Overview of Six Months Activities in a New Unit of Management of Head Trauma in West Africa

Ouiminga Habib Abdoul Karim; Alihonou Thierry; Zoungrana Noelie; Ndzana Diane; Ouedraogo Anatole Jean Innocent; Compaore Linda Christelle; Tamboura Habibata

doi:doi:10.11648/j.ijn.20200401.14

Overview of Six Months Activities in a New Unit of Management of Head Trauma in West Africa

Ouiminga Habib Abdoul Karim, Alihonou Thierry, Zoungrana Noelie, Ndzana Diane, Ouedraogo Anatole Jean Innocent, Compaore Linda Christelle, Tamboura Habibata

Published in International Journal of Neurosurgery (Volume 4, Issue 1)

Received: 8 May 2020 Accepted: 27 May 2020 Published: 9 June 2020

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Background: The aim of this study was to describe and compare with the literature data, the epidemiological and evolutionary aspects of the management of traumatic brain injury after six months of activities in a new hospital. Methods: This was a retrospective study that was performed at the neurosurgery unit of the Tengandogo Teaching Hospital. The analysis covered all admitted head trauma patients from May 1, 2014 to October 31, 2014. The variables studied were: frequency, age, sex, circumstances, mechanism, Glasgow score (GCS), care and evolution. Results: Over six months, 302 traumatized head injuries were recorded. The average age was 34.8 years old. The sex ratio was 3.79 (239 M / 63 W). Road traffic accidents accounted for 85.43% (n=258) of etiologies, 80% of which were due to two-wheeled machines, followed by falls from a high place with 7.61% (n=23). In 5% (n=15) of cases, it was assault. Severe forms (GCS 3-8) accounted for 33.7% (n=102) of which 65.7% were associated with polytrauma. Moderate forms (GCS: 9-12) accounted for 21% (n=63) of the cases, 45.3% (n=137) were benign forms (GCS: 13-15). Patients were medically treated in 73.5% (n=119) of the cases, and 21% (n=63) were operated upon. Twenty-one patients (6.6%) refused medical care. The mortality rate in severe forms was 38%. Conclusion: Despite advances in resuscitation, overall mortality remains heavy. Sequelae are frequent, leading to difficulties in socio-professional and family reintegration in our low-income country. Prevention of these traumas plays a vital role.

Published in	International Journal of Neurosurgery (Volume 4, Issue 1)
DOI	10.11648/j.ijn.20200401.14
Page(s)	14-17
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), 2020. Published by Science Publishing Group

Keywords

Epidemiology, Head Trauma, Prognosis

References

[1]	Agrawal A, Galwankar S, Kapil V, Coronado V, Basavaraju SV, Mc Guire LC and al. Epidemiology and clinical characteristics of traumatic brain injuries in a rural setting in Maharashtra, India. 2007–2009 Int J Crit Illn Inj Sci. 2012; 2 (3): 167–171.
[2]	Abdelgadir J, Smith ER, M Punchak, Vissoci JR, C Staton, Muhindo A, and al. Epidemiology and Characteristics of Neurosurgical Conditions at Mbarara Regional Referral Hospital. World Neurosurg. 2017; 102: 526-532.
[3]	Smart LR, Mangat HS, Issarow B, McClelland P, Mayaya G, Kanumba E. and al. Severe Traumatic Brain Injury at a Tertiary Referral Center in Tanzania: Epidemiology and Adherence to Brain Trauma Foundation Guidelines. World Neurosurg. 2017; 105: 238-248.
[4]	Kamal VK, Agrawal D, Pandey RM. Epidemiology, clinical characteristics and outcomes of traumatic brain injury: Evidences from integrated level 1 trauma center in India. J Neurosci Rural Pract. 2016; 7 (4): 515–525.
[5]	Staton CA, Msilanga D, Kiwango G, Vissoci JR, de Andrade L, Lester R, et al. A prospective registry evaluating the epidemiology and clinical care of traumatic brain injury patients presenting to a regional referral hospital in Moshi, Tanzania: challenges and the way forward. Int J Inj Contr Saf Promot. 2017; 24: 69-77.
[6]	Hode L, Madougou S, Fatigba HO, Hounnou P, Ebassa K, Hans Moevi AA and al. The Direct Cost of Treatment of Traumatic Brain Injury in a Sub-Saharan African Country (Benin). World Neurosurg. 2017; 99: 210-213.
[7]	Dakouré PWH, Diallo M, Traoré ACV, Gandéma S, Barro SD, Traoré IA and al. Trauma related to falls from trees treated in a specialized trauma center in Burkina-Faso-one hundred and six cases treated in one year. Int Orthop. 2015; 39 (12): 2451-6.
[8]	Aenderl I, Gashaw T, Siebeck M, Mutschler W. Head injury-a neglected public health problem: a four-month prospective study at Jimma University specialized hospital, Ethiopia. Ethiop J Health Sci. 2014; 24: 27-34.
[9]	Chesnut RM, Temkin N, Carney N, Dikmen S, Rondina C, Videtta W, and al. A trial of intracranial-pressure monitoring in traumatic brain injury. N Engl J Med. 2012; 367: 2471-2481.
[10]	Eaton J, Hanif AB, Grudziak J, Charles A. Epidemiology, Management, and Functional Outcomes of Traumatic Brain Injury in Sub-Saharan Africa. World Neurosurg. 2017; 108: 650-655.
[11]	Taopheeq BR, Babatunde A. Posttraumatic Seizures in a Rural Nigerian Neurosurgical Service. World Neurosurg. 2017; 104: 367-371.
[12]	Kaboré AF, Ki BK, Ouédraogo A, Traore SSI, Traore IA, Bougouma CTH and al. Head Computed Tomography Scan in Isolated Traumatic Brain Injury in a Low-Income Country. World Neurosurg. 2017; 107: 382-388.
[13]	Capizzi A, Woo J, Verduzco-Gutierrez M. Traumatic Brain Injury: An Overview of Epidemiology, Pathophysiology, and Medical Management. Med Clin North Am. 2020; 104 (2): 213-238.
[14]	Desai M, Jain A. Neuroprotection in traumatic brain injury. J Neurosurg sci 2018; 62: 563-73.
[15]	Williams E, Martini A, Jackson H, Wagland J, Turner-Stokes L. Time between acquired brain injury and admission to community-based rehabilitation: differences in cognitive and functional gains. Brain Injury. 2020; 34 (6): 713-722.

