EAS Publisher | Management of Patients with Severe Trauma in the Trauma Emergency Department: Epidemiological, Clinical, and Outcome Aspects at the Ignace Deen University Hospital in Conakry

Management of Patients with Severe Trauma in the Trauma Emergency Department: Epidemiological, Clinical, and Outcome Aspects at the Ignace Deen University Hospital in Conakry

DOI : https://doi.org/10.36349/easjacc.2026.v08i02.005

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Introduction: Trauma is a major public health problem worldwide; the disability-adjusted life years (DALYs) attributable to it have been estimated at 248 million. A patient with severe trauma is a victim of violent trauma, regardless of the apparent injuries. Trauma accounts for 8% of global mortality. Methods: This was a one-year retrospective descriptive study conducted from January 1, 2024, to December 31, 2024. Results: Patients with severe trauma accounted for 41.8% of emergency department admissions during the study period. Young men were the most affected, with a mean age of 25.6 ± 16 years and a sex ratio of 7.7 in favor of males. The primary cause was acute abdominal trauma (81.9%). The mean time to admission was 88.9 ± 64.5 hours. The mean Glasgow Coma Scale score was 7.9 ± 1.9. The mean ISS score was 29.8 ± 7.5. Lesions on brain CT scans were predominantly edematous-hemorrhagic contusions in 66.7% of cases. Mortality was 26.7%, caused by severe hypoxemia in 50% of cases. Conclusion: Severe trauma is responsible for high morbidity and mortality. An effective care network could improve its impact on our society.

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