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Epidemiology and Characteristics of Neurosurgical Conditions at Mbarara Regional Referral Hospital.

Publication ,  Journal Article
Abdelgadir, J; Smith, ER; Punchak, M; Vissoci, JR; Staton, C; Muhindo, A; Kitya, D; Park, LP; Haglund, MM
Published in: World Neurosurg
June 2017

BACKGROUND: The unmet surgical need, specifically neurosurgical need, in Uganda is significant, yet only 2 public hospitals currently perform neurosurgery in the country. This study examines the epidemiology and outcomes of neurosurgical conditions presenting to 1 of 12 regional referral hospitals in Uganda, in an effort to understand the neurosurgical needs of this population. METHODS: The study was conducted at Mbarara Regional Referral Hospital (MRRH), in southwestern Uganda. Demographics, clinical characteristics, and outcomes were retrospectively collected for all patients who presented to MRRH with a neurosurgical condition between January 2012 and September 2015. RESULTS: During the study period, 1854 patients presented to MRRH with a neurosurgical condition. More than half of the patients were between 19 and 40 years old, and the majority were males (76.1%). The overall median length of stay was 5 days (interquartile range: 2.5-10). The majority of admissions were due to trauma (87%), with almost 60% due to road traffic incidents. The overall mortality rate was 12.8%. A multivariable Cox proportional hazards model revealed that age, closed head injury, and admission Glasgow Coma Scale have a strong positive correlation with mortality while getting a diagnostic image and neurosurgical procedure were negatively correlated with mortality. CONCLUSION: Traumatic brain injury represented the majority of neurosurgical admissions at MRRH, disproportionately affecting young males. Age, closed head injury, admission Glasgow Coma Scale, getting a diagnostic image, and neurosurgical procedure were all independent predictors of mortality. Resource appropriate interventions throughout the health system are needed to meet the demand and improve outcomes.

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Published In

World Neurosurg

DOI

EISSN

1878-8769

Publication Date

June 2017

Volume

102

Start / End Page

526 / 532

Location

United States

Related Subject Headings

  • Young Adult
  • Uganda
  • Treatment Outcome
  • Sex Distribution
  • Retrospective Studies
  • Neurosurgical Procedures
  • Middle Aged
  • Male
  • Length of Stay
  • Infant, Newborn
 

Citation

APA
Chicago
ICMJE
MLA
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Abdelgadir, J., Smith, E. R., Punchak, M., Vissoci, J. R., Staton, C., Muhindo, A., … Haglund, M. M. (2017). Epidemiology and Characteristics of Neurosurgical Conditions at Mbarara Regional Referral Hospital. World Neurosurg, 102, 526–532. https://doi.org/10.1016/j.wneu.2017.03.019
Abdelgadir, Jihad, Emily R. Smith, Maria Punchak, Joao Ricardo Vissoci, Catherine Staton, Alex Muhindo, David Kitya, Lawrence P. Park, and Michael M. Haglund. “Epidemiology and Characteristics of Neurosurgical Conditions at Mbarara Regional Referral Hospital.World Neurosurg 102 (June 2017): 526–32. https://doi.org/10.1016/j.wneu.2017.03.019.
Abdelgadir J, Smith ER, Punchak M, Vissoci JR, Staton C, Muhindo A, et al. Epidemiology and Characteristics of Neurosurgical Conditions at Mbarara Regional Referral Hospital. World Neurosurg. 2017 Jun;102:526–32.
Abdelgadir, Jihad, et al. “Epidemiology and Characteristics of Neurosurgical Conditions at Mbarara Regional Referral Hospital.World Neurosurg, vol. 102, June 2017, pp. 526–32. Pubmed, doi:10.1016/j.wneu.2017.03.019.
Abdelgadir J, Smith ER, Punchak M, Vissoci JR, Staton C, Muhindo A, Kitya D, Park LP, Haglund MM. Epidemiology and Characteristics of Neurosurgical Conditions at Mbarara Regional Referral Hospital. World Neurosurg. 2017 Jun;102:526–532.
Journal cover image

Published In

World Neurosurg

DOI

EISSN

1878-8769

Publication Date

June 2017

Volume

102

Start / End Page

526 / 532

Location

United States

Related Subject Headings

  • Young Adult
  • Uganda
  • Treatment Outcome
  • Sex Distribution
  • Retrospective Studies
  • Neurosurgical Procedures
  • Middle Aged
  • Male
  • Length of Stay
  • Infant, Newborn