Trauma burden in Tanzania: a one-day survey of all district and regional public hospitals
| dc.contributor.author | Sawe, Hendry R | |
| dc.contributor.author | Mfinanga, Juma A | |
| dc.contributor.author | Mbaya, Khalid R | |
| dc.contributor.author | Koka, Phillip M | |
| dc.contributor.author | Kilindimo, Said S | |
| dc.contributor.author | Runyon, Michael S | |
| dc.contributor.author | Mwafongo, Victor G | |
| dc.contributor.author | Wallis, Lee A | |
| dc.contributor.author | Reynolds, Teri A | |
| dc.date.accessioned | 2017-10-18T12:59:34Z | |
| dc.date.available | 2017-10-18T12:59:34Z | |
| dc.date.issued | 2017-10-13 | |
| dc.date.updated | 2017-10-15T03:29:05Z | |
| dc.description.abstract | Background: Trauma contributes significantly to the burden of disease and mortality throughout the world, but particularly in developing countries. In Tanzania, there is an enormous research gap on trauma; the limited data available reflects realities in cities and areas with moderately- to highly-resourced treatment centers. Our aim was to provide a description of the injury epidemiology across all of Tanzania. Our data will serve as a basis for future larger studies. Methods: This is a subgroup analysis of a cross-sectional, prospective study of the clinical epidemiology of patients presenting at all public district and regional hospitals in Tanzania. The study was conducted between May 2012 and December 2012. A team of emergency doctors used a purpose-designed data collection sheet to gather the demographic and clinical information of all patients presenting during the day-site visit to each hospital. Descriptive statistics, including means, standard deviations, medians, and ranges are reported. Results: A total of 5227 patients were seen in 24-h period in 105 (100% response rate) district (or designated district) and regional hospitals in mainland Tanzania. Of these patients, 508 (9.7%) presented with trauma-related complaints. Among patients with trauma-related complaints, 286 (56.3%) were male, and the overall median age of 30 (interquartile range of 22–35) years. Road traffic crash was the most common mechanism of injury, accounting for 227 (44.7%) complaints. Open wounds and bone fractures were the two most frequent diagnoses, with a combined 300 (59%) cases. Most of the patients - 325 (64%) - were discharged, 11 (2.2%) went to operating theatres and 4 (0.8%) of patients died while receiving care at the acute intake areas. Conclusions: Trauma-related complaints constitute a substantial burden among patients seeking care in acute intake areas of hospitals across Tanzania. There is a need to develop, implement and study systems that can support the improvement of trauma care and optimize outcomes of trauma patients. | |
| dc.identifier.apacitation | Sawe, H. R., Mfinanga, J. A., Mbaya, K. R., Koka, P. M., Kilindimo, S. S., Runyon, M. S., ... Reynolds, T. A. (2017). Trauma burden in Tanzania: a one-day survey of all district and regional public hospitals. <i>BMC Emergency Medicine</i>, http://hdl.handle.net/11427/25709 | en_ZA |
| dc.identifier.chicagocitation | Sawe, Hendry R, Juma A Mfinanga, Khalid R Mbaya, Phillip M Koka, Said S Kilindimo, Michael S Runyon, Victor G Mwafongo, Lee A Wallis, and Teri A Reynolds "Trauma burden in Tanzania: a one-day survey of all district and regional public hospitals." <i>BMC Emergency Medicine</i> (2017) http://hdl.handle.net/11427/25709 | en_ZA |
| dc.identifier.citation | Sawe, H. R., Mfinanga, J. A., Mbaya, K. R., Koka, P. M., Kilindimo, S. S., Runyon, M. S., ... & Reynolds, T. A. (2017). Trauma burden in Tanzania: a one-day survey of all district and regional public hospitals. BMC Emergency Medicine, 17(1), 30. | |
| dc.identifier.ris | TY - Journal Article AU - Sawe, Hendry R AU - Mfinanga, Juma A AU - Mbaya, Khalid R AU - Koka, Phillip M AU - Kilindimo, Said S AU - Runyon, Michael S AU - Mwafongo, Victor G AU - Wallis, Lee A AU - Reynolds, Teri A AB - Background: Trauma contributes significantly to the burden of disease and mortality throughout the world, but particularly in developing countries. In Tanzania, there is an enormous research gap on trauma; the limited data available reflects realities in cities and areas with moderately- to highly-resourced treatment centers. Our aim was to provide a description of the injury epidemiology across all of Tanzania. Our data will serve as a basis for future larger studies. Methods: This is a subgroup analysis of a cross-sectional, prospective study of the clinical epidemiology of patients presenting at all public district and regional hospitals in Tanzania. The study was conducted between May 2012 and December 2012. A team of emergency doctors used a purpose-designed data collection sheet to gather the demographic and clinical information of all patients presenting during the day-site visit to each hospital. Descriptive statistics, including means, standard deviations, medians, and ranges are reported. Results: A total of 5227 patients were seen in 24-h period in 105 (100% response rate) district (or designated district) and regional hospitals in mainland Tanzania. Of these patients, 508 (9.7%) presented with trauma-related complaints. Among patients with trauma-related complaints, 286 (56.3%) were male, and the overall median age of 30 (interquartile range of 22–35) years. Road traffic crash was the most common mechanism of injury, accounting for 227 (44.7%) complaints. Open wounds and bone fractures were the two most frequent diagnoses, with a combined 300 (59%) cases. Most of the patients - 325 (64%) - were discharged, 11 (2.2%) went to operating theatres and 4 (0.8%) of patients died while receiving care at the acute intake areas. Conclusions: Trauma-related complaints constitute a substantial burden among patients seeking care in acute intake areas of hospitals across Tanzania. There is a need to develop, implement and study systems that can support the improvement of trauma care and optimize outcomes of trauma patients. DA - 2017-10-13 DB - OpenUCT DO - 10.1186/s12873-017-0141-6 DP - University of Cape Town J1 - BMC Emergency Medicine LK - https://open.uct.ac.za PB - University of Cape Town PY - 2017 T1 - Trauma burden in Tanzania: a one-day survey of all district and regional public hospitals TI - Trauma burden in Tanzania: a one-day survey of all district and regional public hospitals UR - http://hdl.handle.net/11427/25709 ER - | en_ZA |
| dc.identifier.uri | http://dx.doi.org/10.1186/s12873-017-0141-6 | |
| dc.identifier.uri | http://hdl.handle.net/11427/25709 | |
| dc.identifier.vancouvercitation | Sawe HR, Mfinanga JA, Mbaya KR, Koka PM, Kilindimo SS, Runyon MS, et al. Trauma burden in Tanzania: a one-day survey of all district and regional public hospitals. BMC Emergency Medicine. 2017; http://hdl.handle.net/11427/25709. | en_ZA |
| dc.language.iso | en | |
| dc.publisher | BioMed Central | |
| dc.publisher.department | Division of Emergency Medicine | en_ZA |
| dc.publisher.faculty | Faculty of Health Sciences | en_ZA |
| dc.publisher.institution | University of Cape Town | |
| dc.rights.holder | The Author(s). | |
| dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
| dc.source | BMC Emergency Medicine | |
| dc.source.uri | https://bmcemergmed.biomedcentral.com/ | |
| dc.subject.other | Trauma burden | |
| dc.subject.other | Injured patients | |
| dc.subject.other | Road traffic crash | |
| dc.subject.other | Emergency care | |
| dc.title | Trauma burden in Tanzania: a one-day survey of all district and regional public hospitals | |
| dc.type | Journal Article | |
| uct.type.filetype | Text | |
| uct.type.filetype | Image |