alexa Short Term Outcome of Haemorrhagic Shock in Trauma at Mulago Hospital, an Urban Tertiary Hospital in Sub Saharan Africa | OMICS International
ISSN: 2329-9088

Tropical Medicine & Surgery
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Research Article

Short Term Outcome of Haemorrhagic Shock in Trauma at Mulago Hospital, an Urban Tertiary Hospital in Sub Saharan Africa

Moses Elaju1, Peter A Ongom1*, Stephen C Kijjambu1, Robert Wangoda2 and Patson Makobore1

1Department of Surgery, School of Medicine, Makerere University College of Health Sciences, Makerere University, P O Box 7072, Kampala, Uganda

2Department of Surgery, Mulago National Referral and Teaching Hospital, P O Box 7051, Kampala, Uganda

*Corresponding Author:
Peter A Ongom
Department of Surgery
School of Medicine
Makerere University College of Health Sciences
Makerere University, P O Box 7072, Kampala, Uganda
Tel: 256 772 454 936/256 701 629 160
E-mail: [email protected]

Received Date: August 17, 2013; Accepted Date: September 09, 2013; Published Date: September 15, 2013

Citation: Elaju M, Ongom PA, Kijjambu SC, Wangoda R, Makobore P (2013) Short Term Outcome of Haemorrhagic Shock in Trauma at Mulago Hospital, an Urban Tertiary Hospital in Sub Saharan Africa. Trop Med Surg 1:148. doi: 10.4172/2329-9088.1000148

Copyright: © 2013 Elaju M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Introduction: Trauma is a major public health hazard, contributing significantly to mortality. It is the leading cause of death among adolescents and young adults worldwide. Road traffic injuries come top of the list of forms of trauma in urban areas, with more than 3000 deaths occurring daily. Most deaths (85%) occur in low and middle income countries and are a result of shock secondary to haemorrhage. There being a dearth of documented information on the short term outcome and associated factors of haemorrhagic shock in a Sub Saharan setting, a study to this effect was conducted. Methods: A prospective descriptive cohort study was conducted from October 2012 to March 2013, involving patients attending Mulago National Referral and Teaching Hospital’s Accident and Emergency Department, who had traumatic haemorrhagic shock. Patients aged 5 years and above and of both genders were included. They were managed according to the ATLS guidelines and followed-up for 24 hours. The outcomes were: the 24 hour survival or mortality of these patients; the adequacy of resuscitation of the survivors; and the distribution of factors known to affect mortality. Results: A total of 55 participants, 40 (72.7%) of them males, were recruited. The mean age was 27.2 years. There were 16 (29.1%) deaths in 24 hrs. Of the survivors, 13 (33.3%) of them were inadequately resuscitated when clinical signs alone were used to monitor resuscitation. Grade IV shock, time since injury, and the need for major surgery to control bleeding, contributed significantly to mortality. Conclusion: The 24 hour mortality due to haemorrhagic shock at Mulago Hospital is slightly lower than that reported in some studies but strategies to reduce it further need to be explored

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