Pattern and outcome of vascular trauma management at university of Calabar teaching hospital, Calabar, Nigeria

Abstract

BACKGROUND: Vascular trauma is a significant cause of morbidity and mortality following trauma. Injury to a major blood vessel may worsen the prognosis of trauma. Avoidable mortality may result from massive haemorrhage. Available data in Nigeria is scanty. AIM: This retrospective study was carried out to review the pattern and outcome of vascular trauma patients in the University of Calabar Teaching Hospital. METHODOLOGY: The Hospital records of all patients managed in the facility for vascular injuries during the study period were retrieved and data collected retrospectively. RESULTS: Forty – two patients, with a male: female ratio of 5:1 and a mean age of 31.15 years were studied. The age range 21 – 30 years were most affected. Mean interval between injury and presentation at the hospital was 7.05 hours. The mean duration between presentation to the hospital and surgical intervention for the rest of the patients was 13.32 hours. The most commonly injured vessel was the brachial artery. Prompt presentation and intervention are critical to successful outcome. CONCLUSION: Most vascular trauma in Calabar occur predominantly in young males who lead an active life.