Pattern and outcome of XXXX at Bugando Medical Centre in Northwestern Tanzania.

@entity1 @entity295 @entity174 @entity2294 @entity79 @entity764 @entity2641 @entity1913 @entity130
BACKGROUND: @entity764 constitute a continuing challenge to the @entity130 or general surgeon practicing in developing countries. This study was conducted to outline the etiological spectrum, injury patterns and short term outcome of these injuries in our setting. @entity1 AND METHODS: This was a prospective study involving @entity764 @entity1 admitted to Bugando Medical Centre over a six-month period from November 2009 to April 2010 inclusive. RESULTS: A total of 150 @entity764 @entity1 were studied. Males outnumbered females by a ratio of 3.8:1. Their ages ranged from 1 to 80 years (mean = 32.17 years). The majority of @entity1 (72.7%) sustained @entity1913 . Road traffic crush was the most common cause of injuries affecting 50.7% of @entity1 . Chest wall wounds, hemothorax and @entity174 were the most common type of injuries accounting for 30.0%, 21.3% and 20.7% respectively. Associated injuries were noted in 56.0% of @entity1 and head/neck (33.3%) and musculoskeletal regions (26.7%) were commonly affected. The majority of @entity1 (55.3%) were treated successfully with non-operative approach. Underwater seal drainage was performed in 39 @entity1 (19.3%). One @entity1 (0.7%) underwent thoracotomy due to @entity2294 . Thirty nine @entity1 (26.0%) had complications of which wound @entity295 (14.7%) and @entity79 (12.0%) were the most common complications. The mean LOS was 13.17 days and mortality rate was 3.3%. Using multivariate logistic regression analysis, associated injuries, the @entity130 , @entity130 scores (ISS, @entity2641 and PTS) were found to be significant predictors of the LOS (P < 0.001), whereas mortality was significantly associated with pre-morbid illness, associated injuries, @entity130 scores (ISS, @entity2641 and PTS), the need for ICU admission and the presence of complications (P < 0.001). CONCLUSION: @entity764 resulting from RTCs remain a major public health problem in this part of Tanzania. Urgent preventive measures targeting at reducing the occurrence of RTCs is necessary to reduce the incidence of @entity764 in this region.
