Aim: To describe the profile of severe trauma adults who died in polyvalent intensive care unit at University Hospital of Brazzaville. Materials and methods: It was a retrospective, cross-sectional study carried out in polyvalent intensive care unit of University Hospital of Brazzaville, during 30 months period. We included all severe trauma who died, aged 18 years or over patients regardless of age or sex and treated for at least one hour in intensive care. Epidemiological, clinical and therapeutic parameters were recorded and analyzed with Excel 2016 for Windows. Results: During the study period, 35 deaths out of 90 severe trauma patients were recorded, i.e. a lethality rate of 38.8%. The mean age was 42.4±18.6 years (sex ratio=7.5). Admissions were primary in 58.8%. Road traffic collisions (RTC, 73.5%) were the most common mechanism of injury involved. In intensive care, 82.4% of patients presented with severe trauma brain injury (TBI), of which 50.0% was isolated. Respiratory (47.1%) and hemodynamic (17.6%) distress were observed. Pickup and transport of trauma victims were not medical. Oxygen therapy (91.2%), blood transfusion (23.5%), use of vasopressor amines (47.1%) and osmotherapy (23.5%) were necessary. The patients were intubated and ventilated then sedated in 64.7%. Surgical management concerned 20.6% and was dominated by neurosurgical indications. Neurological distress (61.8%) was the main cause of death. Conclusion: The lethality rate of severe trauma patients was high, affecting young males, victims of both RTC and severe TBI. This confirms the need to promote collaboration and communication between hospital structures, to set up pre-hospital care structures, to improve the technical platform and to train staff involved in their care.
| Published in | International Journal of Anesthesia and Clinical Medicine (Volume 9, Issue 2) |
| DOI | 10.11648/j.ijacm.20210902.15 |
| Page(s) | 41-48 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Mortality, Severe Trauma, Polyvalent Intensive Care Unit, Brazzaville
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APA Style
Christ Mayick Mpoy Emy Monkessa, Marie Elombila, Gilles Niengo Outsouta, Peggy Dahlia Gallou Leyono-Mawandza, Marina Aurole Bokoba-Nde Ngala, et al. (2021). Mortality of Severe Trauma Adults Patients in Polyvalent Intensive Care Unit at University Hospital of Brazzaville, Republic of Congo. International Journal of Anesthesia and Clinical Medicine, 9(2), 41-48. https://doi.org/10.11648/j.ijacm.20210902.15
ACS Style
Christ Mayick Mpoy Emy Monkessa; Marie Elombila; Gilles Niengo Outsouta; Peggy Dahlia Gallou Leyono-Mawandza; Marina Aurole Bokoba-Nde Ngala, et al. Mortality of Severe Trauma Adults Patients in Polyvalent Intensive Care Unit at University Hospital of Brazzaville, Republic of Congo. Int. J. Anesth. Clin. Med. 2021, 9(2), 41-48. doi: 10.11648/j.ijacm.20210902.15
AMA Style
Christ Mayick Mpoy Emy Monkessa, Marie Elombila, Gilles Niengo Outsouta, Peggy Dahlia Gallou Leyono-Mawandza, Marina Aurole Bokoba-Nde Ngala, et al. Mortality of Severe Trauma Adults Patients in Polyvalent Intensive Care Unit at University Hospital of Brazzaville, Republic of Congo. Int J Anesth Clin Med. 2021;9(2):41-48. doi: 10.11648/j.ijacm.20210902.15
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Download@article{10.11648/j.ijacm.20210902.15,
author = {Christ Mayick Mpoy Emy Monkessa and Marie Elombila and Gilles Niengo Outsouta and Peggy Dahlia Gallou Leyono-Mawandza and Marina Aurole Bokoba-Nde Ngala and Giresse Bienvenu Tsouassa Wa Ngono and Hugues Brieux Ekouele-Mbaki and Gilbert Fabrice Otiobanda},
title = {Mortality of Severe Trauma Adults Patients in Polyvalent Intensive Care Unit at University Hospital of Brazzaville, Republic of Congo},
journal = {International Journal of Anesthesia and Clinical Medicine},
volume = {9},
number = {2},
pages = {41-48},
doi = {10.11648/j.ijacm.20210902.15},
url = {https://doi.org/10.11648/j.ijacm.20210902.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20210902.15},
