Prognostic Factors for Operated Traumatic Brain Injury at the Yaounde Emergency Center  

作　　者：Ernestine Renée Bikono Atangana Alain Jibia Serge Rawlings Ngouatna Reid Achu Darius Kenzo Temgoua Herve Mfouapon Ewane Casimir Fankem Vincent de Paul Djientcheu Ernestine Renée Bikono Atangana;Alain Jibia;Serge Rawlings Ngouatna;Reid Achu;Darius Kenzo Temgoua;Herve Mfouapon Ewane;Casimir Fankem;Vincent de Paul Djientcheu(Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon;Neurosurgery Department, Yaounde Central Hospital, Yaounde, Cameroon;Faculty of Medicine and Biomedical Sciences, University of Garoua, Garoua, Cameroon;Yaounde Emergency Center, Yaounde, Cameroon)

机构地区：[1]Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon [2]Neurosurgery Department, Yaounde Central Hospital, Yaounde, Cameroon [3]Faculty of Medicine and Biomedical Sciences, University of Garoua, Garoua, Cameroon [4]Yaounde Emergency Center, Yaounde, Cameroon

出　　处：《Open Journal of Modern Neurosurgery》2025年第1期88-95,共8页现代神经外科学进展(英文)

摘　　要：Introduction: Head injuries constitute a public health problem in Cameroon and everywhere else in the world. They represent 23% of admissions to the Yaounde emergency center (CURY), which is a center exclusively dedicated, since 2014, to emergency care in Yaounde. In the management of trauma brain injuries at CURY, several are operated on. However, to date, no evaluation of these operated patients has yet been made. Goals: The objective of this study was to highlight the prognostic factors in patients operated for TBI at CURY. Methodology: We conducted a descriptive study whose data collection was done retrospectively over 2 years (01 January 2021 to 31 December 2022) at CURY. Data was collected from the registers of operative reports. Results: We enrolled 105 medical reports of patients who were victims of TBI operated on. The male gender predominated with a sex ratio of 3/1. The average age of the patients was 37.5 ± 18.83 years. Public road accidents were the leading cause of TBI in 75.2% of cases. The means of transport of the victims were mostly non-medical 97.1%. 45.7% of patients were admitted in less than 6 hours following injury. The initial clinical evaluation found 45.8% of patients with a Glasgow Coma Score (GCS) between [14, 15], and 13.2% of patients had a GCS 8. The indications for surgery were extradural hematoma (30%), followed by acute subdural hematoma (24%). The major complication was postoperative infection (25%). The mortality rate of the series was 7.9%. Poor prognostic factors were the depth of the coma on admission, advanced age and postoperative complications. Conclusion: The results of this study suggest that most patients operated on for TBI at CURY had a favorable outcome. The poor prognostic factors were the depth of the coma on admission, advanced age, postoperative complications and comorbidities.Introduction: Head injuries constitute a public health problem in Cameroon and everywhere else in the world. They represent 23% of admissions to the Yaounde emergency center (CURY), which is a center exclusively dedicated, since 2014, to emergency care in Yaounde. In the management of trauma brain injuries at CURY, several are operated on. However, to date, no evaluation of these operated patients has yet been made. Goals: The objective of this study was to highlight the prognostic factors in patients operated for TBI at CURY. Methodology: We conducted a descriptive study whose data collection was done retrospectively over 2 years (01 January 2021 to 31 December 2022) at CURY. Data was collected from the registers of operative reports. Results: We enrolled 105 medical reports of patients who were victims of TBI operated on. The male gender predominated with a sex ratio of 3/1. The average age of the patients was 37.5 ± 18.83 years. Public road accidents were the leading cause of TBI in 75.2% of cases. The means of transport of the victims were mostly non-medical 97.1%. 45.7% of patients were admitted in less than 6 hours following injury. The initial clinical evaluation found 45.8% of patients with a Glasgow Coma Score (GCS) between [14, 15], and 13.2% of patients had a GCS 8. The indications for surgery were extradural hematoma (30%), followed by acute subdural hematoma (24%). The major complication was postoperative infection (25%). The mortality rate of the series was 7.9%. Poor prognostic factors were the depth of the coma on admission, advanced age and postoperative complications. Conclusion: The results of this study suggest that most patients operated on for TBI at CURY had a favorable outcome. The poor prognostic factors were the depth of the coma on admission, advanced age, postoperative complications and comorbidities.

关 键 词：Operated TBI PROGNOSIS Yaounde Emergency Center 

分 类 号：R65[医药卫生—外科学]