E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


Outcome of casualty room care for surgical emergencies presenting to University Teaching Hospital

Ifeanyi Charles Umoke, Fabian Agbo Ejembi, Felix Echebiri Magnus, Stephen Ekundayo Garba, Sefiu Bolarinwa Eniola.

Abstract
The outcome of Casualty care in surgical emergencies is critical to assessing not only the preparedness to handle emergencies but also the quality of care a hospital renders since the Casualty is a major entry point for patients into the hospital especially emergencies.
The purpose of this study was to ascertain the outcome of casualty room care for surgical emergencies presenting to the University Teaching Hospital.
METHODS: A prospective cross-sectional observational study in which consecutive patients with surgical emergencies presenting to University Teaching Hospital between July 2016 and Feb 2017 were recruited and data entered in a structured proforma. Data sought included: age, sex, occupation, level of education, religion, marital status, nature of surgical emergency and outcome of casualty room care.
RESULTS: 390 patients were admitted in Casualty within the study period. 72.3% were males; 27.7%, females. 55.9% were in the third and fourth decade of life. Fractures and traumatic brain injur constituted majority of the cases with 130 (33%). Time between presentation and review by both the casualty officer and the subspecialty team on-call ranged from 1-55 minutes and 2-4 hours respectively. 57.7% were discharged from the Casualty either to the Surgical Out-Patient Department or home. 19.7% Left against Medical Advice (LAMA); mortalities constituted 6.7%; 4.4% were referred out either on request or to regional sub-speciality centres; while 1.8% had emergency surgeries.
CONCLUSION: Trauma was the leading cause of surgical emergencies. A good number of the patients were discharged from the Casualty; a good number left against medical advice while the mortalities were within the reported figures for similar studies in the region. A few had emergency surgeries.

Key words: Casualty, outcome of care, surgical emergencies


 
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How to Cite this Article
Pubmed Style

Umoke IC, Ejembi FA, Magnus FE, Garba SE, Eniola SB. Outcome of casualty room care for surgical emergencies presenting to University Teaching Hospital. Int J Surg Med. 2019; 5(3): 149-154. doi:10.5455/ijsm.casualty-room-care-surgery


Web Style

Umoke IC, Ejembi FA, Magnus FE, Garba SE, Eniola SB. Outcome of casualty room care for surgical emergencies presenting to University Teaching Hospital. http://www.ejos.org/?mno=52199 [Access: September 17, 2019]. doi:10.5455/ijsm.casualty-room-care-surgery


AMA (American Medical Association) Style

Umoke IC, Ejembi FA, Magnus FE, Garba SE, Eniola SB. Outcome of casualty room care for surgical emergencies presenting to University Teaching Hospital. Int J Surg Med. 2019; 5(3): 149-154. doi:10.5455/ijsm.casualty-room-care-surgery



Vancouver/ICMJE Style

Umoke IC, Ejembi FA, Magnus FE, Garba SE, Eniola SB. Outcome of casualty room care for surgical emergencies presenting to University Teaching Hospital. Int J Surg Med. (2019), [cited September 17, 2019]; 5(3): 149-154. doi:10.5455/ijsm.casualty-room-care-surgery



Harvard Style

Umoke, I. C., Ejembi, . F. A., Magnus, . F. E., Garba, . S. E. & Eniola, . S. B. (2019) Outcome of casualty room care for surgical emergencies presenting to University Teaching Hospital. Int J Surg Med, 5 (3), 149-154. doi:10.5455/ijsm.casualty-room-care-surgery



Turabian Style

Umoke, Ifeanyi Charles, Fabian Agbo Ejembi, Felix Echebiri Magnus, Stephen Ekundayo Garba, and Sefiu Bolarinwa Eniola. 2019. Outcome of casualty room care for surgical emergencies presenting to University Teaching Hospital. International Journal of Surgery and Medicine, 5 (3), 149-154. doi:10.5455/ijsm.casualty-room-care-surgery



Chicago Style

Umoke, Ifeanyi Charles, Fabian Agbo Ejembi, Felix Echebiri Magnus, Stephen Ekundayo Garba, and Sefiu Bolarinwa Eniola. "Outcome of casualty room care for surgical emergencies presenting to University Teaching Hospital." International Journal of Surgery and Medicine 5 (2019), 149-154. doi:10.5455/ijsm.casualty-room-care-surgery



MLA (The Modern Language Association) Style

Umoke, Ifeanyi Charles, Fabian Agbo Ejembi, Felix Echebiri Magnus, Stephen Ekundayo Garba, and Sefiu Bolarinwa Eniola. "Outcome of casualty room care for surgical emergencies presenting to University Teaching Hospital." International Journal of Surgery and Medicine 5.3 (2019), 149-154. Print. doi:10.5455/ijsm.casualty-room-care-surgery



APA (American Psychological Association) Style

Umoke, I. C., Ejembi, . F. A., Magnus, . F. E., Garba, . S. E. & Eniola, . S. B. (2019) Outcome of casualty room care for surgical emergencies presenting to University Teaching Hospital. International Journal of Surgery and Medicine, 5 (3), 149-154. doi:10.5455/ijsm.casualty-room-care-surgery