TRAUMA ADMISSIONS INTO THE INTENSIVE CARE UNIT AND OUTCOME OF CARE IN A TERTIARY HEALTH FACILITY

Olajumoke T.O, Oyebamiji E.O, Afolayan J.M, Adekunle M.O

Available online Jul 19, 2018.

[ Original ] Volume 23, Issue 4, 2014, Pages 296-301


Abstract

Background
Trauma remains a leading cause of morbidity and mortality in resource challenged economies1. In Nigeria, the
number of deaths due to trauma-induced injuries is on the rise.Major trauma victims are usually from road traffic
accidents and are managed at the accident and emergency unit while the severe ones are admitted into the
2 intensive care unit
Methodology
All trauma admissions to the intensive care unit (ICU) of LAUTECH Teaching Hospital Osogbo over a 5year period
(2008-2012) after ethical approval from the ethical unit of the hospital were reviewed.
Results
During the study period,112 trauma patients were admitted to the ICU,representing 68% of total ICU admissions.
The male:female ratio of ICU trauma cases was 3:1.Out of the trauma admissions 83(74.1%) of the cases came as
emergency from the accident and emergency unit while 2.4% and 1.6% respectively came from operating theatre
and the general ward respectively. 83(74.1%%) of trauma cases admitted were road traffic accidents, while
20(17.9%) were burns not related to RTA and the remaining 8(9%) were due to falls, fight/assault.Most of the road
traffic accidents related trauma patients admitted to the intensive care unit had head injuries (66.3%) while 7% and
12% had multiple fractures and chest injuries respectively.The mean patient age was 35 years and the mean duration
of ICU stay was 6.3± 8.4 days.Survivors had a longer ICU stay
Conclusion
Trauma is a major cause of hospitalization and intensive care utilization.It also consumes a significant amount of the
health care budget.In most instances it is preventable.Trauma prevention,the most effective management strategy,
should include increased public education, improved security, better implementation of legislative measures to
ensure safety for all road users,control of firearms,and minimizing domestic and intentional violence.Appropriate,
aggressive intensive care in combination with efficient communications,rapid medical evacuation,and an organized
emergency multidisciplinary trauma care team will further improve outcome in trauma patients.


Keywords

multidisciplinary , Trauma,

October December 2014

Volume 23 | Issue 4

Page Nos. 296-301

Online since Jul 13, 2018

View more