Serge Irié bi Gohi*, Yaïch Pete, N’guessan Koffi, Cinthia Nda-koffi, Bernard Ogondon, Stephanie Kouadio, Edmond Able and Yapo Brouh
Introduction: Craniocerebral Trauma is one of the leading causes of death in the world. The study of their epidemiology makes it possible to identify risk factors to better target prevention actions.
Patients and methods: This was a descriptive retrospective study carried out at the intensive care unit of the Bouake University Hospital from January 2013 to December 2014. It concerned patients admitted in intensive care units for a craniocerebral trauma with a Glasgow score of less than 14. The parameters studied were sex, age, occupation, circumstances of occurrence, mode of transport, and time of admission to hospital and duration of hospitalization.
Results: During the study period out of a total of 1244 admissions, 92 patients were hospitalized for a craniocerebral trauma, hospital prevalence in intensive care units of 7.39%. There were 86 men and 6 women. The median age was 32.6 years ± 17.03 (range 2 to 76 years). Motorcycle taxi drivers (49%) and students (24%) represented the most affected social groups. Traffic accidents were incriminated in 87% of cases and motorized two-wheeled vehicles accounted for 40% of craniocerebral trauma. None of the patients received medical transport from the accident site to the hospital and in 48.9% the evacuation of the patients was carried out by the military fire brigade. The majority of patients (61%) were admitted before the 6th h and the average admission time was 3 h. The average length of stay was 4.37 ± 4.23 days (range 1 to 21 days). The overall mortality was 66%.
Conclusion: Craniocerebral trauma is frequent in Bouake and follows a Public road accident involving a two-wheeled motor vehicle in the majority of cases. Prevention is based on awareness of compliance with the highway code.
