IDEAS home Printed from https://ideas.repec.org/a/bdu/ojjhmn/v9y2023i1p57-69id1970.html
   My bibliography  Save this article

Outcomes and Their Predictors in Post- Intensive Care Patients Admitted With Traumatic Brain Injury at Mbarara Regional Referral Hospital, Southwestern Uganda: A Retrospective Study

Author

Listed:
  • Evas Atuhaire
  • Eric Baluku Murungi
  • Joseph Atukwatse
  • Vallence Niyonzima
  • Joseph Namanya
  • Chris Byaruhanga
  • Betty Kinkuhaire

Abstract

Purpose: Traumatic brain injury (TBI) is a leading cause of morbidity and mortality worldwide. TBIs are increasing in Uganda, but little is known about outcomes and their predictors in post-ICU patients. This study assessed outcomes and their predictors in post-ICU patients admitted with TBI at Mbarara Regional Referral Hospital (MRRH) in south-western Uganda. Methodology: Retrospective study was used to review hospital records of patients admitted to the Intensive Care Unit (ICU) for MRRH with TBI. Data were entered into Excel, cleaned and exported to Stata version for analysis and presented as mean (standard deviation), median (interquartile range) and number (percent), while using the chi-square test and multinomial logistic regression as predictors for Post-ICU outcomes were used Findings: In the study, males dominated at 73%, while 81% were of working age (15-64 years). Road traffic accidents (83%) were the most common injury mechanism, followed by physical injury at 11%. Length of stay in the Intensive Care Unit was 9 (IQR = 4-8) days, mean GCS at ICU admission and discharge was 7.7 (±2.65) and 10 (±3.27), respectively. Fifty-seven patients (63%) were discharged home; with 73% good recovery Glasgow coma Outcome Scale of hospital discharges. Post-ICU outcomes were associated with GCS at ICU discharge ( . Having moderate Glasgow Coma Scale on ICU discharge was 3.59 times higher of being discharged home than dying compared to severe GCS on ICU discharge (OR=3.59; 95%CI, 1.11 to 11.63). This study established GCS as a statistical predictor of patient outcomes at ICU discharge. Unique Contribution to Theory, Practice and Policy: Based on the findings of this study, prevention of TBI is critical in order to reduce incidence of TBI related mortality. Policy makers to put rules that continuously teach and enforce road safety and traffic rules to all road users.

Suggested Citation

  • Evas Atuhaire & Eric Baluku Murungi & Joseph Atukwatse & Vallence Niyonzima & Joseph Namanya & Chris Byaruhanga & Betty Kinkuhaire, 2023. "Outcomes and Their Predictors in Post- Intensive Care Patients Admitted With Traumatic Brain Injury at Mbarara Regional Referral Hospital, Southwestern Uganda: A Retrospective Study," Journal of Health, Medicine and Nursing, IPRJB, vol. 9(1), pages 57-69.
    • Handle: RePEc:bdu:ojjhmn:v:9:y:2023:i:1:p:57-69:id:1970
    as

    Download full text from publisher

    File URL: https://iprjb.org/journals/index.php/JHMN/article/view/1970/2118
    Download Restriction: no
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bdu:ojjhmn:v:9:y:2023:i:1:p:57-69:id:1970. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Chief Editor (email available below). General contact details of provider: https://iprjb.org/journals/index.php/JHMN/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.