Management of Traumatic Brain Injuries at the Kara Regional Hospital - Surgical Science

SS > Vol.15 No.2, February 2024

Surgical Science

Volume 15, Issue 2 (February 2024)

ISSN Print: 2157-9407 ISSN Online: 2157-9415

Google-based Impact Factor: 0.10 Citations h5-index & Ranking

Management of Traumatic Brain Injuries at the Kara Regional Hospital ()

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Download as PDF (Size: 374KB) PP. 19-27

DOI: 10.4236/ss.2024.152003 55 Downloads 201 Views

Author(s)

Tamegnon Dossouvi¹, Tchaa Hodabalo Towoezim², Abdel Kader Moumouni³, Kokou Kanassoua⁴, Iroukora Kassegne⁵, Ekoue David Dosseh⁶

Affiliation(s)

¹Department of General Surgery, Dapaong Regional Hospital, University of Kara, Kara, Togo.
²Department of Traumatology and Orthopaedics, Kara University Hospital, University of Kara, Kara, Togo.
³Department of Neurosurgery, Kara University Hospital, University of Kara, Kara, Togo.
⁴Department of General Surgery, Kara University Hospital, University of Kara, Kara, Togo.
⁵Department of General Surgery, Kara Regional Hospital, University of Kara, Kara, Togo.
⁶Department of General Surgery, Sylvanus Olympio University Hospital of Lomé, University of Lomé, Lomé, Togo.

ABSTRACT

Introduction: Traumatic Brain Injury (TBI) is a major public health problem causing significant morbidity and mortality in young adults. This study aimed to describe the epidemiological, diagnostic, therapeutic, and evolutionary aspects of TBI. Materials and Methods: This was a prospective, descriptive study conducted from 1 April 2022 to 31 March 2023 on patients admitted to and treated for cranioencephalic trauma in the General Surgery department of Kara Regional Hospital. Results: Eighty-three (83) patients with cranioencephalic trauma were managed out of 773 patients admitted to the department during the study period. The mean age was 34 ± 14.98 years and the sex ratio was 3.6 in favour of men. Motorbike taxi drivers were the social group most affected (n = 33, 40%). The causes of trauma were dominated by public road accidents (n = 80; 96%). TBI was mild (n = 40; 48%), moderate (n = 35; 42%) and severe (n = 8; 10%). Cerebral CT scans were performed in 19 patients (23%). Cerebral contusion (n = 4) was the most frequent cerebral lesion. Six patients (7%) with severe head injuries were transferred to Kara University Hospital. Six deaths (7%) occurred in patients with severe head injuries. The main sequelae were intermittent headaches in all patients reviewed, and memory problems (6%). Conclusion: Traumatic brain injuries are common at Kara Regional Hospital. Severe cranial trauma is less frequent but leads to death because of financial difficulties and limited technical facilities.

KEYWORDS

Traumatic Brain Injury, Road Accident, Motorcyclist, Cerebral Contusion, Togo

Share and Cite:

Dossouvi, T. , Towoezim, T. , Moumouni, A. , Kanassoua, K. , Kassegne, I. and Dosseh, E. (2024) Management of Traumatic Brain Injuries at the Kara Regional Hospital. Surgical Science, 15, 19-27. doi: 10.4236/ss.2024.152003.

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