Cite This Article

Plain Text BibTeX RIS

APA Style

Ouiminga Habib Abdoul Karim, Alihonou Thierry, Zoungrana Noelie, Ndzana Diane, Ouedraogo Anatole Jean Innocent, et al. (2020). Overview of Six Months Activities in a New Unit of Management of Head Trauma in West Africa. International Journal of Neurosurgery, 4(1), 14-17. https://doi.org/10.11648/j.ijn.20200401.14

Copy | Download

ACS Style

Ouiminga Habib Abdoul Karim; Alihonou Thierry; Zoungrana Noelie; Ndzana Diane; Ouedraogo Anatole Jean Innocent, et al. Overview of Six Months Activities in a New Unit of Management of Head Trauma in West Africa. Int. J. Neurosurg. 2020, 4(1), 14-17. doi: 10.11648/j.ijn.20200401.14

Copy | Download

AMA Style

Ouiminga Habib Abdoul Karim, Alihonou Thierry, Zoungrana Noelie, Ndzana Diane, Ouedraogo Anatole Jean Innocent, et al. Overview of Six Months Activities in a New Unit of Management of Head Trauma in West Africa. Int J Neurosurg. 2020;4(1):14-17. doi: 10.11648/j.ijn.20200401.14

Copy | Download

@article{10.11648/j.ijn.20200401.14,
  author = {Ouiminga Habib Abdoul Karim and Alihonou Thierry and Zoungrana Noelie and Ndzana Diane and Ouedraogo Anatole Jean Innocent and Compaore Linda Christelle and Tamboura Habibata},
  title = {Overview of Six Months Activities in a New Unit of Management of Head Trauma in West Africa},
  journal = {International Journal of Neurosurgery},
  volume = {4},
  number = {1},
  pages = {14-17},
  doi = {10.11648/j.ijn.20200401.14},
  url = {https://doi.org/10.11648/j.ijn.20200401.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20200401.14},
  abstract = {Background: The aim of this study was to describe and compare with the literature data, the epidemiological and evolutionary aspects of the management of traumatic brain injury after six months of activities in a new hospital. Methods: This was a retrospective study that was performed at the neurosurgery unit of the Tengandogo Teaching Hospital. The analysis covered all admitted head trauma patients from May 1, 2014 to October 31, 2014. The variables studied were: frequency, age, sex, circumstances, mechanism, Glasgow score (GCS), care and evolution. Results: Over six months, 302 traumatized head injuries were recorded. The average age was 34.8 years old. The sex ratio was 3.79 (239 M / 63 W). Road traffic accidents accounted for 85.43% (n=258) of etiologies, 80% of which were due to two-wheeled machines, followed by falls from a high place with 7.61% (n=23). In 5% (n=15) of cases, it was assault. Severe forms (GCS 3-8) accounted for 33.7% (n=102) of which 65.7% were associated with polytrauma. Moderate forms (GCS: 9-12) accounted for 21% (n=63) of the cases, 45.3% (n=137) were benign forms (GCS: 13-15). Patients were medically treated in 73.5% (n=119) of the cases, and 21% (n=63) were operated upon. Twenty-one patients (6.6%) refused medical care. The mortality rate in severe forms was 38%. Conclusion: Despite advances in resuscitation, overall mortality remains heavy. Sequelae are frequent, leading to difficulties in socio-professional and family reintegration in our low-income country. Prevention of these traumas plays a vital role.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Overview of Six Months Activities in a New Unit of Management of Head Trauma in West Africa
AU  - Ouiminga Habib Abdoul Karim
AU  - Alihonou Thierry
AU  - Zoungrana Noelie
AU  - Ndzana Diane
AU  - Ouedraogo Anatole Jean Innocent
AU  - Compaore Linda Christelle
AU  - Tamboura Habibata
Y1  - 2020/06/09
