Missed injuries in trauma associated mortalities in a Nigerian teaching hospital.
Niger Postgrad Med J
; 21(1): 1-4, 2014 Mar.
Article
em En
| MEDLINE
| ID: mdl-24887243
ABSTRACT
AIMS AND OBJECTIVES:
The objective of this study is to describe the pattern of missed injuries in trauma associated mortalities in the University College Hospital Ibadan Nigeria and to determine the relevance of postmortem examination in trauma related death. SUBJECTS ANDMETHODS:
All cases of trauma- associated death in the Accident and Emergency Department of the University College Hospital (UCH), Ibadan Nigeria over a ten year period from January 1997 to December 2006 were reviewed. Data extracted from the records included the demographic data, the mechanism of injury, time and duration of injury prior to presentation and the clinical diagnosis. The autopsy findings were compared to the clinical diagnosis by the medical officer in the emergency department. The unrecorded injuries noted at autopsy were reviewed and classified using the modified Goldman criteria for autopsy discrepanciesRESULTS:
Two hundred and ninety trauma related autopsies were performed within the stipulated period. Diagnostic errors were observed in fifty five (18.9%) of these autopsies. The commonest mechanism of injury was road traffic accident (73%). Thirty (57%) of these patients arrived at the ED within six hours of injury. There were 79 missed injuries consisting of chest injuries (43%), while 26% were abdominal injuries. There were 25 type 1 and 25 type 2 major errors. The mean revised trauma score (RTS) at presentation was 4.81 ± 1.9 with a probability of survival of >60% CONCLUSION Trauma care needs to be taught as a specialty. Post mortem remains a necessary quality control tool.
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Base de dados:
MEDLINE
Assunto principal:
Traumatismo Múltiplo
/
Erros de Diagnóstico
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Humans
País/Região como assunto:
Africa
Idioma:
En
Revista:
Niger Postgrad Med J
Assunto da revista:
MEDICINA
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Nigéria