Traumatic injuries in rural Honduras: A two month pilot study.


Journal

The American journal of emergency medicine
ISSN: 1532-8171
Titre abrégé: Am J Emerg Med
Pays: United States
ID NLM: 8309942

Informations de publication

Date de publication:
05 2020
Historique:
received: 26 09 2019
revised: 03 12 2019
accepted: 08 12 2019
pubmed: 17 12 2019
medline: 12 8 2020
entrez: 17 12 2019
Statut: ppublish

Résumé

Trauma is a leading cause of morbidity and mortality worldwide, with a disproportionate burden of illness in low- and middle- income countries. This study sought to provide a proof-of-concept pilot study to evaluate the feasibility of a trauma registry in the Western Honduras Hospital. A cross-sectional, observation study was performed that included all admitted, transferred, or deceased trauma patients presenting to the Western Honduras Hospital from February 4, 2019 until April 4, 2019. Descriptive statistics were utilized to describe patient demographics and injury characteristics. 268 patients were enrolled. The average age was 27.5 years (SD ±21.3). 10% of injuries were due to interpersonal violence. The most common mechanisms of injury were falls (33.6%) and motor vehicle collisions (MVCs) (22.4%). The mean Modified Kampala Trauma Score (M-KTS) was 12 (SD ±1.4). The mortality rate was 1.1% (N = 3). 94.5% of data points were complete. A continuous injury surveillance system in the Western Honduras Hospital is feasible and provides valuable information. The data completeness was suboptimal, but the current data collection system may be improved via modifying and utilizing the registry form as both a clinical and data collection instrument.

Identifiants

pubmed: 31839518
pii: S0735-6757(19)30815-0
doi: 10.1016/j.ajem.2019.12.018
pii:
doi:

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

958-961

Informations de copyright

Copyright © 2019. Published by Elsevier Inc.

Déclaration de conflit d'intérêts

Declaration of competing interest None.

Auteurs

W Tyler Winders (WT)

Department of Emergency Medicine, Medical University of South Carolina, United States of America. Electronic address: waw201@musc.edu.

Isis Ramos (I)

Western Honduras Hospital, Santa Rosa de Copán, Honduras.

Willian Sabillon (W)

Western Honduras Hospital, Santa Rosa de Copán, Honduras.

Celeny Perez (C)

Western Honduras Hospital, Santa Rosa de Copán, Honduras.

Rosa Estévez (R)

Western Honduras Hospital, Santa Rosa de Copán, Honduras.

Dalton Argean Norwood (DA)

Western Honduras Hospital, Santa Rosa de Copán, Honduras.

Juan Carlos Cardona (JC)

Western Honduras Hospital, Santa Rosa de Copán, Honduras.

Ricardo L Dominguez (RL)

Western Honduras Hospital, Santa Rosa de Copán, Honduras.

Douglas Morgan (D)

Division of Gastroenterology, University of Alabama, United States of America. Electronic address: drmorgan@uabmc.edu.

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