Prospective Study of Surgery for Traumatic Brain Injury in Addis Ababa, Ethiopia: Trauma Causes, Injury Types, and Clinical Presentation
| Autor: | Morten Lund-Johansen, Bente E. Moen, Abat Sahlu, Terje Sundstrøm, Samuel Masresha, Tequam Debebe, Azarias Kassahun, Abenezer Tirsit, Betelehem Yesehak, Negussie Deyassa, Tsegazeab Laeke |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Selection bias
medicine.medical_specialty Traumatic brain injury business.industry media_common.quotation_subject Public health Head injury Glasgow Coma Scale medicine.disease 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Epidemiology Emergency medicine medicine Surgery Neurology (clinical) Presentation (obstetrics) Prospective cohort study business 030217 neurology & neurosurgery media_common |
| Zdroj: | World Neurosurgery e460-e468 |
| Popis: | Background Traumatic brain injury (TBI) is a public health problem in Ethiopia. More knowledge about the epidemiology and neurosurgical management of TBI patients is needed to identify possible focus areas for quality improvement and preventive efforts. Methods This prospective cross-sectional study (2012–2016) was performed at the 4 teaching hospitals in Addis Ababa, Ethiopia. All surgically treated TBI patients were included, and data on clinical presentation, injury types, and trauma causes were collected. Results We included 1087 patients (mean age 29 years; 8.7% females; 17.1% 50 km from the hospitals, whereas 46% of road traffic accident victims came from the urban area. Delayed admission was associated with higher Glasgow Coma Scale scores and nonsevere TBI (P < 0.01). Conclusions The injury panorama, delayed admission, and small number of operations performed for severe TBI are linked to a substantial patient selection bias both before and after hospital admission. Our results also suggest that there should be a geographical framework for tailored guidelines, preventive efforts, and development of prehospital and hospital services. acceptedVersion |
| Databáze: | OpenAIRE |
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