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The conundrum of polytrauma on the jos plateau
K N Ozoilo1, H C Nwadiaro, D Iya
1Surgery Department, Jos University Teaching Hospital, Jos. Plateau State, Nigeria.
Insights
Polytrauma is a significant cause of death and disability, predominantly resulting from road traffic accidents (RTAs). Enhancing road safety and establishing dedicated trauma teams are crucial for improving patient outcomes.
Area of Science:
- Trauma surgery
- Emergency medicine
- Public health
Background:
- Trauma is a leading cause of death and morbidity globally, particularly in younger populations.
- Polytrauma presents complex management challenges, necessitating focused study.
- This research addresses the incidence and patterns of polytrauma in Jos.
Purpose of the Study:
- To determine the frequency and patterns of polytrauma cases at Jos University Teaching Hospital.
- To identify common causes and injury types in polytrauma patients.
- To provide data for improving trauma care strategies.
Main Methods:
- Prospective study of consecutive polytrauma patients over one year.
- Data collection included demographics and detailed injury descriptions.
- Utilized a standardized proforma for data collation.
Main Results:
- 131 polytrauma patients were studied; 103 males, 28 females (3.7:1 ratio).
- Road traffic accidents (RTAs) were the primary cause (86.3%), followed by falls, gunshots, and assaults.
- Head (71.8%), extremity (68.5%), and chest (29.2%) injuries were most common, often in combination.
Conclusions:
- Polytrauma is frequent and requires significant attention.
- Intensified road safety measures are needed due to RTA prevalence.
- Establishing pre-hospital care, dedicated trauma teams, and regional trauma centers is recommended.
Background:
The leading cause of morbidity and mortality from the end of the first year of life to the forty fifth is trauma. This is true worldwide but especially so in our environment. In no other situation are the complexities of the management of trauma more manifest than in the context of polytrauma. For this we undertake to study the problem of polytrauma in Jos.
Aims And Objectives:
To determine the frequency and pattern of occurrence of poly trauma in Jos university teaching hospital.
Patients And Methods:
Consecutive patients presenting with polytrauma to the casualty department were prospectively studied. Data regarding demographics and a detailed description of injuries were entered into a proforma and collated over a one-year period.
Results:
A total of 131 patients were studied. There were 103 males and 28 females giving a male to female ratio of 3.7:1. The ages ranged from 2 to 61 years with a mean of 28.4 ± 12.4 years. Road traffic accident was the most common aetiology in 113 (86.3%) patients, while falls 7 (5.3%), gunshots 5 (3.8%) and assaults 2 (1.6%) were observed. The most frequently encountered injuries were head, extremity and chest in 71.8%, 68.5% and 29.2% respectively. The combinations most frequently observed were head\extremity (43.5%), head\chest (17.6%) and chest\extremity (10.7%) injuries. Complications were observed in 20.6% while death occurred in 7.6%.
Conclusion:
Polytrauma occurs with sufficient frequency to warrant serious attention. As majority follow RTA, there is a need to intensify measures aimed at improving road safety. There is also a need to establish pre-hospital care\ambulance services. It is suggested that improved orthopaedic and neurosurgical care will lead to improved polytrauma care and most importantly, the establishment of dedicated trauma teams in tertiary institutions is proposed as a prelude to the establishment of regional trauma centers.
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