Conditions for the Transfer of Patients with Cranial Trauma to the University Hospital Center of Brazzaville

Ekouele Mbaki Hugues Brieux; Bianza Eloïse Marthe Anasthasia; Elombila Marie; Tiafumu Konde Christ Arnaud; Mbou Essie Darius Eryx; Boukaka Kala Rel Gerald; Boukassa Léon; Otiobanda Gilbert Fabrice

doi:doi:10.11648/j.ijn.20230702.13

Conditions for the Transfer of Patients with Cranial Trauma to the University Hospital Center of Brazzaville

Ekouele Mbaki Hugues Brieux, Bianza Eloïse Marthe Anasthasia, Elombila Marie, Tiafumu Konde Christ Arnaud, Mbou Essie Darius Eryx, Boukaka Kala Rel Gerald, Boukassa Léon, Otiobanda Gilbert Fabrice

Published in International Journal of Neurosurgery (Volume 7, Issue 2)

Received: 28 August 2023 Accepted: 14 September 2023 Published: 25 September 2023

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Abstract

The aim of this study was to assess the conditions under which patients suffering from traumatic brain injury (TBI), initially admitted to a peripheral hospital, were cared for and then transferred to the emergency department of the University Hospital Center (UHC) of Brazzaville. We conducted a descriptive study, with a prospective data collection, from March to August 2021, i.e., a period of six months, in the emergency department of the UHC of Brazzaville. We included all adult patients referred from another hospital and who had consented to participate in the study. The variables studied were related to the care at the secondary hospital and the conditions of transfer to the emergency department of the UHC of Brazzaville. We selected 150 cases of TBI, including 43 cases (28.7%) from a peripheral hospital. The age was between 18 and 40 years old in 104 cases (69.3%), a sex ratio of 4. The Glasgow coma scale from periphal hospital was between 13-15 in 7 cases (16.3%) and unspecified in 30 cases (69.7 %). The parameters regarding peripheral oxygen saturation were unspecified in 76.7%, blood pressure was unspecified in 72.1%. The mode of transport used during the transfer was ambulance in 23 cases (53.6%), followed by taxi in 14 cases (32.6%) and personal vehicle in 5 cases (11.6%). Information relating to the initial management of patients is insufficient. Transfer conditions are poorly coordinated. Strengthening inter-hospital cooperation and developing teleconsultation can help improve the quality of transfers.

Published in	International Journal of Neurosurgery (Volume 7, Issue 2)
DOI	10.11648/j.ijn.20230702.13
Page(s)	32-35
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), 2023. Published by Science Publishing Group

Keywords

Cranial Trauma, Transfer, Brazzaville

References

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[6]	Ekouele Mbaki H, Bingui Outman DP, Elombia M, Mbou Essie DE, Mpoy Emy Monkessa CM, Boukaka Kala RG. Socio-demographic profile of adults admitted in emergency for brain trauma injuries at the university hospital of Brazzaville. Open J Mod Neurosurg 2019; 9: 43-8.
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[14]	Bruder N. Transfer of emergency neurosurgical patients: when and how? Ann Fr Anesth Reanim 2007; 26: 873-7.
[15]	Goh KY, Tsang KY, Poon WS. Does teleradiology improve interhospital management of head injury? Can J Neurol Sci 1997; 24: 235-9.
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Ekouele Mbaki Hugues Brieux, Bianza Eloïse Marthe Anasthasia, Elombila Marie, Tiafumu Konde Christ Arnaud, Mbou Essie Darius Eryx, et al. (2023). Conditions for the Transfer of Patients with Cranial Trauma to the University Hospital Center of Brazzaville. International Journal of Neurosurgery, 7(2), 32-35. https://doi.org/10.11648/j.ijn.20230702.13

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Ekouele Mbaki Hugues Brieux; Bianza Eloïse Marthe Anasthasia; Elombila Marie; Tiafumu Konde Christ Arnaud; Mbou Essie Darius Eryx, et al. Conditions for the Transfer of Patients with Cranial Trauma to the University Hospital Center of Brazzaville. Int. J. Neurosurg. 2023, 7(2), 32-35. doi: 10.11648/j.ijn.20230702.13

