Trauma outcomes in the rural developing world : comparison with an urban level I trauma center.
Western Trauma Association. Annual meeting. Snowbird UT (USA), 1993/02/27.
Trauma is well known as a major cause of death and disability in the developed world, but has been inadequately studied in developing nations.
We reviewed 539 trauma patients admitted from 1987 through 1991 to a rural African hospital, the Holy Family Hospital (HFH) in Berekum, Ghana, and compared these results with 14,270 patients admitted during the same period to a level 1 trauma center, the Harborview Medical Center (HMC) in Seattle, Washington.
At HFH, 59% of patients were seen >24 hours after injury, compared with 4% of HMC patients (p<0.001).
Only 25% of HFH patients received prehospital care, compared with 82% of HMC patients (p<0.001).
Mean ISS was higher at HMC (10.0+-6.3) than at HFH (6.7+-6.5) (p<0.001), but trauma mortality rates were identical (6%) at both institutions.
Mots-clés Pascal : Traumatisme, Pronostic, Homme, Etude comparative, Zone rurale, Pays en développement, Zone urbaine
Mots-clés Pascal anglais : Trauma, Prognosis, Human, Comparative study, Rural area, Developing countries, Urban area
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0050895
Code Inist : 002B16N. Création : 199406.