Overview of Six Months Activities in a New Unit of Management of Head Trauma in West Africa
International Journal of Neurosurgery
Volume 4, Issue 1, June 2020, Pages: 14-17
Received: May 8, 2020;
Accepted: May 27, 2020;
Published: Jun. 9, 2020
Views 179 Downloads 33
Ouiminga Habib Abdoul Karim, Department of Orthopedics Traumatology and Neurosurgery, Tengandogo Teaching Hospital, Ouagadougou, Burkina Faso
Alihonou Thierry, Department of Traumatology Orthopedics and Restorative Surgery, HKM National Teaching Hospital, Cotonou, Benin
Zoungrana Noelie, Department of Multipurpose Emergency, Tengandogo Teaching Hospital, Ouagadougou, Burkina Faso
Ndzana Diane, Department of Orthopedics Traumatology and Neurosurgery, Tengandogo Teaching Hospital, Ouagadougou, Burkina Faso
Ouedraogo Anatole Jean Innocent, Department of Statistics and Epidemiology, Tengandogo Teaching Hospital, Ouagadougou, Burkina Faso
Compaore Linda Christelle, Department of Multipurpose Emergency, Tengandogo Teaching Hospital, Ouagadougou, Burkina Faso
Tamboura Habibata, Department of Multipurpose Emergency, Tengandogo Teaching Hospital, Ouagadougou, Burkina Faso
Follow on us
Background: The aim of this study was to describe and compare with the literature data, the epidemiological and evolutionary aspects of the management of traumatic brain injury after six months of activities in a new hospital. Methods: This was a retrospective study that was performed at the neurosurgery unit of the Tengandogo Teaching Hospital. The analysis covered all admitted head trauma patients from May 1, 2014 to October 31, 2014. The variables studied were: frequency, age, sex, circumstances, mechanism, Glasgow score (GCS), care and evolution. Results: Over six months, 302 traumatized head injuries were recorded. The average age was 34.8 years old. The sex ratio was 3.79 (239 M / 63 W). Road traffic accidents accounted for 85.43% (n=258) of etiologies, 80% of which were due to two-wheeled machines, followed by falls from a high place with 7.61% (n=23). In 5% (n=15) of cases, it was assault. Severe forms (GCS 3-8) accounted for 33.7% (n=102) of which 65.7% were associated with polytrauma. Moderate forms (GCS: 9-12) accounted for 21% (n=63) of the cases, 45.3% (n=137) were benign forms (GCS: 13-15). Patients were medically treated in 73.5% (n=119) of the cases, and 21% (n=63) were operated upon. Twenty-one patients (6.6%) refused medical care. The mortality rate in severe forms was 38%. Conclusion: Despite advances in resuscitation, overall mortality remains heavy. Sequelae are frequent, leading to difficulties in socio-professional and family reintegration in our low-income country. Prevention of these traumas plays a vital role.
Epidemiology, Head Trauma, Prognosis
To cite this article
Ouiminga Habib Abdoul Karim,
Ouedraogo Anatole Jean Innocent,
Compaore Linda Christelle,
Overview of Six Months Activities in a New Unit of Management of Head Trauma in West Africa, International Journal of Neurosurgery.
Vol. 4, No. 1,
2020, pp. 14-17.
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Agrawal A, Galwankar S, Kapil V, Coronado V, Basavaraju SV, Mc Guire LC and al. Epidemiology and clinical characteristics of traumatic brain injuries in a rural setting in Maharashtra, India. 2007–2009 Int J Crit Illn Inj Sci. 2012; 2 (3): 167–171.
Abdelgadir J, Smith ER, M Punchak, Vissoci JR, C Staton, Muhindo A, and al. Epidemiology and Characteristics of Neurosurgical Conditions at Mbarara Regional Referral Hospital. World Neurosurg. 2017; 102: 526-532.
Smart LR, Mangat HS, Issarow B, McClelland P, Mayaya G, Kanumba E. and al. Severe Traumatic Brain Injury at a Tertiary Referral Center in Tanzania: Epidemiology and Adherence to Brain Trauma Foundation Guidelines. World Neurosurg. 2017; 105: 238-248.
Kamal VK, Agrawal D, Pandey RM. Epidemiology, clinical characteristics and outcomes of traumatic brain injury: Evidences from integrated level 1 trauma center in India. J Neurosci Rural Pract. 2016; 7 (4): 515–525.
Staton CA, Msilanga D, Kiwango G, Vissoci JR, de Andrade L, Lester R, et al. A prospective registry evaluating the epidemiology and clinical care of traumatic brain injury patients presenting to a regional referral hospital in Moshi, Tanzania: challenges and the way forward. Int J Inj Contr Saf Promot. 2017; 24: 69-77.
Hode L, Madougou S, Fatigba HO, Hounnou P, Ebassa K, Hans Moevi AA and al. The Direct Cost of Treatment of Traumatic Brain Injury in a Sub-Saharan African Country (Benin). World Neurosurg. 2017; 99: 210-213.
Dakouré PWH, Diallo M, Traoré ACV, Gandéma S, Barro SD, Traoré IA and al. Trauma related to falls from trees treated in a specialized trauma center in Burkina-Faso-one hundred and six cases treated in one year. Int Orthop. 2015; 39 (12): 2451-6.
Aenderl I, Gashaw T, Siebeck M, Mutschler W. Head injury-a neglected public health problem: a four-month prospective study at Jimma University specialized hospital, Ethiopia. Ethiop J Health Sci. 2014; 24: 27-34.
Chesnut RM, Temkin N, Carney N, Dikmen S, Rondina C, Videtta W, and al. A trial of intracranial-pressure monitoring in traumatic brain injury. N Engl J Med. 2012; 367: 2471-2481.
Eaton J, Hanif AB, Grudziak J, Charles A. Epidemiology, Management, and Functional Outcomes of Traumatic Brain Injury in Sub-Saharan Africa. World Neurosurg. 2017; 108: 650-655.
Taopheeq BR, Babatunde A. Posttraumatic Seizures in a Rural Nigerian Neurosurgical Service. World Neurosurg. 2017; 104: 367-371.
Kaboré AF, Ki BK, Ouédraogo A, Traore SSI, Traore IA, Bougouma CTH and al. Head Computed Tomography Scan in Isolated Traumatic Brain Injury in a Low-Income Country. World Neurosurg. 2017; 107: 382-388.
Capizzi A, Woo J, Verduzco-Gutierrez M. Traumatic Brain Injury: An Overview of Epidemiology, Pathophysiology, and Medical Management. Med Clin North Am. 2020; 104 (2): 213-238.
Desai M, Jain A. Neuroprotection in traumatic brain injury. J Neurosurg sci 2018; 62: 563-73.
Williams E, Martini A, Jackson H, Wagland J, Turner-Stokes L. Time between acquired brain injury and admission to community-based rehabilitation: differences in cognitive and functional gains. Brain Injury. 2020; 34 (6): 713-722.