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AMA Style

Ekouele Mbaki Hugues Brieux, Bianza Eloïse Marthe Anasthasia, Elombila Marie, Tiafumu Konde Christ Arnaud, Mbou Essie Darius Eryx, et al. Conditions for the Transfer of Patients with Cranial Trauma to the University Hospital Center of Brazzaville. Int J Neurosurg. 2023;7(2):32-35. doi: 10.11648/j.ijn.20230702.13

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@article{10.11648/j.ijn.20230702.13,
  author = {Ekouele Mbaki Hugues Brieux and Bianza Eloïse Marthe Anasthasia and Elombila Marie and Tiafumu Konde Christ Arnaud and Mbou Essie Darius Eryx and Boukaka Kala Rel Gerald and Boukassa Léon and Otiobanda Gilbert Fabrice},
  title = {Conditions for the Transfer of Patients with Cranial Trauma to the University Hospital Center of Brazzaville},
  journal = {International Journal of Neurosurgery},
  volume = {7},
  number = {2},
  pages = {32-35},
  doi = {10.11648/j.ijn.20230702.13},
  url = {https://doi.org/10.11648/j.ijn.20230702.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20230702.13},
  abstract = {The aim of this study was to assess the conditions under which patients suffering from traumatic brain injury (TBI), initially admitted to a peripheral hospital, were cared for and then transferred to the emergency department of the University Hospital Center (UHC) of Brazzaville. We conducted a descriptive study, with a prospective data collection, from March to August 2021, i.e., a period of six months, in the emergency department of the UHC of Brazzaville. We included all adult patients referred from another hospital and who had consented to participate in the study. The variables studied were related to the care at the secondary hospital and the conditions of transfer to the emergency department of the UHC of Brazzaville. We selected 150 cases of TBI, including 43 cases (28.7%) from a peripheral hospital. The age was between 18 and 40 years old in 104 cases (69.3%), a sex ratio of 4. The Glasgow coma scale from periphal hospital was between 13-15 in 7 cases (16.3%) and unspecified in 30 cases (69.7 %). The parameters regarding peripheral oxygen saturation were unspecified in 76.7%, blood pressure was unspecified in 72.1%. The mode of transport used during the transfer was ambulance in 23 cases (53.6%), followed by taxi in 14 cases (32.6%) and personal vehicle in 5 cases (11.6%). Information relating to the initial management of patients is insufficient. Transfer conditions are poorly coordinated. Strengthening inter-hospital cooperation and developing teleconsultation can help improve the quality of transfers.},
 year = {2023}
}

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TY - JOUR
T1 - Conditions for the Transfer of Patients with Cranial Trauma to the University Hospital Center of Brazzaville
AU - Ekouele Mbaki Hugues Brieux
AU - Bianza Eloïse Marthe Anasthasia
AU - Elombila Marie
AU - Tiafumu Konde Christ Arnaud
AU - Mbou Essie Darius Eryx
AU - Boukaka Kala Rel Gerald
AU - Boukassa Léon
AU - Otiobanda Gilbert Fabrice
Y1 - 2023/09/25
PY - 2023
N1 - https://doi.org/10.11648/j.ijn.20230702.13
DO - 10.11648/j.ijn.20230702.13
T2 - International Journal of Neurosurgery
JF - International Journal of Neurosurgery
JO - International Journal of Neurosurgery
SP - 32
EP - 35
PB - Science Publishing Group
SN - 2640-1959
UR - https://doi.org/10.11648/j.ijn.20230702.13
AB - The aim of this study was to assess the conditions under which patients suffering from traumatic brain injury (TBI), initially admitted to a peripheral hospital, were cared for and then transferred to the emergency department of the University Hospital Center (UHC) of Brazzaville. We conducted a descriptive study, with a prospective data collection, from March to August 2021, i.e., a period of six months, in the emergency department of the UHC of Brazzaville. We included all adult patients referred from another hospital and who had consented to participate in the study. The variables studied were related to the care at the secondary hospital and the conditions of transfer to the emergency department of the UHC of Brazzaville. We selected 150 cases of TBI, including 43 cases (28.7%) from a peripheral hospital. The age was between 18 and 40 years old in 104 cases (69.3%), a sex ratio of 4. The Glasgow coma scale from periphal hospital was between 13-15 in 7 cases (16.3%) and unspecified in 30 cases (69.7 %). The parameters regarding peripheral oxygen saturation were unspecified in 76.7%, blood pressure was unspecified in 72.1%. The mode of transport used during the transfer was ambulance in 23 cases (53.6%), followed by taxi in 14 cases (32.6%) and personal vehicle in 5 cases (11.6%). Information relating to the initial management of patients is insufficient. Transfer conditions are poorly coordinated. Strengthening inter-hospital cooperation and developing teleconsultation can help improve the quality of transfers.
VL - 7
IS - 2
ER -

