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Mortality of Severe Trauma Adults Patients in Polyvalent Intensive Care Unit at University Hospital of Brazzaville, Republic of Congo

Received: 4 October 2021     Accepted: 28 October 2021     Published: 5 November 2021
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Abstract

Aim: To describe the profile of severe trauma adults who died in polyvalent intensive care unit at University Hospital of Brazzaville. Materials and methods: It was a retrospective, cross-sectional study carried out in polyvalent intensive care unit of University Hospital of Brazzaville, during 30 months period. We included all severe trauma who died, aged 18 years or over patients regardless of age or sex and treated for at least one hour in intensive care. Epidemiological, clinical and therapeutic parameters were recorded and analyzed with Excel 2016 for Windows. Results: During the study period, 35 deaths out of 90 severe trauma patients were recorded, i.e. a lethality rate of 38.8%. The mean age was 42.4±18.6 years (sex ratio=7.5). Admissions were primary in 58.8%. Road traffic collisions (RTC, 73.5%) were the most common mechanism of injury involved. In intensive care, 82.4% of patients presented with severe trauma brain injury (TBI), of which 50.0% was isolated. Respiratory (47.1%) and hemodynamic (17.6%) distress were observed. Pickup and transport of trauma victims were not medical. Oxygen therapy (91.2%), blood transfusion (23.5%), use of vasopressor amines (47.1%) and osmotherapy (23.5%) were necessary. The patients were intubated and ventilated then sedated in 64.7%. Surgical management concerned 20.6% and was dominated by neurosurgical indications. Neurological distress (61.8%) was the main cause of death. Conclusion: The lethality rate of severe trauma patients was high, affecting young males, victims of both RTC and severe TBI. This confirms the need to promote collaboration and communication between hospital structures, to set up pre-hospital care structures, to improve the technical platform and to train staff involved in their care.

Published in International Journal of Anesthesia and Clinical Medicine (Volume 9, Issue 2)
DOI 10.11648/j.ijacm.20210902.15
Page(s) 41-48
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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), 2021. Published by Science Publishing Group

Keywords

Mortality, Severe Trauma, Polyvalent Intensive Care Unit, Brazzaville

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Cite This Article
  • APA Style

    Christ Mayick Mpoy Emy Monkessa, Marie Elombila, Gilles Niengo Outsouta, Peggy Dahlia Gallou Leyono-Mawandza, Marina Aurole Bokoba-Nde Ngala, et al. (2021). Mortality of Severe Trauma Adults Patients in Polyvalent Intensive Care Unit at University Hospital of Brazzaville, Republic of Congo. International Journal of Anesthesia and Clinical Medicine, 9(2), 41-48. https://doi.org/10.11648/j.ijacm.20210902.15

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    ACS Style

    Christ Mayick Mpoy Emy Monkessa; Marie Elombila; Gilles Niengo Outsouta; Peggy Dahlia Gallou Leyono-Mawandza; Marina Aurole Bokoba-Nde Ngala, et al. Mortality of Severe Trauma Adults Patients in Polyvalent Intensive Care Unit at University Hospital of Brazzaville, Republic of Congo. Int. J. Anesth. Clin. Med. 2021, 9(2), 41-48. doi: 10.11648/j.ijacm.20210902.15

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    AMA Style

    Christ Mayick Mpoy Emy Monkessa, Marie Elombila, Gilles Niengo Outsouta, Peggy Dahlia Gallou Leyono-Mawandza, Marina Aurole Bokoba-Nde Ngala, et al. Mortality of Severe Trauma Adults Patients in Polyvalent Intensive Care Unit at University Hospital of Brazzaville, Republic of Congo. Int J Anesth Clin Med. 2021;9(2):41-48. doi: 10.11648/j.ijacm.20210902.15

