Factors associated with mortality in thoracic trauma patients in Cameroon
Background: Thoracic trauma is the third most common cause of death after abdominal injury and head trauma in polytrauma patients. The identification of a patient at risk of thoracic trauma mortality is necessary to avoid delays that may lead to morbidity and mortality. Therefore, the objective was...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-01-01
|
| Series: | Heliyon |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844024175305 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841533345382531072 |
|---|---|
| author | Odette Dzemo Kibu Georges Nguefack-Tsague Sithombo Maqungo Serge Ngekeng Fanny Nadia Dissak Delon Darwin Touko Rasheedat Oke Cindy Umoh Roland Mfondoum Sabrinah Ariane Christie Catherine Juillard Alain Chichom-Mefire |
| author_facet | Odette Dzemo Kibu Georges Nguefack-Tsague Sithombo Maqungo Serge Ngekeng Fanny Nadia Dissak Delon Darwin Touko Rasheedat Oke Cindy Umoh Roland Mfondoum Sabrinah Ariane Christie Catherine Juillard Alain Chichom-Mefire |
| author_sort | Odette Dzemo Kibu |
| collection | DOAJ |
| description | Background: Thoracic trauma is the third most common cause of death after abdominal injury and head trauma in polytrauma patients. The identification of a patient at risk of thoracic trauma mortality is necessary to avoid delays that may lead to morbidity and mortality. Therefore, the objective was to assess the factors associated with mortality among thoracic trauma patients in Cameroon. Materials and methods: This is a retrospective analysis of the Cameroon Trauma Registry currently running in 10 pilot hospital sites across seven of the ten regions. We retrieved data for all patients with thoracic trauma between the period June 2022 to May 2023 and analyzed factors associated to mortality using multivariate logistic regression. Statistical significance was set at p-value <0.05. Results: Out of 4851 trauma patients, 642 (13.2 %) presented with thoracic trauma. Over 80 % were males and the majority [168 (26.2 %)] were within the age group of 25–34 years. The most common injury mechanism was Road Traffic Injury (RTI). Overall thoracic trauma mortality rate was 9 % with road traffic Injury being the commonest mechanism. Factors associated to thoracic trauma mortality were abnormal chest movement and respiration [(AOR = 5.18, 95 % CI = 1.89–14.19, P = 0.001) and (AOR = 4.72, 95 % CI = 1.44–15.42, P = 0.01) respectively]. Tracheal deviation, breath sounds and respiration were other factors associated with mortality. Conclusion: This analysis highlights thoracic trauma in Cameroon and its contribution to the overall injury death toll. Abnormal chest movement and respiration were factors associated with mortality among thoracic trauma patients. To improve the health outcomes, it is important to understand the treatment logic, involve thoracic surgeons and a multidisciplinary team to improve diagnosis and management. |
| format | Article |
| id | doaj-art-ee10997ac0544bd2a4b6e7e52d36819d |
| institution | Kabale University |
| issn | 2405-8440 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj-art-ee10997ac0544bd2a4b6e7e52d36819d2025-01-17T04:51:27ZengElsevierHeliyon2405-84402025-01-01111e41499Factors associated with mortality in thoracic trauma patients in CameroonOdette Dzemo Kibu0Georges Nguefack-Tsague1Sithombo Maqungo2Serge Ngekeng3Fanny Nadia Dissak Delon4Darwin Touko5Rasheedat Oke6Cindy Umoh7Roland Mfondoum8Sabrinah Ariane Christie9Catherine Juillard10Alain Chichom-Mefire11Department of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, Buea, Cameroon; Data Science Center for the Study of Surgery, Injury, and Equity in Africa (D-SINE-Africa), University of Buea, Cameroon; Corresponding author. Department of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, Buea, Cameroon.Department of Public Health, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, CameroonDepartment of Surgery, Division of Global Surgery and Division of Orthopaedic Surgery, University of Cape Town and Groote Schuur Hospital, South AfricaDepartment of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, Buea, Cameroon; Faculty of Health Sciences, Sustainable Trauma, Research, Education and Mentorship (STREaM) Project, University of Buea, CameroonData Science Center for the Study of Surgery, Injury, and Equity in Africa (D-SINE-Africa), University of Buea, CameroonData Science Center for the Study of Surgery, Injury, and Equity in Africa (D-SINE-Africa), University of Buea, CameroonDepartment of Surgery, Program for the Advancement of Surgical Equity, University of California, Los Angeles, CA, USADepartment of Surgery, Program for the Advancement of Surgical Equity, University of