The problem of trauma in Nigeria. Pattern as seen in a multicentre study

Area of Science:

• Traumatology
• Public Health
• Epidemiology

Background:

• Trauma is a significant health concern globally and in Nigeria.
• Understanding trauma patterns is crucial for effective healthcare planning and resource allocation.

Purpose of the Study:

• To investigate the epidemiology of trauma admissions in Nigerian hospitals.
• To identify patterns in trauma incidence, patient demographics, and outcomes.

Main Methods:

• A multicenter study was conducted between 1982 and 1984.
• Data was collected from the University of Ilorin Teaching Hospital and eight other regional hospitals.
• Trauma admissions were analyzed in relation to total hospital admissions and specific occupational groups.

Main Results:

• Average trauma admissions ranged from 4.3% to 20.6% of total admissions.
• Road traffic accidents (RTAs) were the most frequent cause of trauma, predominantly affecting males in their third decade of life.
• Peak trauma incidence and surgical operations occurred in the third decade; outpatient trauma was highest on Saturdays, with admissions peaking on Mondays and Wednesdays.

Conclusions:

• Trauma, particularly from RTAs, represents a substantial burden on Nigerian healthcare facilities.
• The findings highlight the need for targeted injury prevention strategies and efficient trauma care management.
• Trauma mortality rates appear to correlate with the severity of injuries sustained, emphasizing the critical nature of trauma care.