Anatomical distribution of injuries in violent fatalities an autopsy study, Nairobi Kenya

Abstract

This study aimed at investigating the anatomical distribution of injuries in fatalities resulting from violence to inform public health policy on the necessity for their prevention and management. This is a descriptive prospective study of the regional distribution of injuries in violent deaths in Nairobi; of all the bodies brought to the city mortuary Nairobi between June 1 2009, and May 31 2010. This study included all cases of violent deaths for twelve consecutive months. The data sheets were handled confidentially. Data was entered on a proforma data sheet. The day, date, day of the week, month and times of death were noted. The cases were divided into male and female, and each gender was divided into eight age groups. Data were analysed using SPSS 11.5.0 (SPSS Inc., Chicago, and III.) It is presented using frequency tables, graphs and pie charts. This study found out that all regions of the body were affected often in combination, namely the head, neck, thorax, abdomen and extremities. The most commonly affected region was the head, followed by the chest; the least affected region was the pelvis. The study concluded that the major anatomical site that contributes to fatalities in violent deaths is the head, followed by the chest. Haemorrhage also plays a huge role in these deaths. The study recommends that the healthcare system be prepared to deal with emergencies emanating from violent injuries and to be alert on the most injured anatomical site in order to avoid fatalities.