Research Article

Patterns and Predictors of Timely Presentation and Outcomes of Polytrauma Patients Referred to the Emergency Department of a Tertiary Hospital in Tanzania

Table 1

Demographic and clinical characteristics of referral polytrauma patients who presented to the EMD-MNH.

VariablesFrequency, n (%) N = 120

Sex
 Male103 (85.8)

Age groups
 Median age (IQR)30 (25–39)
 18 to 33 years72 (60.0)
 34 to 49 years35 (29.2)
 More than 50 years13 (10.8)

Time of injury
65 (54.2)

Mechanism of injury
 Motor vehicle accident101 (84.2)
  Motorcycle driver/passenger59 (49.2)
  Pedestrian31 (25.8)
  Car/truck/bus driver/passenger11 (9.2)
 Assault11 (9.2)
 Others (fall/GSW)8 (6.6)

Pattern of injury
 Head/neck107 (89.2)
 Long bones/pelvis82 (68.3)
 Abdomen28 (23.3)
 Face26 (21.7)

Injury severity score
 Median score (IQR)29 (24–34)
 Critical (≥25)82 (68.3)
 Severe (16–24)38 (31.7)

Glasgow Coma Scale
 3 to 839 (32.5)
 9 to 1333 (27.5)
 14 to 1548 (40.0)

Primary survey
 Compromised airway41 (34.2)
 Compromised breathing58 (48.3)
 Compromised circulation37 (30.8)
 Compromised disability88 (73.3)
 Compromised exposure86 (71.7)

Needed critical intervention within 15 mins of arrival68 (56.7)

Prereferral stabilization indicated but not performed
 Cervical spine immobilization54/88 (61.4)
 Endotracheal intubation38/41 (92.7)
 Chest tube17/17 (100.0)
 Blood transfusion28/32 (88.9)
 Splinting24/72 (33.3)
 Intravenous fluids22/120 (18.3)
 Pelvic binder12/12 (100.0)