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.

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Staton, CA; Msilanga, D; Kiwango, G; Vissoci, JR; de Andrade, L; Lester, R; Hocker, M; Gerardo, CJ; Mvungi, M

Published Date

  • March 2017

Published In

Volume / Issue

  • 24 / 1

Start / End Page

  • 69 - 77

PubMed ID

  • 26239625

Pubmed Central ID

  • 26239625

Electronic International Standard Serial Number (EISSN)

  • 1745-7319

International Standard Serial Number (ISSN)

  • 1745-7300

Digital Object Identifier (DOI)

  • 10.1080/17457300.2015.1061562

Language

  • eng