PY  - 2020
N1  - https://doi.org/10.11648/j.ijn.20200401.14
DO  - 10.11648/j.ijn.20200401.14
T2  - International Journal of Neurosurgery
JF  - International Journal of Neurosurgery
JO  - International Journal of Neurosurgery
SP  - 14
EP  - 17
PB  - Science Publishing Group
SN  - 2640-1959
UR  - https://doi.org/10.11648/j.ijn.20200401.14
AB  - Background: The aim of this study was to describe and compare with the literature data, the epidemiological and evolutionary aspects of the management of traumatic brain injury after six months of activities in a new hospital. Methods: This was a retrospective study that was performed at the neurosurgery unit of the Tengandogo Teaching Hospital. The analysis covered all admitted head trauma patients from May 1, 2014 to October 31, 2014. The variables studied were: frequency, age, sex, circumstances, mechanism, Glasgow score (GCS), care and evolution. Results: Over six months, 302 traumatized head injuries were recorded. The average age was 34.8 years old. The sex ratio was 3.79 (239 M / 63 W). Road traffic accidents accounted for 85.43% (n=258) of etiologies, 80% of which were due to two-wheeled machines, followed by falls from a high place with 7.61% (n=23). In 5% (n=15) of cases, it was assault. Severe forms (GCS 3-8) accounted for 33.7% (n=102) of which 65.7% were associated with polytrauma. Moderate forms (GCS: 9-12) accounted for 21% (n=63) of the cases, 45.3% (n=137) were benign forms (GCS: 13-15). Patients were medically treated in 73.5% (n=119) of the cases, and 21% (n=63) were operated upon. Twenty-one patients (6.6%) refused medical care. The mortality rate in severe forms was 38%. Conclusion: Despite advances in resuscitation, overall mortality remains heavy. Sequelae are frequent, leading to difficulties in socio-professional and family reintegration in our low-income country. Prevention of these traumas plays a vital role.
VL  - 4
IS  - 1
ER  -

Copy | Download

Author Information

Ouiminga Habib Abdoul Karim

Department of Orthopedics Traumatology and Neurosurgery, Tengandogo Teaching Hospital, Ouagadougou, Burkina Faso
Alihonou Thierry

Department of Traumatology Orthopedics and Restorative Surgery, HKM National Teaching Hospital, Cotonou, Benin
Zoungrana Noelie

Department of Multipurpose Emergency, Tengandogo Teaching Hospital, Ouagadougou, Burkina Faso
Ndzana Diane

Department of Orthopedics Traumatology and Neurosurgery, Tengandogo Teaching Hospital, Ouagadougou, Burkina Faso
Ouedraogo Anatole Jean Innocent

Department of Statistics and Epidemiology, Tengandogo Teaching Hospital, Ouagadougou, Burkina Faso
Compaore Linda Christelle

Department of Multipurpose Emergency, Tengandogo Teaching Hospital, Ouagadougou, Burkina Faso
Tamboura Habibata

Department of Multipurpose Emergency, Tengandogo Teaching Hospital, Ouagadougou, Burkina Faso

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Ouiminga Habib Abdoul Karim, Alihonou Thierry, Zoungrana Noelie, Ndzana Diane, Ouedraogo Anatole Jean Innocent, et al. (2020). Overview of Six Months Activities in a New Unit of Management of Head Trauma in West Africa. International Journal of Neurosurgery, 4(1), 14-17. https://doi.org/10.11648/j.ijn.20200401.14

Copy | Download

ACS Style

Ouiminga Habib Abdoul Karim; Alihonou Thierry; Zoungrana Noelie; Ndzana Diane; Ouedraogo Anatole Jean Innocent, et al. Overview of Six Months Activities in a New Unit of Management of Head Trauma in West Africa. Int. J. Neurosurg. 2020, 4(1), 14-17. doi: 10.11648/j.ijn.20200401.14

