alexa The Conundrum of Polytrauma in Sokoto, North-West Nigeria
ISSN: 2167-1222

Journal of Trauma & Treatment
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Research Article

The Conundrum of Polytrauma in Sokoto, North-West Nigeria

Oboirien M*, Ukwuani S and Agbo SP
Department of Orthopaedics and Trauma, Trauma Centre, Usmanu Danfodiyo University Teaching Hospital, Nigeria
*Corresponding Author : Muhammad Oboirien
Department of Orthopaedics and Trauma
Trauma Centre
Usmanu Danfodiyo University Teaching Hospital, Nigeria
Tel: 2348050381688
E-mail: [email protected]
Received: March 21, 2016; Accepted: April 11, 2016; Published: April 14, 2016
Citation: Oboirien M, Ukwuani S, Agbo SP (2016) The Conundrum of Polytrauma in Sokoto, North-West Nigeria. J Trauma Treat 5:301. doi:10.4172/2167-1222.1000301
Copyright: © 2016 Oboirien 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: The Management of Polytrauma remains a challenge in regions of sub-Saharan Africa. We sought to document our experiences with Polytrauma management in a resource poor setting. Methods: It was a retrospective review of cases of Polytrauma managed at a regional trauma centre in Northwest Nigeria from January 2014 to December 2014. Trauma records of patients were retrieved and collated. Statistical analysis was done with SPSS 21. Results: A total of 84 patients were seen with a mean age of 29.34 ± 14.82. There were 78 males and 6 females giving a male to female ratio of 13:1. Road traffic accidents were the commonest mechanism in 66 (78.6%) patients while assault 6 (7.1%), fall from height 6 (7.1%), collapsed building 4 (4.8%) were observed. Forty-two percent of patients arrived at our facility 24 hrs after the trauma while 10.7% arrived within an hour and 28.6% arrived after 6 hours. Head and extremity injuries were the commonly encountered with 71% and 65% respectively. The common injury combination observed were head\extremity 39%, head\facial 27.4%, head\extremity\facial 27.4%, and head\ chest 11.9%. Mortality was 9.5% and those with major and minor disability were 9.5% and 7.1% respectively. Duration of more than 1 hour of arrival at facility was statistically significant on mortality, while age, mechanism of injury, distance from health facility was not statistically significant on mortality. Conclusion: Measures aimed at improving road safety would help to reduce the incidence of Polytrauma. Efficient Pre-hospital care would ensure prompt arrival at designated health facilities.

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