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|Title: ||Otolaryngological Presentations in Times of Terror: Profile from a Tertiary Health Center in North-Central Nigeria|
|Authors: ||Adoga, Adeyi A.|
Kokong, Daniel D.
Ozoilo, Kenneth N.
|Issue Date: ||2017|
|Publisher: ||Trauma Research Center, Shiraz University of Medical Sciences|
|Series/Report no.: ||Vol. 5;No. 3: Pp 206-211.|
|Abstract: ||Objectives: To report the incidence, socio-demographic characteristics, otorhinolaryngological presentations
and outcomes of management of patients at the Jos University Teaching Hospital following terror attacks.
Methods: A prospective descriptive hospital based study of consecutive patients presenting with ear, nose and throat injuries as a result of bomb blasts and ethno-religious crises within a six-year period and managed at the Jos University Teaching Hospital were studied for age, gender, ear, nose and throat presentations, injury mechanism, interventions and outcome of interventions. A designed proforma was used for data collection.
Results: There were 107 ear, nose and throat injuries from a total 468 terror-related injuries consisting of 66 (61.7%) males and 41 (38.3%) females (M:F ratio of 1.6:1), aged between 5 and 77 years (mean=36.7 years; SD= +/- 16.2). Two peak age incidences of injuries in the first and third decades were recorded. The commonest source of injuries was bomb blasts in 47 (44%) patients. Multiple facial fractures with soft tissue injuries were the commonest seen in 78 (72.9%) patients. The commonest associated injuries were head injuries (n=36). Ninety-four (87.9%) patients presented via the Accident and Emergency department, 16 (15%) received prehospital care. Patients with multiple injuries stayed longer in the hospital (p=0.028). Complications were recorded in 19 (17.8%) patients. A case fatality rate of 5.6% was recorded.
Conclusion: Bomb blasts were the major form of terror attacks in our region. The presence of multiple injuries is a significant negative predictor of patient outcomes.|
|Appears in Collections:||Surgery|
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