TABLE 8.
Relationship Between Surgical Procedures and Severity of Motorcycle Crash Injuries at Hospitals in Kisumu, Kenya
| Surgical Procedure | Patients With ISS <16, No. (%) | Patients With ISS ≥16, No. (%) | Total, No. (%) | OR (95% CI) |
|---|---|---|---|---|
| Craniotomy | 89 (13.0) | 67 (25.9) | 156 (16.6) | 2.5 (1.8, 4.3) |
| Wound debridement/dressing | 383 (56.3) | 53 (20.5) | 436 (56.0) | 1.1 (0.2, 2.3) |
| Closed fracture reduction | 119 (17.5) | 47 (18.1) | 166 (17.8) | 1.8 (1.1, 2.5) |
| ORIF/EF | 28 (4.1) | 28 (10.8) | 56 (6.6) | 1.4 (0.2, 2.91) |
| Exploratory laparotomy | 43 (6.3) | 22 (8.5) | 65 (0.6) | 0.9 (0.1, 1.6) |
| UWSD | 13 (1.9) | 10 (3.9) | 23 (2.4) | 1.1 (0.6, 2.1) |
| Amputation | 0 (0.0) | 6 (2.3) | 6 (0.6) | 2.8 (1.2, 4.1) |
| Multiple surgeries | 5 (0.7) | 26 (10.0) | 31 (18.4) | 3.2 (1.4, 5.6) |
| Total | 680 (100) | 259 (100) | 939 (100) |
Abbreviations: CI, confidence interval; ISS, injury severity score; OR, odds ratio; ORIF/EF, open reduction and internal fixation/external fixation; UWSD, underwater seal drain.