African Health Sciences
Makerere University Medical School
Vol. 17, No. 1, 2017, pp. 116-121
Bioline Code: hs17015
Full paper language: English
Document type: Research Article
Document available free of charge
African Health Sciences, Vol. 17, No. 1, 2017, pp. 116-121
© Copyright  - African Health Sciences
Clinical and cranial computed tomography scan findings in adults following road traffic accidents in Kampala, Uganda.|
Erem, Geoffrey; Bugeza, Samuel & Malwadde, Elsie Kiguli
Background: Globally, road traffic accidents are a major cause of death and disability. The developing countries bear a disproportionately
large share of the RTAs which account for about 85% of the deaths. Most of these RTAs result in head injury,
which globally, most scholars and medical practitioners consider a significant economic, social and medical problem. In Mulago
National referral hospital, RTA is the leading cause of surgical admission.
Objective: To describe the cranial computed tomography (CT) scan findings in adults following RTA in Mulago hospital.
Methods: Using CT, detailed analysis of 178 adult patients with head injury following RTA was performed. Data was analyzed
using SPSS version 16 and presented in tables and graphs. Data recorded included socio-demographic characteristics, clinical
and CT variables.
Results: Seventy seven percent of the respondents were between 18- 39 years. 52.6% of patients had open head injury. Headache
was the most common clinical variable followed by dizziness and aphasia. The most common CT characteristic was extra
cerebral haemorrhage followed by brain oedema and raised Intra-cranial pressure (ICP). Intra-cerebral haemorrhage was commonest
in the frontal lobe followed by parietal lobe.
Conclusion: Public health interventions like advocacy and education of the population on safe and responsible road usage
should be emphasized to reduce on RTAs.
Computed tomography scan; road traffic accidents; head injury; Uganda