California, Los Angeles, CA, USAData Science Center for the Study of Surgery, Injury, and Equity in Africa (D-SINE-Africa), University of Buea, CameroonDepartment of Surgery, Program for the Advancement of Surgical Equity, University of California, Los Angeles, CA, USADepartment of Surgery, Program for the Advancement of Surgical Equity, University of California, Los Angeles, CA, USAData Science Center for the Study of Surgery, Injury, and Equity in Africa (D-SINE-Africa), University of Buea, Cameroon; Faculty of Health Sciences, Sustainable Trauma, Research, Education and Mentorship (STREaM) Project, University of Buea, Cameroon; Department of Surgery, Faculty of Health Sciences, University of Buea, Buea, CameroonBackground: Thoracic trauma is the third most common cause of death after abdominal injury and head trauma in polytrauma patients. The identification of a patient at risk of thoracic trauma mortality is necessary to avoid delays that may lead to morbidity and mortality. Therefore, the objective was to assess the factors associated with mortality among thoracic trauma patients in Cameroon. Materials and methods: This is a retrospective analysis of the Cameroon Trauma Registry currently running in 10 pilot hospital sites across seven of the ten regions. We retrieved data for all patients with thoracic trauma between the period June 2022 to May 2023 and analyzed factors associated to mortality using multivariate logistic regression. Statistical significance was set at p-value <0.05. Results: Out of 4851 trauma patients, 642 (13.2 %) presented with thoracic trauma. Over 80 % were males and the majority [168 (26.2 %)] were within the age group of 25–34 years. The most common injury mechanism was Road Traffic Injury (RTI). Overall thoracic trauma mortality rate was 9 % with road traffic Injury being the commonest mechanism. Factors associated to thoracic trauma mortality were abnormal chest movement and respiration [(AOR = 5.18, 95 % CI = 1.89–14.19, P = 0.001) and (AOR = 4.72, 95 % CI = 1.44–15.42, P = 0.01) respectively]. Tracheal deviation, breath sounds and respiration were other factors associated with mortality. Conclusion: This analysis highlights thoracic trauma in Cameroon and its contribution to the overall injury death toll. Abnormal chest movement and respiration were factors associated with mortality among thoracic trauma patients. To improve the health outcomes, it is important to understand the treatment logic, involve thoracic surgeons and a multidisciplinary team to improve diagnosis and management.http://www.sciencedirect.com/science/article/pii/S2405844024175305Thoracic traumaMortalityRisk factorsCameroon |
| spellingShingle | Odette Dzemo Kibu Georges Nguefack-Tsague Sithombo Maqungo Serge Ngekeng Fanny Nadia Dissak Delon Darwin Touko Rasheedat Oke Cindy Umoh Roland Mfondoum Sabrinah Ariane Christie Catherine Juillard Alain Chichom-Mefire Factors associated with mortality in thoracic trauma patients in Cameroon Heliyon Thoracic trauma Mortality Risk factors Cameroon |
| title | Factors associated with mortality in thoracic trauma patients in Cameroon |
| title_full | Factors associated with mortality in thoracic trauma patients in Cameroon |
| title_fullStr | Factors associated with mortality in thoracic trauma patients in Cameroon |
| title_full_unstemmed | Factors associated with mortality in thoracic trauma patients in Cameroon |
| title_short | Factors associated with mortality in thoracic trauma patients in Cameroon |
| title_sort | factors associated with mortality in thoracic trauma patients in cameroon |
| topic | Thoracic trauma Mortality Risk factors Cameroon |
| url | http://www.sciencedirect.com/science/article/pii/S2405844024175305 |
| work_keys_str_mv | AT odettedzemokibu factorsassociatedwithmortalityinthoracictraumapatientsincameroon AT georgesnguefacktsague factorsassociatedwithmortalityinthoracictraumapatientsincameroon AT sithombomaqungo factorsassociatedwithmortalityinthoracictraumapatientsincameroon AT sergengekeng factorsassociatedwithmortalityinthoracictraumapatientsincameroon AT fannynadiadissakdelon factorsassociatedwithmortalityinthoracictraumapatientsincameroon AT darwintouko factorsassociatedwithmortalityinthoracictraumapatientsincameroon AT rasheedatoke factorsassociatedwithmortalityinthoracictraumapatientsincameroon AT cindyumoh factorsassociatedwithmortalityinthoracictraumapatientsincameroon AT rolandmfondoum factorsassociatedwithmortalityinthoracictraumapatientsincameroon AT sabrinaharianechristie factorsassociatedwithmortalityinthoracictraumapatientsincameroon AT catherinejuillard factorsassociatedwithmortalityinthoracictraumapatientsincameroon AT alainchichommefire factorsassociatedwithmortalityinthoracictraumapatientsincameroon |