Injuries reported in Nyanza Provincial General hospital, Kisumu City, Western Kenya

Japheths Onyango Kabaka Ogendi (ogendi2003@yahoo.com)
Public Health, Maseno University
February, 2005
 

Abstract

Objective: To document injury-related visits to emergency department (ED) and hospitalization in a provincial general hospital in Kisumu, western Kenya.
Methods: On-site review of records of all patients who visited ED from January 2002 through December 2003, and admissions of year 2003. Information on demographics, external cause of injury and length of stay was extracted.
Results: A total of 15365 patients visited the ED, of which 41% (6319/15395) were injury cases and majority were male, 4198/6319 (66%). The leading causes of injury were assault (42%), road traffic crashes (RTC) (28%), unspecified soft tissue injury (STI) (11%). Cut-wounds, dog-bites, falls, burns and poisoning were infrequently reported. The age group 15-44 years formed the largest proportion (75%) of injury-related patients, while 4.8% were under-five year olds. A total of 3253 patients were admitted in 2003, of which 1010 (31%) were due to injuries. RTC were leading cause of hospitalization (49%) followed by assault (16%). Compared to women, men were more likely to be hospitalized due to assault (OR=2.22; p=Sig) and not burns or poisoning (p=Sig). Admitted patients had a median in-hospital stay of 4 days (range: 1-315 days). There were 64 (6.3%) injury-related deaths, mainly resulting from RTC (41.9%), burns (19.4%) and assault (16.1%). Of the study patients, 72% and 43% required the use of X-ray and operation theatre respectively.
Conclusions: This retrospective on-site medical records review provides considerable information on major causes of injuries attended in this health facility, useful for epidemiological surveillance and injury prevention campaigns.



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