Timing of death at National Trauma Center, Abuja, Nigeria|
Gwaram, Usman A. & Ameh, Emmanuel A.
Background: We aimed to analyse the burden and timing of trauma deaths over a 1-year
period at a trauma centre in Nigeria.
Methods: This was a retrospective review of in-hospital trauma deaths during the period of
January to December 2015. Sociodemographic data, cause of injury, mode of presentation,
time interval between presentation and death, injury diagnoses, treatment, and place of
death were analysed.
Results: There were 2230 trauma consultations during the study period; 85 were brought in
dead from the scene. We analysed data from 103 of 121 in-hospital deaths. Patient ages
ranged from 0 to 90 years, with a mean age of 31.1. The male-to-female ratio was 5:1.
Following injury, 46.6% of the victims presented directly to our tertiary centre, while 53.4%
were referred from other hospitals. Most of the injuries were from RTA. Isolated head injury
was the predominant diagnosis (44.7%), followed by polytrauma (29%). Immediate deaths
(exclusive of those brought in already dead) comprised 5.8% of cases; 37.9% were early
deaths and 56.3% were late deaths.
Conclusions: The timing of trauma deaths closely approximated the original trimodal
description in North America about half a century ago even though advances in trauma care
have resulted in changes from this pattern in developed countries. Regionalised integrated
care including prehospital trauma services are recommended.
trauma; mortality; timing