Epidemiological, clinical aspects and outcomes of polytrauma in polyvalent intensive care unit at University Hospital of Brazzaville, Republic of Congo

Authors

  • Gilbert Fabrice Otiobanda 1. Faculté des Sciences de la Santé, Université Marien N’GOUABI (UMNG), Brazzaville. 2. Service de Réanimation Polyvalente, Centre Hospitalier Universitaire de Brazzaville (CHU-B)
  • Christ Mayick Mpoy Emy Monkessa 1. Service de Réanimation Polyvalente, Centre Hospitalier Universitaire de Brazzaville (CHU-B). 2. Résident en Anesthésie-Réanimation, Université Cheik Anta Diop, Dakar
  • Marie Elombila 1. Faculté des Sciences de la Santé, Université Marien N’GOUABI (UMNG), Brazzaville. 2. Service de Réanimation Polyvalente, Centre Hospitalier Universitaire de Brazzaville (CHU-B)
  • Hugues Brieux Ekouele Mbaki 1. Faculté des Sciences de la Santé, Université Marien N’GOUABI (UMNG), Brazzaville. 2. Service de Chirurgie Polyvalente, Centre Hospitalier Universitaire de Brazzaville (CHU-B)
  • Gilles Niengo Outsouta 1. Service de Réanimation Polyvalente, Centre Hospitalier Universitaire de Brazzaville (CHU-B). 2. Résident en Anesthésie-Réanimation, Université Cheik Anta Diop, Dakar.
  • Marina Aurole Nde Ngala 1. Service de Réanimation Polyvalente, Centre Hospitalier Universitaire de Brazzaville (CHU-B).

DOI:

https://doi.org/10.37051/mir-00027

Keywords:

epidemiology, clinical, outcomes, severe trauma, intensive care unit, Brazzaville

Abstract

Background: Severe trauma or polytrauma is a patient submitted to high-energy trauma victime with violent trauma regardless apparent injuries. No study have been done on polytrauma in Republic of Congo. The aim was to describe the epidemiological, clinical aspects and outcomes of polytrauma at University Hospital of Brazzaville (UHB).

Materials and methods: It was a retrospective, cross-sectional study carried out on 82 polytrauma in intensive care unit (ICU) of UHB. Epidemiological, clinical and outcomes parameters were recorded and analyzed with Excel 2016.

Results: The mean age was 37.2±16.4 years (sex ratio : 4.1). The most common mechanism of injury involved was Road Traffic Collisions (82.9%). Almost 50.0% polytrauma were admitted directly from the emergency service of UHB. The average Glasgow Coma Score was 10.1 ± 4.1. Respiratory distress and shock were observed in 35.4% and 17.1% of cases respectively. The head (76.8%) and the thorax (41.5%) were the most frequently injured body areas. The complications had occured in 34.1%. The mortality rate was 42.7%. The predominant cause of death was central nervous system injury (62.9%). The median length of hospital was 5 days.

Conclusion: Polytrauma remain a common reason for admission in ICU. Most of these patients are youngs and male genre. Road Traffic Collisions were the most common mechanism of injury. The head and the thorax were the most frequently injured body areas. The mortality rate is high.

Published

2020-10-12

How to Cite

Otiobanda, G. F., Monkessa, C. M. M. E., Elombila, M., Mbaki, H. B. E., Outsouta, G. N., & Nde Ngala, M. A. (2020). Epidemiological, clinical aspects and outcomes of polytrauma in polyvalent intensive care unit at University Hospital of Brazzaville, Republic of Congo. Médecine Intensive Réanimation, 29(3), 173-182. https://doi.org/10.37051/mir-00027

Issue

Section

Original article