occur in low- and middle-income countries (LMICs), however data on neurotrauma epidemiology in LMICs is lacking. In order to support neurotrauma surveillance efforts, we present a review and analysis of data dictionaries from national registries in LMICs. Methods: We performed a scoping review to identify existing national trauma registries for all LMICs. Inclusion/exclusion criteria included articles published since 1991 describing national registry neurotrauma data capture methods in LMICs. Data sources included PubMed and Google Scholar using the terms "trauma/neurotrauma registry" and country name. Resulting registries were analyzed for neurotrauma-specific data dictionaries. These findings were augmented by data from direct contact of neurotrauma organizations, health ministries, and key informants from a convenience sample. These data were then compared to the WHO minimum dataset for injury (MDI) from the international registry for trauma and emergency care. Results: We identified 15 LMICs with 16 total national trauma registries tracking neurotrauma-specific data elements. Among these, Cameroon had the highest concordance with the MDI, followed by Colombia, Iran, Myanmar and Thailand. The MDI elements least often found in the data dictionaries included helmet use, and alcohol level. Data dictionaries differed significantly among LMICs. Common elements included Glasgow Coma Score, mechanism of injury, anatomical site of injury and injury severity scores. Limitations included low response rate in direct contact methods. Conclusion: Significant heterogeneity was observed between the neurotrauma data dictionaries, as well as a spectrum of concordance or discordance with the MDI. Findings offer a contextually relevant menu of possible neurotrauma data elements that LMICs can consider tracking nationally to enhance neurotrauma surveillance and care systems. Standardization of nationwide neurotrauma data collection can facilitate international comparisons and bidirectional learning among health care governments.

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Unnecessary admissions of head-injured patients at the University Hospital of the West Indies

Cited by 6 publications

References 8 publications

Pattern of Traumatic Deaths in Patients Admitted to Soad Kafafy Hospital. Medicolegal Study

Pattern of Traumatic Deaths in Patients Admitted to Soad Kafafy Hospital. Medicolegal Study

The effect of hurricane Ivan on emergency department operations at the University Hospital of the West Indies

Neurotrauma Surveillance in National Registries of Low-and Middle-Income Countries: A Scoping Review and Comparative Analysis of Data Dictionaries

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