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Observational Study
. 2024 Feb 1;14(2):e080598.
doi: 10.1136/bmjopen-2023-080598.

Clinical characteristics and outcomes of traumatic brain injury in patients admitted to surgical ward of Jimma Medical Center, Southwest Ethiopia: a prospective observational follow-up study

Gemechis Belay Dibera  1 , Mengist Awoke Yizengaw  2 , Gemechu Lemi Yadeta  3 , Dinka Dugassa Iticha  1 , Busha Gamachu  1 , Bruck Tesfaye Legesse  4
Affiliations
Observational Study

Clinical characteristics and outcomes of traumatic brain injury in patients admitted to surgical ward of Jimma Medical Center, Southwest Ethiopia: a prospective observational follow-up study

Gemechis Belay Dibera et al. BMJ Open. .

Abstract

Objective: To assess the Clinical Characteristics and Outcomes of Traumatic Brain Injury in Patients Admitted to the Surgical Ward of Jimma Medical Center, Southwest Ethiopia from January to July 2022.

Design and setting: A hospital-based prospective observational study was conducted among 175 patients admitted with Traumatic Brain Injury at Jimma Medical Center from January to July 2022. Data were collected by structured questionnaires and a convenient sampling technique was used. For data entry, Epidata V.4.6.0.5 software was used and exported to Stata V.14.0.2 for analysis. The Cox regression model was fitted to evaluate the predictors of mortality and variables with a p value <0.05 at 95% CI were taken as statistically significant predictors.

Results: The incidence of in-hospital mortality was 22 (12.6%). The mean length of hospital stay was 6 days. In-hospital complications were recorded in 32.0% of patients. A Glasgow Coma Scale (GCS) score of <8 on admission (adjusted HR (AHR)=6.2, 95% CI 0.75 to 51), hyperthermia (AHR: 1.7, 95% CI 1.02 to 3.05) and lack of prehospital care (AHR: 3.2, 95% CI 2.2 to 8.07) were predictors of mortality in patients with traumatic brain injury.

Conclusion: In-hospital mortality was recorded in over one-tenth of patients with traumatic brain injury. The GCS score of <8 on admission, hyperthermia and lack of prehospital care positively affected the outcome of patients with traumatic brain injury. Screening of patients for hyperthermia and antipsychotics should be strengthened to reduce death. However, a multicentred study is needed for further evidence. Giving priority to the patients with those predictors will decrease the number of deaths.

Keywords: TRAUMA MANAGEMENT; Trauma Nursing; WOUND MANAGEMENT.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Kaplan–Meier curve for estimating the survival status of patients with TBI patients based on the severity at the surgical ward of JMC, Jimma, Ethiopia, from 10 January 2022, to 10 June 2022. JMC, Jimma Medical Center; TBI, traumatic brain injury.
See this image and copyright information in PMC

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