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  • @article{10.11648/j.ijacm.20210902.15,
      author = {Christ Mayick Mpoy Emy Monkessa and Marie Elombila and Gilles Niengo Outsouta and Peggy Dahlia Gallou Leyono-Mawandza and Marina Aurole Bokoba-Nde Ngala and Giresse Bienvenu Tsouassa Wa Ngono and Hugues Brieux Ekouele-Mbaki and Gilbert Fabrice Otiobanda},
      title = {Mortality of Severe Trauma Adults Patients in Polyvalent Intensive Care Unit at University Hospital of Brazzaville, Republic of Congo},
      journal = {International Journal of Anesthesia and Clinical Medicine},
      volume = {9},
      number = {2},
      pages = {41-48},
      doi = {10.11648/j.ijacm.20210902.15},
      url = {https://doi.org/10.11648/j.ijacm.20210902.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20210902.15},
      abstract = {Aim: To describe the profile of severe trauma adults who died in polyvalent intensive care unit at University Hospital of Brazzaville. Materials and methods: It was a retrospective, cross-sectional study carried out in polyvalent intensive care unit of University Hospital of Brazzaville, during 30 months period. We included all severe trauma who died, aged 18 years or over patients regardless of age or sex and treated for at least one hour in intensive care. Epidemiological, clinical and therapeutic parameters were recorded and analyzed with Excel 2016 for Windows. Results: During the study period, 35 deaths out of 90 severe trauma patients were recorded, i.e. a lethality rate of 38.8%. The mean age was 42.4±18.6 years (sex ratio=7.5). Admissions were primary in 58.8%. Road traffic collisions (RTC, 73.5%) were the most common mechanism of injury involved. In intensive care, 82.4% of patients presented with severe trauma brain injury (TBI), of which 50.0% was isolated. Respiratory (47.1%) and hemodynamic (17.6%) distress were observed. Pickup and transport of trauma victims were not medical. Oxygen therapy (91.2%), blood transfusion (23.5%), use of vasopressor amines (47.1%) and osmotherapy (23.5%) were necessary. The patients were intubated and ventilated then sedated in 64.7%. Surgical management concerned 20.6% and was dominated by neurosurgical indications. Neurological distress (61.8%) was the main cause of death. Conclusion: The lethality rate of severe trauma patients was high, affecting young males, victims of both RTC and severe TBI. This confirms the need to promote collaboration and communication between hospital structures, to set up pre-hospital care structures, to improve the technical platform and to train staff involved in their care.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Mortality of Severe Trauma Adults Patients in Polyvalent Intensive Care Unit at University Hospital of Brazzaville, Republic of Congo
    AU  - Christ Mayick Mpoy Emy Monkessa
    AU  - Marie Elombila
    AU  - Gilles Niengo Outsouta
    AU  - Peggy Dahlia Gallou Leyono-Mawandza
    AU  - Marina Aurole Bokoba-Nde Ngala
    AU  - Giresse Bienvenu Tsouassa Wa Ngono
    AU  - Hugues Brieux Ekouele-Mbaki
    AU  - Gilbert Fabrice Otiobanda
    Y1  - 2021/11/05
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijacm.20210902.15
    DO  - 10.11648/j.ijacm.20210902.15
    T2  - International Journal of Anesthesia and Clinical Medicine
    JF  - International Journal of Anesthesia and Clinical Medicine
    JO  - International Journal of Anesthesia and Clinical Medicine
    SP  - 41
    EP  - 48
    PB  - Science Publishing Group
    SN  - 2997-2698
    UR  - https://doi.org/10.11648/j.ijacm.20210902.15
    AB  - Aim: To describe the profile of severe trauma adults who died in polyvalent intensive care unit at University Hospital of Brazzaville. Materials and methods: It was a retrospective, cross-sectional study carried out in polyvalent intensive care unit of University Hospital of Brazzaville, during 30 months period. We included all severe trauma who died, aged 18 years or over patients regardless of age or sex and treated for at least one hour in intensive care. Epidemiological, clinical and therapeutic parameters were recorded and analyzed with Excel 2016 for Windows. Results: During the study period, 35 deaths out of 90 severe trauma patients were recorded, i.e. a lethality rate of 38.8%. The mean age was 42.4±18.6 years (sex ratio=7.5). Admissions were primary in 58.8%. Road traffic collisions (RTC, 73.5%) were the most common mechanism of injury involved. In intensive care, 82.4% of patients presented with severe trauma brain injury (TBI), of which 50.0% was isolated. Respiratory (47.1%) and hemodynamic (17.6%) distress were observed. Pickup and transport of trauma victims were not medical. Oxygen therapy (91.2%), blood transfusion (23.5%), use of vasopressor amines (47.1%) and osmotherapy (23.5%) were necessary. The patients were intubated and ventilated then sedated in 64.7%. Surgical management concerned 20.6% and was dominated by neurosurgical indications. Neurological distress (61.8%) was the main cause of death. Conclusion: The lethality rate of severe trauma patients was high, affecting young males, victims of both RTC and severe TBI. This confirms the need to promote collaboration and communication between hospital structures, to set up pre-hospital care structures, to improve the technical platform and to train staff involved in their care.
    VL  - 9
    IS  - 2
    ER  - 

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Author Information
  • Polyvalent Intensive Care Unit, University Hospital of Brazzaville, Brazzaville, Republic of Congo

  • Polyvalent Intensive Care Unit, University Hospital of Brazzaville, Brazzaville, Republic of Congo

  • Polyvalent Intensive Care Unit, University Hospital of Brazzaville, Brazzaville, Republic of Congo

  • Polyvalent Intensive Care Unit, University Hospital of Brazzaville, Brazzaville, Republic of Congo

  • Polyvalent Intensive Care Unit, University Hospital of Brazzaville, Brazzaville, Republic of Congo

  • Department of Visceral Surgery, University Hospital of Brazzaville, Brazzaville, Republic of Congo

  • Faculty of Heath Sciences, Marien N’GOUABI University, Brazzaville, Republic of Congo

  • Polyvalent Intensive Care Unit, University Hospital of Brazzaville, Brazzaville, Republic of Congo

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