Article thumbnail

Geriatric Injuries among Patients Attending a Regional Hospital in Shinyanga Tanzania

By Phillipo L. Chalya, Joseph B. Mabula, Isdor H. Ngayomela, Nkinda Mbelenge, Ramesh M. Dass, Mabula Mchembe, Sospatro E. Ngallaba and Japhet M. Gilyoma

Abstract

Geriatric injuries pose a major challenge to surgeons and general practitioners in developing countries. The objective of this study was to determine the prevalence, injury characteristics and outcomes of geriatric injury among patients at Shinyanga Regional Hospital in Tanzania. Data was collected using a pre-tested, coded questionnaire and analyzed using SPSS computer system. A total of 94 geriatric trauma patients constituting 22.7% of all trauma admissions were studied. The male to female ratio was 1.4:1. Their mean age was 68.5 years (ranged 60-98 years). Premorbid illness was reported in 38.3% of patients. Most injuries were intentional in fifty-three (56.4%) patients. Assaults, falls and road traffic crashes were the mechanism of injuries in 52.1%, 19.1% and 11.7% of cases, respectively. The majority of cases of assault were females accounting for 64.6%. The majority of injuries (81.9%) occurred at home. Pre-hospital care was recorded in 5.3% of cases. The musculoskeletal (72.3%) and head (66.0%) regions were commonly affected. Soft tissue injuries (wounds) (89.4%) and fractures (52.2%) were the most common type of injuries. The majority of patients (90.4%) underwent surgical treatment of which wound debridement was the most common procedure performed in 91.8% of cases. Complication rate was 39.4%. The mean length of hospital stay was 28.6 days (ranged 1 – 124 days). The length of hospital stay was significantly longer in patients with co-morbidities, long bone fractures and those with complications (P<0.05). Mortality rate was 14.9% and it was significantly related to advanced age, presence of pre-morbid illness, high injury severity score, severe head injuries and the need for ventilatory support (P< 0.05). In conclusion, traumatic injuries in elderly constitute a major but preventable public health problem in Shinyanga region and contribute significantly to high morbidity and mortality. Urgent preventive measures focusing at the root causes of the injuries and early appropriate treatment is highly needed to reduce the occurrence, morbidity and mortality associated with these injurie

Topics: Injury & Accidents
Publisher: Tanzania Health Users’ Trust Fund
Year: 2012
DOI identifier: 10.4314/thrb.v14i1.4
OAI identifier: oai:ihi.eprints.org:2329

Suggested articles

Citations

  1. (2006). A simple fall in the elderly: not so simple. doi
  2. (2009). Addressing gaps in surgical skills training by means of low-cost simulation at Muhimbili University in Tanzania. Human Resources for Health 7, doi
  3. (1991). Age and outcome following traumatic coma: why do older patients fare worse?
  4. (2003). Effectiveness of prehospital trauma triage guidelines for the identification of major trauma in elderly motor vehicle crash victims. doi
  5. (1998). Elderly patients with closed head trauma after a fall: mechanisms and outcomes. doi
  6. (2009). Epidemiology and outcome of multiple trauma in the elderly population in a tertiary care hospital in southern Italy. doi
  7. (2008). Epidemiology of geriatric trauma in United Arab Emirates. doi
  8. (2003). Fall-related injuries in the elderly in Tehran. doi
  9. (2009). Geriatric admissions in a developing country: Experience from a tertiary centre in Nigeria.
  10. (2001). Geriatric falls: injury severity is high and disproportionate to mechanism. doi
  11. (2007). Geriatric trauma care: challenges facing emergency medical services.
  12. (2002). Geriatric trauma in the State of Illinois: substance use and injury patterns. doi
  13. (2003). Geriatric trauma patients—are they receiving trauma center care? doi
  14. (1999). Geriatric trauma: outcomes of elderly patients discharged from the ED. doi
  15. (2004). Geriatric trauma: patterns, care, and outcomes.
  16. (1989). Major trauma in geriatric patients. doi
  17. (2000). Outcomes of admitted geriatric trauma victims. doi
  18. (2003). Practice management guidelines for geriatric trauma: the EAST Practice Management Guidelines Work Group. doi
  19. (2003). Special considerations in geriatric injury. doi
  20. (1987). Survival after trauma in geriatric patients. doi
  21. (2006). The costs of fatal and non-fatal falls among older adults. doi
  22. (2003). Trauma in elderly. doi

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.