Factors associated with hospital outcomes of patients with penetrating craniocerebral injuries in armed conflict areas of the Democratic Republic of the Congo: a retrospective series

Autor: Paterne Safari Mudekereza, Gauthier Bahizire Murhula, Charles Kachungunu, Amani Mudekereza, Fabrice Cikomola, Leon-Emmanuel Mukengeshai Mubenga, Patrick Birindwa Balungwe, Paul Munguakonkwa Budema, Christian Molima, Erick Namegabe Mugabo, Hervé Monka Lekuya
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: BMC Emergency Medicine, Vol 21, Iss 1, Pp 1-9 (2021)
Druh dokumentu: article
ISSN: 1471-227X
DOI: 10.1186/s12873-021-00504-5
Popis: Abstract Introduction Penetrating craniocerebral injuries (PCCI) are types of open head injuries caused by sharp objects or missiles, resulting in communication between the cranial cavity and the external environment. This condition is deemed to be more prevalent in armed conflict regions where both civilians and military are frequently assaulted on the head, but paradoxically their hospital outcomes are under-reported. We aimed to identify factors associated with poor hospital outcomes of patients with PCCI. Methods This was a retrospective series of patients admitted at the Regional Hospital of Bukavu, DRC, from 2010 to 2020. We retrieved medical records of patients with PCCI operated in the surgical departments. A multivariate logistic regression model was performed to find associations between patients’ admission clinico-radiological parameters and hospital outcomes. Poor outcome was defined as a Glasgow Outcomes Score below 4. Results The prevalence of PCCI was 9.1% (91/858 cases) among admitted TBI patients. More than one-third (36.2%) of patients were admitted with GCS
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