+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Pediatric traumatic brain injury at Mbarara Regional Referral Hospital, Uganda



Pediatric traumatic brain injury at Mbarara Regional Referral Hospital, Uganda



Journal of Clinical Neuroscience 47: 79-83



In Uganda, TBI constitute the majority of neurosurgical admissions and deaths specially in the pediatric population. This study aims to determine the factors associated with poor outcome among pediatric TBI cases at a major referral hospital in western Uganda. This study was conducted at Mbarara Regional Referral Hospital (MRRH) in western Uganda. All pediatric neurosurgical cases between 2012 and 2015 were reviewed. In-hospital mortality and discharge GCS were the main outcomes of interest. Multivariable logistic regression with backward elimination was used to determine the factors significantly associated with outcome. A total of 381 pediatric TBI patients were admitted to MRRH between 2012 and 2015. The mean age was 8.6 (SD 5.6) with a male predominance (62.0%). The most common mechanism of injury overall was RTI, which was responsible for 71% of all TBI cases. In the multivariable logistic regression model, admission GCS < 13 was a strong predictor of poor outcome and in-hospital mortality compared to admission GCS ≥ 13, with patients demonstrating an odds ratio of 30 (95%CI: 7-132) and OR of 18 (95%CI: 4-79), respectively. Given the lack of published literature on pediatric TBI in LMICs, this study was the first to describe and evaluate risk factors associated with TBI severity among pediatric patients at a major referral hospital in western Uganda. Injury severity on admission was the only variable found to be significantly associated with discharge outcome. This study ultimately highlights the need for more effective preventative measures to decrease admission severity.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 060075824

Download citation: RISBibTeXText

PMID: 29066002

DOI: 10.1016/j.jocn.2017.10.004


Related references

Abdominal injury at Mbarara Regional Referral Hospital, Uganda. East And Central African Journal Of Surgery: 2, 29-36, 2008

Prevalence of HIV-related thrombocytopenia among clients at Mbarara Regional Referral Hospital, Mbarara, southwestern Uganda. Journal of Blood Medicine 6: 109-113, 2015

Quantifying delays and self-identified barriers to timely access to pediatric surgery at Mbarara Regional Referral Hospital, Uganda. Journal of Pediatric Surgery 53(5): 1073-1079, 2018

Validation of an Electronic Surgical Outcomes Database at Mbarara Regional Referral Hospital, Uganda. World Journal of Surgery 42(1): 54-60, 2018

Patterns and treatment outcomes of anorectal malformations in Mbarara Regional Referral Hospital, Uganda. Journal of Pediatric Surgery 54(4): 838-844, 2019

Incidence of postpartum infection, outcomes and associated risk factors at Mbarara regional referral hospital in Uganda. Bmc Pregnancy and Childbirth 18(1): 270, 2018

Trichophyton violaceum : Main cause of tinea capitis in children at Mbarara Regional Referral Hospital in Uganda. Der Hautarzt; Zeitschrift für Dermatologie Venerologie und verwandte Gebiete 67(9): 712-717, 2016

Assessment of the quality of stored blood for transfusion at Mbarara Regional Referral Hospital, Southwestern Uganda. Journal of Blood Medicine Volume 10: 161-169, 2019

Assessment of nurses knowledge and skills following cardiopulmonary resuscitation training at Mbarara Regional Referral Hospital, Uganda. Pan African Medical Journal 30: 108, 2018

Clindamycin Resistance among Staphylococcus Aureus Isolated at Mbarara Regional Referral Hospital, in South Western Uganda. British Microbiology Research Journal 4(12): 1335-1344, 2014

Predictors and outcome of surgical repair of obstetric fistula at a regional referral hospital, Mbarara, western Uganda. Bmc Urology 11: 23, 2011

Incidence and Etiology of Surgical Site Infections among Emergency Postoperative Patients in Mbarara Regional Referral Hospital, South Western Uganda. Surgery Research and Practice 2017: 6365172, 2017

O498 Predictors And Patterns Of Hiv Serostatus Disclosure Among Hiv Positive Pregnant Women At Mbarara Regional Referral Hospital (Mrrh), Western Uganda. International Journal of Gynecology & Obstetrics 119: S437-S438, 2012

Hematological abnormalities in HIV-antiretroviral therapy naïve clients as seen at an immune suppression syndrome clinic at Mbarara Regional Referral Hospital, southwestern Uganda. Journal of Blood Medicine 9: 105-110, 2018

Antifungal Susceptibility Patterns of Vulvovaginal Candida species among Women Attending Antenatal Clinic at Mbarara Regional Referral Hospital, South Western Uganda. British Microbiology Research Journal 5(4): 322-331, 2015