Observational studyWorld neurosurgery2017
Mortality-Associated Characteristics of Patients with Traumatic Brain Injury at the University Teaching Hospital of Kigali, Rwanda.
Observational study in World neurosurgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Scoping Review on True and Relative Bradycardia in Trauma: How to Approach Bradycardia in Traumatic Brain Injury.Journal of cardiovascular translational research · 2026Review
- Time to death and its predictors among traumatic brain injury patients admitted to East Amhara comprehensive specialized hospitals, Ethiopia: retrospective cohort study.BMC neurology · 2024Article
- Incidence and predictors of mortality among traumatic brain injury patients admitted to Amhara region Comprehensive Specialized Hospitals, northwest Ethiopia, 2022.BMC emergency medicine · 2023Article
- Epidemiological and clinical characteristics predictive of ICU mortality of patients with traumatic brain injury treated at a trauma referral hospital - a cohort study.BMC neurology · 2023Article
- Incidence and Predictors of Mortality Among Patients with Traumatic Brain Injury at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia: A Retrospective Follow-Up Study.Patient related outcome measures · 2023Article
- Injury characteristics and their association with clinical complications among emergency care patients in Tanzania.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Severe traumatic brain injuries secondary to motor vehicle crashes in two Namibian regions: A retrospective review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Association of traumatic brain injury severity and time to definitive care in three low-middle-income European countries.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2022Article
- An exploratory assessment of the management of pediatric traumatic brain injury in three centers in Africa.Frontiers in pediatrics · 2022Article
- Association between volume resuscitation & mortality among injured patients at a tertiary care hospital in Kigali, Rwanda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- Delays in emergency department intervention for patients with traumatic brain injury in Uganda.Trauma surgery & acute care open · 2021Article
- Article
- Changes in Mortality Related to Traumatic Brain Injuries in the Seychelles from 1989 to 2018.Frontiers in neurology · 2021Article
- Impact of nursing education and a monitoring tool on outcomes in traumatic brain injury.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020Article
- The Initial Prehospital Management of Traumatic Brain Injuries in Kigali, Rwanda.Prehospital and disaster medicine · 2020Article
- Identifying, Prioritizing and Visually Mapping Barriers to Injury Care in Rwanda: A Multi-disciplinary Stakeholder Exercise.World journal of surgery · 2020Review
- Article
- Musculoskeletal Injuries and Outcomes Pre- and Post- Emergency Medicine Training Program.The western journal of emergency medicine · 2019Observational
- Health Professional Training and Capacity Strengthening Through International Academic Partnerships: The First Five Years of the Human Resources for Health Program in Rwanda.International journal of health policy and management · 2018Article
Corrections and comments
- Erratum issued
Authors and funding
9 authors.
Funding
Abstract
objectiveTraumatic brain injury (TBI) is a leading cause of death and disability. Patients with TBI in low and middle-income countries have worse outcomes than patients in high-income countries. We evaluated important clinical indicators associated with mortality for patients with TBI at University Teaching Hospital of Kigali, Kigali, Rwanda.
methodsA prospective consecutive sampling of patients with TBI presenting to University Teaching Hospital of Kigali Accident and Emergency Department was screened for inclusion criteria: reported head trauma, alteration in consciousness, headache, and visible head trauma. Exclusion criteria were age <10 years, >48 hours after injury, and repeat visit. Data were assessed for association with death using logistic regression. Significant variables were included in a multivariate logistic regression model and refined via backward elimination.
resultsBetween October 7, 2013, and April 6, 2014, 684 patients were enrolled; 14 (2%) were excluded because of incomplete data. Of patients, 81% were male with mean age of 31 years (range, 10-89 years; SD 11.8). Most patients (80%) had mild TBI (Glasgow Coma Scale [GCS] score 13-15); 10% had moderate (GCS score 9-12) and 10% had severe (GCS score 3-8) TBI. Multivariate logistic regression determined that GCS score <13, hypoxia, bradycardia, tachycardia, and age >50 years were significantly associated with death.
conclusionsGCS score <13, hypoxia, bradycardia, tachycardia, and age >50 years were associated with mortality. These findings inform future research that may guide clinicians in prioritizing care for patients at highest risk of mortality.
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