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Analysis of traumatic injuries presenting to a referral hospital emergency department in Moshi, Tanzania.

dc.contributor.author Casey, Erica R
dc.contributor.author Muro, Florida
dc.contributor.author Thielman, Nathan M
dc.contributor.author Maya, Elifuraha
dc.contributor.author Ossmann, Eric W
dc.contributor.author Hocker, Michael B
dc.contributor.author Gerardo, Charles J
dc.coverage.spatial England
dc.date.accessioned 2013-01-16T18:12:02Z
dc.date.issued 2012-06-08
dc.identifier http://www.ncbi.nlm.nih.gov/pubmed/22682499
dc.identifier 1865-1380-5-28
dc.identifier.uri https://hdl.handle.net/10161/6100
dc.description.abstract BACKGROUND: Injuries represent a significant and growing public health concern in the developing world, yet their impact on patients and the emergency health-care system in the countries of East Africa has received limited attention. This study evaluates the magnitude and scope of injury related disorders in the population presenting to a referral hospital emergency department in northern Tanzania. METHODS: A retrospective chart review of patients presenting to the emergency department at Kilimanjaro Christian Medical Centre was performed. A standardized data collection form was used for data abstraction from the emergency department logbook and the complete medical record for all injured patients. Patient demographics, mechanism of injury, location, type and outcomes were recorded. RESULTS: Ten thousand six hundred twenty-two patients presented to the emergency department for evaluation and treatment during the 7-month study period. One thousand two hundred twenty-four patients (11.5%) had injuries. Males and individuals aged 15 to 44 years were most frequently injured, representing 73.4% and 57.8%, respectively. Road traffic injuries were the most common mechanism of injury, representing 43.9% of injuries. Head injuries (36.5%) and extremity injuries (59.5%) were the most common location of injury. The majority of injured patients, 59.3%, were admitted from the emergency department to the hospital wards, and 5.6%, required admission to an intensive care unit. Death occurred in 5.4% of injured patients. CONCLUSIONS: These data give a detailed and more robust picture of the patient demographics, mechanisms of injury, types of injury and patient outcomes from similar resource-limited settings.
dc.language eng
dc.publisher Springer Science and Business Media LLC
dc.relation.ispartof Int J Emerg Med
dc.relation.isversionof 10.1186/1865-1380-5-28
dc.title Analysis of traumatic injuries presenting to a referral hospital emergency department in Moshi, Tanzania.
dc.type Journal article
duke.contributor.id Thielman, Nathan M|0071228
duke.contributor.id Ossmann, Eric W|0516424
duke.contributor.id Hocker, Michael B|0295647
duke.contributor.id Gerardo, Charles J|0266539
duke.description.issue 1
duke.description.volume 5
dc.relation.journal International Journal of Emergency Medicine
pubs.author-url http://www.ncbi.nlm.nih.gov/pubmed/22682499
pubs.begin-page 1
pubs.end-page 7
pubs.issue 1
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Duke
pubs.organisational-group Faculty
pubs.organisational-group Global Health Institute
pubs.organisational-group Institutes and Provost's Academic Units
pubs.organisational-group Medicine
pubs.organisational-group Medicine, Infectious Diseases
pubs.organisational-group Pathology
pubs.organisational-group School of Medicine
pubs.organisational-group Surgery
pubs.organisational-group Surgery, Emergency Medicine
pubs.organisational-group University Institutes and Centers
pubs.publication-status Published online
pubs.volume 5
dc.identifier.eissn 1865-1380
duke.contributor.orcid Thielman, Nathan M|0000-0001-8152-2879
duke.contributor.orcid Gerardo, Charles J|0000-0002-8265-1370


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