Early management of traumatic brain injury in a Tertiary hospital in Central Kenya: A clinical audit

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dc.contributor.authorMwita, Clifford Chacha
dc.contributor.authorMuthoka, Johnstone
dc.contributor.authorMaina, Stephen
dc.contributor.authorMulingwa, Phillip
dc.contributor.authorGwer, Samson
dc.date.accessioned2016-06-16T12:15:45Z
dc.date.available2016-06-16T12:15:45Z
dc.date.issued2016
dc.descriptionResearch Articleen_US
dc.description.abstractBackground: Traumatic brain injury (TBI) is a major cause of death and disability worldwide and is mostly attributed to road traffic accidents in resource‑poor areas. However, access to neurosurgical care is poor in these settings and patients in need of neurosurgical procedures are often managed by general practitioners or surgeons. Materials and Methods: A retrospective clinical audit of the initial management of patients with TBI in Thika Level 5 Hospital (TL5H), a Tertiary Hospital in Central Kenya. Seventeen audit criteria divided into five clinical domains were identified and patient case notes reviewed for compliance with each criterion. Data were analyzed separately for those below 13 years owing to differences in response to brain trauma in those below this age. Results: Overall, there was poor compliance with audit criteria in both groups. Among those below 13 years of age, only 3 out of 17 criteria achieved compliance and 4 out of 17 criteria achieved compliance for those above 13 years of age. Assessment for the need for a cervical radiograph (7.1% and 8.8% compliance) and administration of oxygen (21.4% and 20.6% compliance) had the worst performance in both groups. Conclusion: Poor compliance to audit criteria indicates the low quality of care for patients with TBI in TL5H. Quality improvement strategies with follow‑up audits are needed to improve care. There is a need to develop and enforce evidence‑based protocols and guidelines for use in the management of patients with TBI in sub‑Saharan Africaen_US
dc.identifier.citationJournal of Neurosciences in Rural Practice, January - March 2016, Vol 7 Issue 1en_US
dc.identifier.issn0976-3147
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/14773
dc.language.isoenen_US
dc.publisherMedknow Publicationsen_US
dc.subjectClinical auditen_US
dc.subjectHead injuryen_US
dc.subjectTraumatic brain injuryen_US
dc.titleEarly management of traumatic brain injury in a Tertiary hospital in Central Kenya: A clinical auditen_US
dc.typeArticleen_US
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