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In-patient outcomes after trauma in a rapidly developing nation.

Alexandra Harvey1, Dwayne Kellman2, Charles C Branas3

  • 1Institute of Health Science Education, Georgetown Public Hospital Corporation, Georgetown, Guyana.

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|February 5, 2026
PubMed
Summary
This summary is machine-generated.

Trauma mortality in Guyana increased by 86.5% from 2018 to 2022, coinciding with economic growth. Key risk factors included injury mechanism, ethnicity, and severity, highlighting the need for targeted public health interventions.

Keywords:
EconomyGuyanaIn-patient mortalityOutcomesRapidly developingTrauma

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Area of Science:

  • Public Health
  • Epidemiology
  • Trauma Care

Background:

  • Rapid economic growth in Guyana may influence trauma mortality rates.
  • Investigating trauma patient epidemiology, risk factors, and mortality trends during economic expansion is crucial.

Purpose of the Study:

  • To analyze the epidemiology and risk factors of trauma mortality in Guyana.
  • To examine trends in hospital mortality for trauma patients over a 5-year period of rapid economic growth.

Main Methods:

  • Retrospective review of trauma patient medical records at Georgetown Public Hospital Corporation (2018-2022).
  • Analysis of demographics, injury characteristics, and clinical outcomes (mortality, length of stay).
  • Univariate and adjusted regression analyses to identify in-hospital mortality risk factors.

Main Results:

  • In-hospital mortality rate was 3.5%, with burns having the highest (11.2%) and assaults the lowest (1.9%) rates.
  • Risk factors for death included injury mechanism (motor vehicle crashes, falls), ethnicity (Indo-Guyanese higher odds), injury severity, and age.
  • Annual mortality rose 86.5% (2018-2022), paralleling GDP growth; 53.6% of late deaths occurred after 24 hours.

Conclusions:

  • Findings support targeted clinical practices and public health initiatives to mitigate rising trauma mortality.
  • The study underscores the need for preventative strategies in Guyana and similar rapidly developing nations facing increased injury risks.