Patterns of injury and violence in Yaoundé Cameroon: an analysis of hospital data.
Patterns of injury and violence in Yaoundé Cameroon: an analysis of hospital data.
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DOI：
10.1007/s00268-010-0825-5
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发表时间：
2011-01
影响因子：
2.6
通讯作者：
Hyder AA
中科院分区：
文献类型：
--
作者：
Juillard C;Etoundi Mballa GA;Bilounga Ndongo C;Stevens KA;Hyder AA
背景伤害正在迅速成为全球死亡的主要原因，特别影响撒哈拉以南非洲，那里关于伤害流行病学的报告非常有限。喀麦隆关于受伤模式和频率的报告也很少。本研究探讨了在急诊病房最繁忙的创伤中心在喀麦隆的首都city.Materials和methodsAdministrative记录，从2007年1月1日，通过2007年12月31日，创伤模式进行了回顾性审查;年龄，性别，损伤机制，和结果的信息被抽象为所有的创伤患者急诊病房。单变量分析进行评估的机制，日期，年龄和性别方面的伤害模式。采用双变量分析，以探讨人口统计变量和机制injure.ResultsA共6,234受伤的人之间的潜在关系，在2007年雅温得中央医院的急诊病房。男性占受伤者的71%，受伤患者的平均年龄为29岁（SD = 14.9）。近60%的受伤是由于道路交通事故，其中46%涉及行人。故意伤害是第二常见的伤害机制（22.5%），其中55%涉及徒手攻击。在福尔斯受伤的患者更有可能被送往医院（p< 0.001），而遭受故意伤害和咬伤的患者不太可能被送往医院（p< 0.001）。男性明显比女性更容易入院（p< 0.001）讨论在年龄，性别和损伤机制方面的模式与来自同一地理区域的其他国家的报告相似，但报告的病例数量对于雅温得大小的非洲城市的单一机构来说很高。由于预计撒哈拉以南非洲的疾病负担将急剧增加，喀麦隆必须立即作出预防和治疗努力。
BackgroundInjuries are quickly becoming a leading cause of death globally, disproportionately affecting sub-Saharan Africa, where reports on the epidemiology of injuries are extremely limited. Reports on the patterns and frequency of injuries are available from Cameroon are also scarce. This study explores the patterns of trauma seen at the emergency ward of the busiest trauma center in Cameroon’s capital city.Materials and methodsAdministrative records from January 1, 2007, through December 31, 2007, were retrospectively reviewed; information on age, gender, mechanism of injury, and outcome was abstracted for all trauma patients presenting to the emergency ward. Univariate analysis was performed to assess patterns of injuries in terms of mechanism, date, age, and gender. Bivariate analysis was used to explore potential relationships between demographic variables and mechanism of injury.ResultsA total of 6,234 injured people were seen at the Central Hospital of Yaoundé’s emergency ward during the year 2007. Males comprised 71% of those injured, and the mean age of injured patients was 29 years (SD = 14.9). Nearly 60% of the injuries were due to road traffic accidents, 46% of which involved a pedestrian. Intentional injuries were the second most common mechanism of injury (22.5%), 55% of which involved unarmed assault. Patients injured in falls were more likely to be admitted to the hospital (p< 0.001), whereas patients suffering intentional injuries and bites were less likely to be hospitalized (p< 0.001). Males were significantly more likely to be admitted than females (p< 0.001)DiscussionPatterns in terms of age, gender, and mechanism of injury are similar to reports from other countries from the same geographic region, but the magnitude of cases reported is high for a single institution in an African city the size of Yaoundé. As the burden of disease is predicted to increase dramatically in sub-Saharan Africa, immediate efforts in prevention and treatment in Cameroon are strongly warranted.
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DOI：
10.1136/ip.7.1.46
发表时间：
2001-03-01
期刊：
Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
影响因子：
--
作者：
Kobusingye, O;Guwatudde, D;Lett, R
通讯作者：
Lett, R
影响因子：
15.8
作者：
Lagarde, Emmanuel
通讯作者：
Lagarde, Emmanuel
DOI：
10.1097/00005373-200102000-00014
发表时间：
2001-02-01
影响因子：
--
作者：
Evans, L
通讯作者：
Evans, L
影响因子：
2.2
作者：
GUPTA, RK;SRIVASTAVA, AK
通讯作者：
SRIVASTAVA, AK
影响因子：
12.7
作者：
Hofman, K;Primack, A;Hrynkow, S
通讯作者：
Hrynkow, S