Medicine Degree in general surgery


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    Epidemiology and prehospital factors associated with Injury severity of motorcycle related femoral fractures At Mbarara and Kampala international university teaching Hospitals
    (Kampala international international: School of Health Sciences, 2017-07) Herman, Lule
    Background: Motorcycle related femoral fractures constitute a poorly documented trauma entity in Uganda. There is paucity of data on socio-demographic, anatomical and prehospital determinants of motorcycle related femoral fracture injury severity. Knowledge of most at risk of poor injury outcome in resource limited settings with no formal prehospital care system is not only mandatory for evidence based preventive policy formulation but also guidance of clinical practice. Objectives: To determine socio-demographic characteristics, anatomical patterns and prehospital factors associated with injury severity of motorcycle related femoral fractures at two teaching hospitals in Uganda, using the Kampala Trauma Score II (KTSII). Methodology: Cross sectional descriptive and analytical hospital based six months study of consecutively recruited patients, using investigator-administered questionnaire at the Accident and Emergency Departments of Mbarara and Kampala International University Teaching Hospitals in Western Uganda, between December 2016 and June 2017. Ethical clearance was obtained from Mbarara University of Science and Technology Research and Ethics Committee (IRB No.l9/l 0-16). Data including history, clinical examination and radiological findings were recorded on a pretested coded questionnaire. Multiple logistic regression analysis and Odds ratios were computed using IBM SPSS 20.0. Statistics for windows (Armonk. NY: IBM Corp) at 95% Confidence Interval and P=0.05 as statistically significant results: Of 230 patients, the mean age was 32 years (Std. Deviation 18.5 years), with male to female ratio of 2.4: l. The femoral shaft 72.6% (n=l67) was the most fractured anatomical site. Being a passenger on a motorcycle (OR 1.636; 95% CI [1.261-3.417; P=0.007), receiving no first aid before arrival (OR 2.106; 95% CI [1.818-2.495]; P