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

Catherine A. Staton, Daniel Msilanga, George Kiwango, Joao Ricardo Vissoci, Luciano de Andrade, Rebecca Lester, Michael Brian Hocker, Charles J. Gerardo, Mark Mvungi

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Traumatic brain injury (TBI) is the most common cause of death and disability globally disproportionately affecting low- and middle-income countries where increasing injury rates are compounded by limited quality care. The objective of this study is to describe quality of care for TBI patients who presented to Kilimanjaro Christian Medical Center, Moshi, Tanzania. We evaluated a prospective quality improvement TBI registry that enrolled consecutive patients with acute TBI. Descriptive statistics and qualitative comparative analysis was performed. Overall, 893 TBI patients were enrolled during the study period, with a mean age of 32.1 years and who were mostly (80%) male. 12.9% suffered severe TBI (GCS < 9). Most injuries were road traffic (66%) especially motorcyclists (49%) and 26.8% were alcohol related. One intubation occurred, and 22.9% of hypoxic patients received oxygen. Severe TBI mortality was 47%. TBI affects men 15–45 years old in traffic crashes with high mortality for severe TBI (47%) patients. Care addressing secondary injury, hypoxemia, and hypotension is limited.

Original languageEnglish (US)
Pages (from-to)69-77
Number of pages9
JournalInternational Journal of Injury Control and Safety Promotion
Volume24
Issue number1
DOIs
StatePublished - Jan 2 2017

Fingerprint

Epidemiology
Tanzania
epidemiology
Registries
Brain
brain
Referral and Consultation
Quality of Health Care
Wounds and Injuries
mortality
Traumatic Brain Injury
Secondary Care
Mortality
road traffic
Quality Improvement
descriptive statistics
cause of death
Intubation
Hypotension
Brain Injuries

Keywords

  • Tanzania
  • epidemiology
  • quality of care
  • traumatic brain injury

ASJC Scopus subject areas

  • Safety Research
  • Public Health, Environmental and Occupational Health

Cite this

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. / Staton, Catherine A.; Msilanga, Daniel; Kiwango, George; Vissoci, Joao Ricardo; de Andrade, Luciano; Lester, Rebecca; Hocker, Michael Brian; Gerardo, Charles J.; Mvungi, Mark.

In: International Journal of Injury Control and Safety Promotion, Vol. 24, No. 1, 02.01.2017, p. 69-77.

Research output: Contribution to journalArticle

Staton, Catherine A. ; Msilanga, Daniel ; Kiwango, George ; Vissoci, Joao Ricardo ; de Andrade, Luciano ; Lester, Rebecca ; Hocker, Michael Brian ; Gerardo, Charles J. ; Mvungi, Mark. / 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. In: International Journal of Injury Control and Safety Promotion. 2017 ; Vol. 24, No. 1. pp. 69-77.
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