,
Metogo Mbengono Junette Arlette,
Banga Nkomo Douglas,
Ndom Ntock Ferdinand,
Owono Etoundi Paul,
Bengono Rody Stephane
Introduction: Acute Respiratory Distress Syndrome (ARDS) is a severe, life-threatening complication of major traumatic injury, contributing significantly to morbidity and mortality in emergency and critical care settings globally. Data on the specific clinical profile and outcomes in Sub-Saharan African trauma centers are scarce. Objective: The Objective was to describe the epidemiology, clinical profile, severity of injury (Injury Severity Score, ISS), surgical management, and therapeutic outcomes of post-traumatic ARDS among adult trauma patients managed at the Emergency and Critical Care Unit (ECCU) of Douala General Hospital (DGH). Materials and methods: the method was a retrospective observational study was conducted over a 24 months period (January 2022 to December 2024) at DGH, including 68 consecutive adult trauma patients who developed ARDS based on the Berlin criteria. Data collected included demographics, mechanism of injury, ISS, associated injuries (especially Thoracic Trauma and Traumatic Brain Injury [TBI]), ASA physical status, intra-operative events, ARDS severity, and final outcomes (survival vs. death). Results: The mean age was 39.8±14.7 years, with a male predominance (79.4%). Severe trauma (ISS ≥25) accounted for 79.4% of the cohort, with a mean ISS of 31.6±11.2. The most frequent injuries were Thoracic Trauma (50.0%) and Long Bone Fractures (42.6%). Early complications included shock (44.1%) and massive hemorrhage (36.8%). Urgent surgeries were performed in 67.6% of operative cases. ARDS onset occurred at a median of 2.8 days post-injury. The overall in-hospital mortality was 32.4%. Independent predictors of mortality included ISS≥35, the presence of shock on admission, and severe TBI. Therefore, post-traumatic ARDS represents a major burden in the DGH ECCU, driven by high-velocity blunt trauma and associated with a significant mortality rate of 32.4%. Conclusion: These findings emphasize the necessity of strict, multidisciplinary protocols focused on prompt hemorrhage control, optimized resuscitation, and early identification of high-risk trauma patterns to improve critical care outcomes.
| Published in | International Journal of Anesthesia and Clinical Medicine (Volume 14, Issue 1) |
| DOI | 10.11648/j.ijacm.20261401.11 |
| Page(s) | 1-6 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2026. Published by Science Publishing Group |
Acute Respiratory Distress Syndrome, Intensive Care, Emergency, Trauma, Douala, Cameroun
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APA Style
Glwadys, N. A., Arlette, M. M. J., Douglas, B. N., Ferdinand, N. N., Paul, O. E., et al. (2026). Post Traumatic Acute Respiratory Distress Syndrome in the Emergency and Critical Care Units of the Douala General Hospital Cameroon. International Journal of Anesthesia and Clinical Medicine, 14(1), 1-6. https://doi.org/10.11648/j.ijacm.20261401.11
ACS Style
Glwadys, N. A.; Arlette, M. M. J.; Douglas, B. N.; Ferdinand, N. N.; Paul, O. E., et al. Post Traumatic Acute Respiratory Distress Syndrome in the Emergency and Critical Care Units of the Douala General Hospital Cameroon. Int. J. Anesth. Clin. Med. 2026, 14(1), 1-6. doi: 10.11648/j.ijacm.20261401.11
AMA Style
Glwadys NA, Arlette MMJ, Douglas BN, Ferdinand NN, Paul OE, et al. Post Traumatic Acute Respiratory Distress Syndrome in the Emergency and Critical Care Units of the Douala General Hospital Cameroon. Int J Anesth Clin Med. 2026;14(1):1-6. doi: 10.11648/j.ijacm.20261401.11
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Download@article{10.11648/j.ijacm.20261401.11,
author = {Ngono Ateba Glwadys and Metogo Mbengono Junette Arlette and Banga Nkomo Douglas and Ndom Ntock Ferdinand and Owono Etoundi Paul and Bengono Rody Stephane},
title = {Post Traumatic Acute Respiratory Distress Syndrome in the Emergency and Critical Care Units of the Douala General Hospital Cameroon},
journal = {International Journal of Anesthesia and Clinical Medicine},
volume = {14},
number = {1},
pages = {1-6},
doi = {10.11648/j.ijacm.20261401.11},
url = {https://doi.org/10.11648/j.ijacm.20261401.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20261401.11},
