OJO  Vol.5 No.7 , July 2015
Pattern of Mortalities among Orthopaedic and Trauma Admissions in Irrua
Abstract: Background: There are many reports from different parts of the world addressing different aspects of surgical mortality. However, none has been done in this centre as it relates to orthopaedics and trauma admissions. Such data are invaluable to health planning and epidemiological monitoring. Objective: To retrospectively review all mortalities arising from orthopaedics and trauma admission as they present to Irrua specialist Teaching Hospital (ISTH) Irrua from Jan 2005-Dec 2014. Method: Medical records of case mortalities among orthopaedic and trauma admissions over ten years (Jan 2005-Dec 2014) were retrospectively reviewed. Results: Over this period, 2129 admissions and 45 deaths were recorded, with an overall crude mortality rate of 2.11%. No death was recorded among the paediatric age group. Thirty-four patients (75.56%) died from trauma (fracture) related diagnosis, majority of which were from head injury followed by infection 5 (11.11%), tumours 4, (8.89%) and disc herniation 2 (4.44%). Males were more affected 77.78% and median age at death was 44 years. Medical co-morbidities were found in 37.77% of the deceased patients. Conclusion: Patients with trauma related cases particularly head injuries, topped the list of mortalities. Young and middle aged adult males were most affected. Need for manpower development, investment in diagnostic and therapeutic facilities and preventive measures is emphasised.
Cite this paper: Edomwonyi, E. , Enemudo, R. and Okafor, I. (2015) Pattern of Mortalities among Orthopaedic and Trauma Admissions in Irrua. Open Journal of Orthopedics, 5, 179-185. doi: 10.4236/ojo.2015.57024.

[1]   Department of Health. Hospital In-Patient Data Based on Hospital Episode Statistics (HES).

[2]   Ayoade, B.A., Thanni, L.O. and Shonoiki-Oladipupo, O. (2013) Mortality Pattern in Surgical Wards of a University Teaching Hospital in South West Nigeria: A Review. World Journal of Surgery, 37, 504-509.

[3]   Orimolade, E.A., Akinyoola, A.L., Ikem, I.C., Oginni, L.M., Olasinde, A.A. and Esan, O. (2011) Mortality among Orthopaedic and Traumatology Admissions: A Ten Year Review. Nigerian Journal of Orthopaedics and Trauma, 10, 47-52.

[4]   Ahmed, E. and Chaka, T. (2005) The Pattern of Orthopaedic Admissions in Tikur Anbessa University Hospital, Addis Ababa. Ethiopian Medical Journal, 43, 85-91.

[5]   Bhattacharyya, T., Lorio, R. and Healy, W.L. (2002) Rate of and Risk Factors for Acute Inpatient Mortality after Orthopaedic Surgery. Journal of Bone & Joint Surgery, 84, 562-572.

[6]   Tan, H.B., McDonald, D.A., Matthews, S.J. and Giannoudis, P.V. (2004) Incidence and Causes of Mortality Following Acute Orthopaedic and Trauma Admissions. Annals of the Royal College of Surgeons of England, 86, 156-160.

[7]   Elias, A. and Tezera, C. (2005) Orthopaedic and Major Limb Trauma at the Tikur Anbessa University Hospital, Addis Ababa Ethiopia. East and Central African Journal of Surgery, 10, 43-50.

[8]   Thanni, L.O. and Kehinde, O.A. (2006) Trauma of a Nigerian Teaching Hospital Pattern and Documentation of Presentation. African Health Sciences, 6, 104-107.

[9]   Adeolu, A.A., Malomo, A.O., Shokunbi, M.T., Komolafe, E.O. and Abiona, T.C. (2005) Etiology of Head Injuries in South-Western Nigeria. A Public Health Perspective. The Internet Journal of Epidemiology, 2.

[10]   Adesukanmi, A.R., Oginni, L.M., Oyelami, O.A. and Badru, O.S. (2000) Road Traffic Accidents in African Children: Assessment of Severity Using the Injury Severity Score (ISS). Injury, 31, 225.

[11]   Mock, C. Quansah, R., Krishnan, R., Arreola-Rissa, C. and Rivarra, F. (2004) Strengthening the Prevention and Care of Injuries Worldwide. The Lancet, 363, 2172-2179.

[12]   Krug, E.G., Sharma, G.K. and Lozano, R. (2000) The Global Burden of Injuries. American Journal of Public Health, 90, 523-526.

[13]   Ekere, A.U., Yellowe, B.E. and Umunne, S. (2005) Mortality Patterns in the Accident and Emergency Department of an Urban Hospital in Nigeria. Nigerian Journal of Clinical Practice, 8, 14-18.

[14]   Olasinde, A., Oluwadiya, K., Akinkuolie, A. and Oginni, L. (2005) Paediatric Surgical Admissions in a Tertiary Hospital in Western Nigeria. The Internet Journal of Paediatrics and Neonatology, 5.

[15]   Thanni, L.O., Shonubi, A.M. and Akiode, O.A. (2005) Retrospective Audit of Paediatric Surgical Admissions in a Sub-Urban Tertiary Hospital. West African Journal of Medicine, 24, 10-12.

[16]   Moran, C.G., Wenn, R.T., Sikand, M. and Taylor, A.M. (2005) Early Mortality after Hip Fracture: Is Delay before Surgery Important? Journal of Bone & Joint Surgery, 87, 483-489.

[17]   Nast-kolb, D., Aufmkolk, M., Rucholtz, S., Obertacke, V. and Waydhas, C. (2001) Multiple Organ Failure Still a Major Cause of Morbidiity but Not Mortality in Blunt Multiple Trauma. The Journal of Trauma, 51, 835-841.

[18]   Sotunbi, P.T., Idowu, A.T., Akang, E.E. and Aken’Ova, Y.A. (2006) Prevalence of Venous Thromboembolism of Post Mortem in an African Population: A Cause for Concern. African Journal of Medicine and Medical Sciences, 35, 345-348.

[19]   London, J., Mock, C.N., Abantanga, E.A., Quansah, R.E. and Boateng, K.A. (2002) Using Mortuary Statistics in the Development of an Injury Surveillance System in Ghana. Bulletin of the World Health Organization, 80, 357-364.

[20]   Salifu, M. and Mock, C.N. (1998) Pedestrian Injuries in Kumasi: Results of an Epidemiologic Survey. The Ghana Engineer, 18, 23-27.