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Conditions for the Transfer of Patients with Cranial Trauma to the University Hospital Center of Brazzaville

Received: 28 August 2023    Accepted: 14 September 2023    Published: 25 September 2023
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Abstract

The aim of this study was to assess the conditions under which patients suffering from traumatic brain injury (TBI), initially admitted to a peripheral hospital, were cared for and then transferred to the emergency department of the University Hospital Center (UHC) of Brazzaville. We conducted a descriptive study, with a prospective data collection, from March to August 2021, i.e., a period of six months, in the emergency department of the UHC of Brazzaville. We included all adult patients referred from another hospital and who had consented to participate in the study. The variables studied were related to the care at the secondary hospital and the conditions of transfer to the emergency department of the UHC of Brazzaville. We selected 150 cases of TBI, including 43 cases (28.7%) from a peripheral hospital. The age was between 18 and 40 years old in 104 cases (69.3%), a sex ratio of 4. The Glasgow coma scale from periphal hospital was between 13-15 in 7 cases (16.3%) and unspecified in 30 cases (69.7 %). The parameters regarding peripheral oxygen saturation were unspecified in 76.7%, blood pressure was unspecified in 72.1%. The mode of transport used during the transfer was ambulance in 23 cases (53.6%), followed by taxi in 14 cases (32.6%) and personal vehicle in 5 cases (11.6%). Information relating to the initial management of patients is insufficient. Transfer conditions are poorly coordinated. Strengthening inter-hospital cooperation and developing teleconsultation can help improve the quality of transfers.

Published in International Journal of Neurosurgery (Volume 7, Issue 2)
DOI 10.11648/j.ijn.20230702.13
Page(s) 32-35
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Cranial Trauma, Transfer, Brazzaville

References
[1] Kibby MY, Long CJ. Minor head injury: attempts at clarifying the confusion. Brain Inj 1996; 10 (3): 159-86.
[2] Soares de Souza R, Pinheiro PP, Ferreira de Lima Silva JM, Rolim Neto ML, Machado Filho JA. Traumatic brain injury (TBI): morbidity, mortality and economic implications. Int Arch Med 2015; 8 (73): 1-5.
[3] Tazarourte K, Bensalah N, Rebillard L, Bernard Vigué B. Epidemiology of head trauma. Mapar 2008: 141-3.
[4] Irié Bi GS, Pete Y, Koffi N, Nda-Koffi C, Ogondon B, Kouadio S, Able E, Brouh Y. Epidemiological profile of craniocerebral trauma at the intensive care unit of the Bouake University Hospital. Rev Int Sc Med 2017; 19 (4): 323-7.
[5] Motah M, Sende Ngonde C, Beyiha G, Belley PE, Malongte Nguemgne C, Gonsu Fotsin J, Verbova LN, Ebana Mvogo C. Management of isolated head injuries at the Douala General Hospital. Health Sci Dis 2011; 12 (3): 1-6.
[6] Ekouele Mbaki H, Bingui Outman DP, Elombia M, Mbou Essie DE, Mpoy Emy Monkessa CM, Boukaka Kala RG. Socio-demographic profile of adults admitted in emergency for brain trauma injuries at the university hospital of Brazzaville. Open J Mod Neurosurg 2019; 9: 43-8.
[7] Bouglé A, Leblanc P-E. What level of average arterial pressure during severe head trauma? Mapar 2011: 665-73.
[8] Fiorentino A. Head trauma: severity, monitoring and advice. Trauma in the emergency room. Urgences 2013: 1-13.
[9] Earl M, Reddy U. Traumatic brain injury: initial resuscitation and transfer. Anaesth Intensive Care Med 2023; 24 (6): 329-32.
[10] Picetti E, Catena F, Abu-Zidan F, Ansaloni L et al. Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities: a consensus and clinical recommendations of the World Society of Emergency Surgery (WSES). World J Emerg Surg 2023; 18 (1): 5.
[11] Rouxel JP, Tazarourte K, Le Moigno S, Ract C, Vigue B. Pre-hospital management of traumatic brain injury. Ann Fr Anesth Reanim 2004; 23: 6-14.
[12] Pierrot M, François V, Minassian AT, Clavier N, Boulard G, Beydon L. Survey on the impact of recommendations for clinical practice: management of traumatic brain injury in the early phase. Ann Fr Anesth Reanim 2003; 22: 12-7.
[13] Compagnone C, d’Avella D, Servadei F, Angileri F, Brambilla G, Conti C, Cristofori L, Delfini R, Denaro L, Ducati A, Gaini SM, Stefini R, Tomei G, Tagliaferri F, Trincia G, Tomasello F. Patients with moderate head injury: a prospective multicenter study of 315 patients. Neurosurgery 2009; 64: 690-7.
[14] Bruder N. Transfer of emergency neurosurgical patients: when and how? Ann Fr Anesth Reanim 2007; 26: 873-7.
[15] Goh KY, Tsang KY, Poon WS. Does teleradiology improve interhospital management of head injury? Can J Neurol Sci 1997; 24: 235-9.
[16] Goh KY, Lam CK, Poon WS. The impact of teleradiology on the interhospital transfer of neurosurgical patients. Br J Neurosurg 1997; 11: 52-6.
Cite This Article
  • APA Style

