Journal of Clinical Anesthesia and Research
- ISSN: 2577-3003
Essohanam Tabana Mouzou, Sarakawabalo Assenouwe, Hodabalo Tassondimondom Ahloma, Tchaa Hodabalo Towoezim, Taraba Kodjo Christian Bakoukou And Eyram Yoan Makafui Amekoudi
Title: Polytrauma in surgical intensive care at Kara University Hospital
Context: Since 2011, the increase in road accident injuries with the increase in deaths of young people, a real public health problem, has led to the strengthening of preventive measures including compliance with the Highway Code. Road accidents kill around two people every day outside the hospital in our context. This study provides information on hospital deaths. From two types of death, the desire will arise to strengthen preventive measures and optimize hospital care to reduce mortality.
The objective: Was to describe the epidemiological and lesion aspects and analyze the evolutionary aspects.
Results: 605 trauma patients (12%) hospitalized over 3 years with 230 multiple trauma patients (38%); 218 patients were studied. The average age was 31.83±16.33 years. The sex ratio was 4.7. 66.1% of patients came from cities; motorcycle taxi drivers and students and pupils represented 25.7% and 17.9% respectively. Polytrauma is caused by road accidents (91.3%). The most frequent injury association was cranioencephalic trauma (83.3%) followed by limb trauma (56.4%). Edema-hemorrhagic contusion was the most common neurological lesion (34.4%). Limb fractures accounted for 45.5%. The evolution was marked by morbidity 56.9% dominated by infections (50%) and mortality 44.5%. Severe coma was the most common factor linked to death (18.3%).
Conclusion: The evolution of treated polytrauma patients was marked by high mortality among young people. The prevention of multiple trauma involves respecting the Highway Code.