Injury

Abstract

IntroductionInjuries are the leading cause of disability across all ages and gender. In this study, we identified predictors of discharge status and disability at discharge among patients who seek emergency room treatment.Materials and MethodsThe study was conducted in two major trauma hospitals in urban Gambia. 1,905 patients participated in the study. 74.9% were males, and 25.1% were females. The study includes injured patients from all mechanisms. However, patients\u2019 records without age, gender, injury mechanism, and deposition from the emergency room were considered incomplete and excluded. We examined distributions of injury by age, gender, mechanism, place of occurrence, intent, primary body part injured, and primary nature of injury. We identified demographic and injury characteristics associated with hospital admission (compared to emergency department discharge) and discharge disability (any level of disability compared with none).ResultsThe leading mechanisms of injury were road traffic (26.1%), struck by objects (22.1%), cut/pierce (19.2%), falls (19.2%), and burns (5.4%). Injuries most commonly occurred in the home (36.7%) and on the road (33.2%). For those aged 19 \u2013 44, the proportion of injuries due to assault was higher for females (35.9% than males (29.7%). Males had increased odds for admission (aOR = 1.48 95% CI=1.15 \u2013 1.91) and for disability (aOR = 1.45; 95% CI = 1.06 \u2013 1.99). Increased odds for admission were found for brain injuries, fractures, large system injuries, and musculoskeletal injuries when compared with soft tissue injuries. The highest odds for any level of discharge disability were found for brain injuries, fractures, injuries from falls, burns, and road traffic.ConclusionsEpidemiology of injuries in The Gambia is similar to other low-income countries. However, the magnitude of cases and issues uncovered highlights the need for a formal registry.D43 TW007261/TW/FIC NIH HHS/United StatesR49 CE002108/CE/NCIPC CDC HHS/United StatesT42 OH008491/OH/NIOSH CDC HHS/United States2018-07-01T00:00:00Z28408082PMC5487286vault:2363