ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2019
The burden of trauma presenting to the government referral hospital in Freetown, Sierra Leone: An observational study.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed.
- Evaluating the availability, effectiveness, and impact of primary trauma care training in Sub-Saharan Africa: A comprehensive review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Review
- Trauma team members' perceptions of the effectiveness of the current trauma care system in Addis Ababa, Ethiopia: a phenomenological study.BMC health services research · 2025Article
- Article
- Post-traumatic stress disorder and body satisfaction among patients at Ruhigita clinic, Bukavu (DRC): an observational study.Frontiers in psychology · 2025Article
- Clinical emergency care quality indicators in Africa: a scoping review and data summary.BMJ open · 2023Article
- There is a great variety of orthopaedic conditions presenting to a large hospital in Sierra Leone: a 3-year prospective study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Emergency Medical Services (EMS) Utilization in Zimbabwe: Retrospective Review of Harare Ambulance System Reports.Annals of global health · 2022Article
- The characteristics and outcomes of trauma admissions to an adult general surgery ward in a tertiary teaching hospital.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- Health system factors associated with post-trauma mortality at the prehospital care level in Africa: a scoping review.Trauma surgery & acute care open · 2020Article
- Epidemiology of injuries presenting to the accident centre of Korle-Bu Teaching Hospital, Ghana.BMC emergency medicine · 2019Article
- Guest Editorial: Introduction to the Trauma Special Issue.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2019Article
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7 authors.
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Abstract
introductionTrauma accounts for a significant proportion of the global burden of disease, with highest mortality rates seen in Africa. This epidemic is predicted to increase with urbanisation and an aim of the Sustainable Development Goals is to reduce deaths and trauma caused by road accidents. Data available on urban trauma in Sierra Leone is limited.
methodsWe conducted a retrospective observational study of trauma and injury related presentations to the emergency centre (EC) of Connaught Hospital, the principal adult tertiary referral centre in Freetown, Sierra Leone between January and March 2016. Patient demographics are described with mechanism of injury. Additional data on length of stay and surgical procedures were recorded for admissions to the trauma ward.
resultsDuring the 3-month period, a total of 340 patients with injury presented to the EC, accounting for 11.6% of total attendances and 68% of adult surgical admissions. The majority were male (66%) and mean age was 26 years (IQR 15-40). The proportion of trauma presentations were higher in the evening and at weekends and 41% of patients were triaged as emergency or very urgent cases. Road traffic accidents were the most frequent cause of injury (55%) followed by falls (17%) and assaults (14%). Burns were more common in children. Head and lower limbs were the most commonly injured body parts and a minority of patients underwent surgical procedures. Median length of stay for adult patients was 4.5 days (IQR 2-11) and 7 days (IQR 4-14) for children. DISCUSSION: Injury accounts for a high burden of disease at Connaught Hospital and consumes a significant proportion of EC and hospital resources. Efforts should be directed towards strengthening the pre-hospital and emergency trauma systems with accurate, formal data collection as well as targeting injury prevention initiatives and improving road safety to reduce morbidity and mortality.
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