    Ekouele Mbaki Hugues Brieux, Bianza Eloïse Marthe Anasthasia, Elombila Marie, Tiafumu Konde Christ Arnaud, Mbou Essie Darius Eryx, et al. (2023). Conditions for the Transfer of Patients with Cranial Trauma to the University Hospital Center of Brazzaville. International Journal of Neurosurgery, 7(2), 32-35. https://doi.org/10.11648/j.ijn.20230702.13

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    ACS Style

    Ekouele Mbaki Hugues Brieux; Bianza Eloïse Marthe Anasthasia; Elombila Marie; Tiafumu Konde Christ Arnaud; Mbou Essie Darius Eryx, et al. Conditions for the Transfer of Patients with Cranial Trauma to the University Hospital Center of Brazzaville. Int. J. Neurosurg. 2023, 7(2), 32-35. doi: 10.11648/j.ijn.20230702.13

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    AMA Style

    Ekouele Mbaki Hugues Brieux, Bianza Eloïse Marthe Anasthasia, Elombila Marie, Tiafumu Konde Christ Arnaud, Mbou Essie Darius Eryx, et al. Conditions for the Transfer of Patients with Cranial Trauma to the University Hospital Center of Brazzaville. Int J Neurosurg. 2023;7(2):32-35. doi: 10.11648/j.ijn.20230702.13