Copy | Download

AMA Style

Ouiminga Habib Abdoul Karim, Alihonou Thierry, Zoungrana Noelie, Ndzana Diane, Ouedraogo Anatole Jean Innocent, et al. Overview of Six Months Activities in a New Unit of Management of Head Trauma in West Africa. Int J Neurosurg. 2020;4(1):14-17. doi: 10.11648/j.ijn.20200401.14

Copy | Download

@article{10.11648/j.ijn.20200401.14,
  author = {Ouiminga Habib Abdoul Karim and Alihonou Thierry and Zoungrana Noelie and Ndzana Diane and Ouedraogo Anatole Jean Innocent and Compaore Linda Christelle and Tamboura Habibata},
  title = {Overview of Six Months Activities in a New Unit of Management of Head Trauma in West Africa},
  journal = {International Journal of Neurosurgery},
  volume = {4},
  number = {1},
  pages = {14-17},
  doi = {10.11648/j.ijn.20200401.14},
  url = {https://doi.org/10.11648/j.ijn.20200401.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20200401.14},
  abstract = {Background: The aim of this study was to describe and compare with the literature data, the epidemiological and evolutionary aspects of the management of traumatic brain injury after six months of activities in a new hospital. Methods: This was a retrospective study that was performed at the neurosurgery unit of the Tengandogo Teaching Hospital. The analysis covered all admitted head trauma patients from May 1, 2014 to October 31, 2014. The variables studied were: frequency, age, sex, circumstances, mechanism, Glasgow score (GCS), care and evolution. Results: Over six months, 302 traumatized head injuries were recorded. The average age was 34.8 years old. The sex ratio was 3.79 (239 M / 63 W). Road traffic accidents accounted for 85.43% (n=258) of etiologies, 80% of which were due to two-wheeled machines, followed by falls from a high place with 7.61% (n=23). In 5% (n=15) of cases, it was assault. Severe forms (GCS 3-8) accounted for 33.7% (n=102) of which 65.7% were associated with polytrauma. Moderate forms (GCS: 9-12) accounted for 21% (n=63) of the cases, 45.3% (n=137) were benign forms (GCS: 13-15). Patients were medically treated in 73.5% (n=119) of the cases, and 21% (n=63) were operated upon. Twenty-one patients (6.6%) refused medical care. The mortality rate in severe forms was 38%. Conclusion: Despite advances in resuscitation, overall mortality remains heavy. Sequelae are frequent, leading to difficulties in socio-professional and family reintegration in our low-income country. Prevention of these traumas plays a vital role.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Overview of Six Months Activities in a New Unit of Management of Head Trauma in West Africa
AU  - Ouiminga Habib Abdoul Karim
AU  - Alihonou Thierry
AU  - Zoungrana Noelie
AU  - Ndzana Diane
AU  - Ouedraogo Anatole Jean Innocent
AU  - Compaore Linda Christelle
AU  - Tamboura Habibata
Y1  - 2020/06/09
PY  - 2020
N1  - https://doi.org/10.11648/j.ijn.20200401.14
DO  - 10.11648/j.ijn.20200401.14
T2  - International Journal of Neurosurgery
JF  - International Journal of Neurosurgery
JO  - International Journal of Neurosurgery
SP  - 14
EP  - 17
PB  - Science Publishing Group
SN  - 2640-1959
UR  - https://doi.org/10.11648/j.ijn.20200401.14
AB  - Background: The aim of this study was to describe and compare with the literature data, the epidemiological and evolutionary aspects of the management of traumatic brain injury after six months of activities in a new hospital. Methods: This was a retrospective study that was performed at the neurosurgery unit of the Tengandogo Teaching Hospital. The analysis covered all admitted head trauma patients from May 1, 2014 to October 31, 2014. The variables studied were: frequency, age, sex, circumstances, mechanism, Glasgow score (GCS), care and evolution. Results: Over six months, 302 traumatized head injuries were recorded. The average age was 34.8 years old. The sex ratio was 3.79 (239 M / 63 W). Road traffic accidents accounted for 85.43% (n=258) of etiologies, 80% of which were due to two-wheeled machines, followed by falls from a high place with 7.61% (n=23). In 5% (n=15) of cases, it was assault. Severe forms (GCS 3-8) accounted for 33.7% (n=102) of which 65.7% were associated with polytrauma. Moderate forms (GCS: 9-12) accounted for 21% (n=63) of the cases, 45.3% (n=137) were benign forms (GCS: 13-15). Patients were medically treated in 73.5% (n=119) of the cases, and 21% (n=63) were operated upon. Twenty-one patients (6.6%) refused medical care. The mortality rate in severe forms was 38%. Conclusion: Despite advances in resuscitation, overall mortality remains heavy. Sequelae are frequent, leading to difficulties in socio-professional and family reintegration in our low-income country. Prevention of these traumas plays a vital role.
VL  - 4
IS  - 1
ER  -

Copy | Download