title: [Profile of cranio-cerebral trauma and spinal cord trauma related road accidents in Guinea].
abstract: OBJECTIVE
  To describe the profile of the patient injured in traffic accidents and having a cranio-cerebral trauma (CCT) or spinal cord trauma (SCT).
  
  
  METHODS
  Cross-sectional and retrospective survey of records management in 2829 road accident victims with CCT and/or a SCT and admitted to a hospital in Guinea between 1st January and 31st December, 2009. The profile was described by: the sociodemographic data, the circumstances of the accident and the clinical, therapeutic and follow-up data.
  
  
  RESULTS
  For an average age of 27.1±12.7 years, the location of the trauma was cranio-cerebral in 82.0% of cases, spinal in 8.9% of cases and mixed in 9.1%. A large proportion of CCT (66.3%) and mixed trauma (63.1%) comes from to two-wheeled vehicles, while the large proportion of SCT (54.2%) is attributable to vehicles with four wheels. The Glasgow Coma average was 13.2±2.6 at admission, 21.7% of the victims are taken in charge beyond the first 12hours after the accident. Only 19.2% of patients underwent a surgical treatment with a hospital mortality ranging from 3.3 % (TVM) to 7.7% (mixed).
  
  
  CONCLUSIONS
  CCT and SCT are characterized by an age under 30 years and male predominance. The support care suffers greatly from the unbalanced distribution of qualified personnel on the national territory and the lack of material means.
authors: Service de neurochirurgie, hôpital national Donka, CHU de Conakry, BP 1823, Conakry, Guinée. drkezely@gmail.com
authors: K
authors: K
authors: Beavogui
authors: A
authors: A
authors: Koïvogui
authors: I S
authors: IS
authors: Souare
authors: D
authors: D
authors: Camara
authors: M
authors: M
authors: Cherif
authors: B
authors: B
authors: Dramou
authors: A A
authors: AA
authors: Toure
authors: R
authors: R
authors: Diallo
authors: V
authors: V
authors: Guilavogui
authors: P
authors: P
authors: Metellus
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D001930:Brain Injuries / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery; D005260:Female; D016701:Guinea / Q000453:epidemiology; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D012189:Retrospective Studies; D013119:Spinal Cord Injuries / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery; D013997:Time Factors; D055815:Young Adult