abstract = {Aim: To describe the profile of severe trauma adults who died in polyvalent intensive care unit at University Hospital of Brazzaville. Materials and methods: It was a retrospective, cross-sectional study carried out in polyvalent intensive care unit of University Hospital of Brazzaville, during 30 months period. We included all severe trauma who died, aged 18 years or over patients regardless of age or sex and treated for at least one hour in intensive care. Epidemiological, clinical and therapeutic parameters were recorded and analyzed with Excel 2016 for Windows. Results: During the study period, 35 deaths out of 90 severe trauma patients were recorded, i.e. a lethality rate of 38.8%. The mean age was 42.4±18.6 years (sex ratio=7.5). Admissions were primary in 58.8%. Road traffic collisions (RTC, 73.5%) were the most common mechanism of injury involved. In intensive care, 82.4% of patients presented with severe trauma brain injury (TBI), of which 50.0% was isolated. Respiratory (47.1%) and hemodynamic (17.6%) distress were observed. Pickup and transport of trauma victims were not medical. Oxygen therapy (91.2%), blood transfusion (23.5%), use of vasopressor amines (47.1%) and osmotherapy (23.5%) were necessary. The patients were intubated and ventilated then sedated in 64.7%. Surgical management concerned 20.6% and was dominated by neurosurgical indications. Neurological distress (61.8%) was the main cause of death. Conclusion: The lethality rate of severe trauma patients was high, affecting young males, victims of both RTC and severe TBI. This confirms the need to promote collaboration and communication between hospital structures, to set up pre-hospital care structures, to improve the technical platform and to train staff involved in their care.},
year = {2021}
}
TY - JOUR T1 - Mortality of Severe Trauma Adults Patients in Polyvalent Intensive Care Unit at University Hospital of Brazzaville, Republic of Congo AU - Christ Mayick Mpoy Emy Monkessa AU - Marie Elombila AU - Gilles Niengo Outsouta AU - Peggy Dahlia Gallou Leyono-Mawandza AU - Marina Aurole Bokoba-Nde Ngala AU - Giresse Bienvenu Tsouassa Wa Ngono AU - Hugues Brieux Ekouele-Mbaki AU - Gilbert Fabrice Otiobanda Y1 - 2021/11/05 PY - 2021 N1 - https://doi.org/10.11648/j.ijacm.20210902.15 DO - 10.11648/j.ijacm.20210902.15 T2 - International Journal of Anesthesia and Clinical Medicine JF - International Journal of Anesthesia and Clinical Medicine JO - International Journal of Anesthesia and Clinical Medicine SP - 41 EP - 48 PB - Science Publishing Group SN - 2997-2698 UR - https://doi.org/10.11648/j.ijacm.20210902.15 AB - Aim: To describe the profile of severe trauma adults who died in polyvalent intensive care unit at University Hospital of Brazzaville. Materials and methods: It was a retrospective, cross-sectional study carried out in polyvalent intensive care unit of University Hospital of Brazzaville, during 30 months period. We included all severe trauma who died, aged 18 years or over patients regardless of age or sex and treated for at least one hour in intensive care. Epidemiological, clinical and therapeutic parameters were recorded and analyzed with Excel 2016 for Windows. Results: During the study period, 35 deaths out of 90 severe trauma patients were recorded, i.e. a lethality rate of 38.8%. The mean age was 42.4±18.6 years (sex ratio=7.5). Admissions were primary in 58.8%. Road traffic collisions (RTC, 73.5%) were the most common mechanism of injury involved. In intensive care, 82.4% of patients presented with severe trauma brain injury (TBI), of which 50.0% was isolated. Respiratory (47.1%) and hemodynamic (17.6%) distress were observed. Pickup and transport of trauma victims were not medical. Oxygen therapy (91.2%), blood transfusion (23.5%), use of vasopressor amines (47.1%) and osmotherapy (23.5%) were necessary. The patients were intubated and ventilated then sedated in 64.7%. Surgical management concerned 20.6% and was dominated by neurosurgical indications. Neurological distress (61.8%) was the main cause of death. Conclusion: The lethality rate of severe trauma patients was high, affecting young males, victims of both RTC and severe TBI. This confirms the need to promote collaboration and communication between hospital structures, to set up pre-hospital care structures, to improve the technical platform and to train staff involved in their care. VL - 9 IS - 2 ER -
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