Injury characteristics and severity of patients presenting with TBI in Mulago Hospital
Discharged home | Admitted | Died | Others | P value | |
Cause of TBI | |||||
RTI (n=2325) | 781 (33.59) | 1027 (44.17) | 63 (2.71) | 454 (19.53) | 0.38 |
Falls (n=289) | 107 (37.02) | 112 (38.75) | 10 (3.46) | 60 (20.76) | |
Intentional injuries (n=1135) | 421 (37.09) | 483 (42.56) | 30 (2.64) | 201 (17.71) | |
Others (n=195) | 70 (35.9) | 75 (38.46) | 6 (3.08) | 44 (22.56) | |
Type of head injury | |||||
Open (n=1432) | 492 (34.36) | 629 (43.92) | 45 (3.14) | 266 (18.58) | 0.555 |
Closed (n=2483) | 879 (35.4) | 1055 (42.49) | 62 (2.5) | 487 (19.61) | |
Others (n=29) | 8 (27.6) | 13 (44.83) | 2 (6.9) | 6 (20.7) | |
GCS on arrival | |||||
Mean (SD) | 12.33 (3.26) | 12.3 (3.32) | 12.44 (3.25) | 12.55 (3.34) | 0.356 |
Mild, 13–15 (n=2428) | 840 (34.6) | 1027 (42.3) | 65 (2.68) | 496 (20.43) | 0.337 |
Moderate, 9–12 (n=871) | 310 (35.59) | 392 (45.01) | 25 (2.87) | 144 (16.53) | |
Severe, <9 (645) | 229 (35.5) | 278 (43.1) | 19 (2.95) | 119 (18.45) | |
Number of serious injuries (n=3941) | |||||
None (n=800) | 267 (19.38) | 341 (20.12) | 12 (11.0) | 180 (23.72) | 0.001 |
One (n=3033) | 1079 (78.3) | 1303 (76.87) | 89 (81.65) | 562 (74.04) | |
Two or more (n=108) | 32 (2.32) | 51 (3.01) | 8 (7.34) | 17 (2.24) | |
Change in GCS (n=3944) | |||||
No change (n=1200) | 491 (40.92) | 439 (36.58) | 6 (0.5) | 264(22) | 0.000 |
GCS dropped (n=1124) | 234 (20.82) | 605 (53.83) | 91 (8.1) | 194 (17.26) | |
GCS improved (n=1620) | 654 (40.37) | 653 (40.31) | 12 (0.74) | 301 (18.58) | |
Kampala Trauma Score (n-3941) | 11.32 (2.14) | 11.13 (2.22) | 11.34 (2.44) | 11.06 (2.27) | 0.030 |
Revised Trauma Score (n=3944) | 6.38 (1.57) | 6.33 (1.64) | 6.36 (1.56) | 6.36 (1.61) | 0.852 |
GCS, Glasgow Coma Scale; RTI, road traffic injury; TBI, traumatic brain injury.