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Author Information

Ekouele Mbaki Hugues Brieux

Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
Bianza Eloïse Marthe Anasthasia

Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
Elombila Marie

Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
Tiafumu Konde Christ Arnaud

Department of Emergency, University Hospital Center of Brazzaville, Brazzaville, Congo
Mbou Essie Darius Eryx

Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
Boukaka Kala Rel Gerald

Department of Multipurpose Surgery, University Hospital Center of Brazzaville, Brazzaville, Congo
Boukassa Léon

Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
Otiobanda Gilbert Fabrice

Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo

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APA Style

Ekouele Mbaki Hugues Brieux, Bianza Eloïse Marthe Anasthasia, Elombila Marie, Tiafumu Konde Christ Arnaud, Mbou Essie Darius Eryx, et al. (2023). Conditions for the Transfer of Patients with Cranial Trauma to the University Hospital Center of Brazzaville. International Journal of Neurosurgery, 7(2), 32-35. https://doi.org/10.11648/j.ijn.20230702.13

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ACS Style

Ekouele Mbaki Hugues Brieux; Bianza Eloïse Marthe Anasthasia; Elombila Marie; Tiafumu Konde Christ Arnaud; Mbou Essie Darius Eryx, et al. Conditions for the Transfer of Patients with Cranial Trauma to the University Hospital Center of Brazzaville. Int. J. Neurosurg. 2023, 7(2), 32-35. doi: 10.11648/j.ijn.20230702.13

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AMA Style

Ekouele Mbaki Hugues Brieux, Bianza Eloïse Marthe Anasthasia, Elombila Marie, Tiafumu Konde Christ Arnaud, Mbou Essie Darius Eryx, et al. Conditions for the Transfer of Patients with Cranial Trauma to the University Hospital Center of Brazzaville. Int J Neurosurg. 2023;7(2):32-35. doi: 10.11648/j.ijn.20230702.13

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@article{10.11648/j.ijn.20230702.13,
  author = {Ekouele Mbaki Hugues Brieux and Bianza Eloïse Marthe Anasthasia and Elombila Marie and Tiafumu Konde Christ Arnaud and Mbou Essie Darius Eryx and Boukaka Kala Rel Gerald and Boukassa Léon and Otiobanda Gilbert Fabrice},
  title = {Conditions for the Transfer of Patients with Cranial Trauma to the University Hospital Center of Brazzaville},
  journal = {International Journal of Neurosurgery},
  volume = {7},
  number = {2},
  pages = {32-35},
  doi = {10.11648/j.ijn.20230702.13},
  url = {https://doi.org/10.11648/j.ijn.20230702.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20230702.13},
  abstract = {The aim of this study was to assess the conditions under which patients suffering from traumatic brain injury (TBI), initially admitted to a peripheral hospital, were cared for and then transferred to the emergency department of the University Hospital Center (UHC) of Brazzaville. We conducted a descriptive study, with a prospective data collection, from March to August 2021, i.e., a period of six months, in the emergency department of the UHC of Brazzaville. We included all adult patients referred from another hospital and who had consented to participate in the study. The variables studied were related to the care at the secondary hospital and the conditions of transfer to the emergency department of the UHC of Brazzaville. We selected 150 cases of TBI, including 43 cases (28.7%) from a peripheral hospital. The age was between 18 and 40 years old in 104 cases (69.3%), a sex ratio of 4. The Glasgow coma scale from periphal hospital was between 13-15 in 7 cases (16.3%) and unspecified in 30 cases (69.7 %). The parameters regarding peripheral oxygen saturation were unspecified in 76.7%, blood pressure was unspecified in 72.1%. The mode of transport used during the transfer was ambulance in 23 cases (53.6%), followed by taxi in 14 cases (32.6%) and personal vehicle in 5 cases (11.6%). Information relating to the initial management of patients is insufficient. Transfer conditions are poorly coordinated. Strengthening inter-hospital cooperation and developing teleconsultation can help improve the quality of transfers.},
 year = {2023}
}

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