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  • @article{10.11648/j.ijn.20230702.13,
      author = {Ekouele Mbaki Hugues Brieux and Bianza Eloïse Marthe Anasthasia and Elombila Marie and Tiafumu Konde Christ Arnaud and Mbou Essie Darius Eryx and Boukaka Kala Rel Gerald and Boukassa Léon and Otiobanda Gilbert Fabrice},
      title = {Conditions for the Transfer of Patients with Cranial Trauma to the University Hospital Center of Brazzaville},
      journal = {International Journal of Neurosurgery},
      volume = {7},
      number = {2},
      pages = {32-35},
      doi = {10.11648/j.ijn.20230702.13},
      url = {https://doi.org/10.11648/j.ijn.20230702.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20230702.13},
      abstract = {The aim of this study was to assess the conditions under which patients suffering from traumatic brain injury (TBI), initially admitted to a peripheral hospital, were cared for and then transferred to the emergency department of the University Hospital Center (UHC) of Brazzaville. We conducted a descriptive study, with a prospective data collection, from March to August 2021, i.e., a period of six months, in the emergency department of the UHC of Brazzaville. We included all adult patients referred from another hospital and who had consented to participate in the study. The variables studied were related to the care at the secondary hospital and the conditions of transfer to the emergency department of the UHC of Brazzaville. We selected 150 cases of TBI, including 43 cases (28.7%) from a peripheral hospital. The age was between 18 and 40 years old in 104 cases (69.3%), a sex ratio of 4. The Glasgow coma scale from periphal hospital was between 13-15 in 7 cases (16.3%) and unspecified in 30 cases (69.7 %). The parameters regarding peripheral oxygen saturation were unspecified in 76.7%, blood pressure was unspecified in 72.1%. The mode of transport used during the transfer was ambulance in 23 cases (53.6%), followed by taxi in 14 cases (32.6%) and personal vehicle in 5 cases (11.6%). Information relating to the initial management of patients is insufficient. Transfer conditions are poorly coordinated. Strengthening inter-hospital cooperation and developing teleconsultation can help improve the quality of transfers.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Conditions for the Transfer of Patients with Cranial Trauma to the University Hospital Center of Brazzaville
    AU  - Ekouele Mbaki Hugues Brieux
    AU  - Bianza Eloïse Marthe Anasthasia
    AU  - Elombila Marie
    AU  - Tiafumu Konde Christ Arnaud
    AU  - Mbou Essie Darius Eryx
    AU  - Boukaka Kala Rel Gerald
    AU  - Boukassa Léon
    AU  - Otiobanda Gilbert Fabrice
    Y1  - 2023/09/25
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ijn.20230702.13
    DO  - 10.11648/j.ijn.20230702.13
    T2  - International Journal of Neurosurgery
    JF  - International Journal of Neurosurgery
    JO  - International Journal of Neurosurgery
    SP  - 32
    EP  - 35
    PB  - Science Publishing Group
    SN  - 2640-1959
    UR  - https://doi.org/10.11648/j.ijn.20230702.13
    AB  - The aim of this study was to assess the conditions under which patients suffering from traumatic brain injury (TBI), initially admitted to a peripheral hospital, were cared for and then transferred to the emergency department of the University Hospital Center (UHC) of Brazzaville. We conducted a descriptive study, with a prospective data collection, from March to August 2021, i.e., a period of six months, in the emergency department of the UHC of Brazzaville. We included all adult patients referred from another hospital and who had consented to participate in the study. The variables studied were related to the care at the secondary hospital and the conditions of transfer to the emergency department of the UHC of Brazzaville. We selected 150 cases of TBI, including 43 cases (28.7%) from a peripheral hospital. The age was between 18 and 40 years old in 104 cases (69.3%), a sex ratio of 4. The Glasgow coma scale from periphal hospital was between 13-15 in 7 cases (16.3%) and unspecified in 30 cases (69.7 %). The parameters regarding peripheral oxygen saturation were unspecified in 76.7%, blood pressure was unspecified in 72.1%. The mode of transport used during the transfer was ambulance in 23 cases (53.6%), followed by taxi in 14 cases (32.6%) and personal vehicle in 5 cases (11.6%). Information relating to the initial management of patients is insufficient. Transfer conditions are poorly coordinated. Strengthening inter-hospital cooperation and developing teleconsultation can help improve the quality of transfers.
    VL  - 7
    IS  - 2
    ER  - 

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Author Information
  • Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo; Department of Multipurpose Surgery, University Hospital Center of Brazzaville, Brazzaville, Congo

  • Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo

  • Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo; Department of Intensive Care, University Hospital of Brazzaville, Brazzaville, Congo

  • Department of Emergency, University Hospital Center of Brazzaville, Brazzaville, Congo

  • Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo

  • Department of Multipurpose Surgery, University Hospital Center of Brazzaville, Brazzaville, Congo

  • Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo; Department of Multipurpose Surgery, University Hospital Center of Brazzaville, Brazzaville, Congo

  • Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo; Department of Emergency, University Hospital Center of Brazzaville, Brazzaville, Congo

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