abstract = {Introduction: Acute Respiratory Distress Syndrome (ARDS) is a severe, life-threatening complication of major traumatic injury, contributing significantly to morbidity and mortality in emergency and critical care settings globally. Data on the specific clinical profile and outcomes in Sub-Saharan African trauma centers are scarce. Objective: The Objective was to describe the epidemiology, clinical profile, severity of injury (Injury Severity Score, ISS), surgical management, and therapeutic outcomes of post-traumatic ARDS among adult trauma patients managed at the Emergency and Critical Care Unit (ECCU) of Douala General Hospital (DGH). Materials and methods: the method was a retrospective observational study was conducted over a 24 months period (January 2022 to December 2024) at DGH, including 68 consecutive adult trauma patients who developed ARDS based on the Berlin criteria. Data collected included demographics, mechanism of injury, ISS, associated injuries (especially Thoracic Trauma and Traumatic Brain Injury [TBI]), ASA physical status, intra-operative events, ARDS severity, and final outcomes (survival vs. death). Results: The mean age was 39.8±14.7 years, with a male predominance (79.4%). Severe trauma (ISS ≥25) accounted for 79.4% of the cohort, with a mean ISS of 31.6±11.2. The most frequent injuries were Thoracic Trauma (50.0%) and Long Bone Fractures (42.6%). Early complications included shock (44.1%) and massive hemorrhage (36.8%). Urgent surgeries were performed in 67.6% of operative cases. ARDS onset occurred at a median of 2.8 days post-injury. The overall in-hospital mortality was 32.4%. Independent predictors of mortality included ISS≥35, the presence of shock on admission, and severe TBI. Therefore, post-traumatic ARDS represents a major burden in the DGH ECCU, driven by high-velocity blunt trauma and associated with a significant mortality rate of 32.4%. Conclusion: These findings emphasize the necessity of strict, multidisciplinary protocols focused on prompt hemorrhage control, optimized resuscitation, and early identification of high-risk trauma patterns to improve critical care outcomes.},
year = {2026}
}
TY - JOUR T1 - Post Traumatic Acute Respiratory Distress Syndrome in the Emergency and Critical Care Units of the Douala General Hospital Cameroon AU - Ngono Ateba Glwadys AU - Metogo Mbengono Junette Arlette AU - Banga Nkomo Douglas AU - Ndom Ntock Ferdinand AU - Owono Etoundi Paul AU - Bengono Rody Stephane Y1 - 2026/01/23 PY - 2026 N1 - https://doi.org/10.11648/j.ijacm.20261401.11 DO - 10.11648/j.ijacm.20261401.11 T2 - International Journal of Anesthesia and Clinical Medicine JF - International Journal of Anesthesia and Clinical Medicine JO - International Journal of Anesthesia and Clinical Medicine SP - 1 EP - 6 PB - Science Publishing Group SN - 2997-2698 UR - https://doi.org/10.11648/j.ijacm.20261401.11 AB - Introduction: Acute Respiratory Distress Syndrome (ARDS) is a severe, life-threatening complication of major traumatic injury, contributing significantly to morbidity and mortality in emergency and critical care settings globally. Data on the specific clinical profile and outcomes in Sub-Saharan African trauma centers are scarce. Objective: The Objective was to describe the epidemiology, clinical profile, severity of injury (Injury Severity Score, ISS), surgical management, and therapeutic outcomes of post-traumatic ARDS among adult trauma patients managed at the Emergency and Critical Care Unit (ECCU) of Douala General Hospital (DGH). Materials and methods: the method was a retrospective observational study was conducted over a 24 months period (January 2022 to December 2024) at DGH, including 68 consecutive adult trauma patients who developed ARDS based on the Berlin criteria. Data collected included demographics, mechanism of injury, ISS, associated injuries (especially Thoracic Trauma and Traumatic Brain Injury [TBI]), ASA physical status, intra-operative events, ARDS severity, and final outcomes (survival vs. death). Results: The mean age was 39.8±14.7 years, with a male predominance (79.4%). Severe trauma (ISS ≥25) accounted for 79.4% of the cohort, with a mean ISS of 31.6±11.2. The most frequent injuries were Thoracic Trauma (50.0%) and Long Bone Fractures (42.6%). Early complications included shock (44.1%) and massive hemorrhage (36.8%). Urgent surgeries were performed in 67.6% of operative cases. ARDS onset occurred at a median of 2.8 days post-injury. The overall in-hospital mortality was 32.4%. Independent predictors of mortality included ISS≥35, the presence of shock on admission, and severe TBI. Therefore, post-traumatic ARDS represents a major burden in the DGH ECCU, driven by high-velocity blunt trauma and associated with a significant mortality rate of 32.4%. Conclusion: These findings emphasize the necessity of strict, multidisciplinary protocols focused on prompt hemorrhage control, optimized resuscitation, and early identification of high-risk trauma patterns to improve critical care outcomes. VL - 14 IS - 1 ER -
Department of Surgery Sub-specialties, University of Dschang, Dschang, Cameroon;Department of Anesthesia and Critical Care, University of Dschang, Dschang, Cameroon
Department of Surgery and Sub-specialties, University of Douala, Douala, Cameroon
Department of Surgery Sub-specialties, University of Dschang, Dschang, Cameroon;Department of Anesthesia and Critical Care, University of Dschang, Dschang, Cameroon
Department of Anesthesiology and Critical Care, University of Yaounde I, Yaounde, Cameroon
Department of Anesthesiology and Critical Care, University of Yaounde I, Yaounde, Cameroon
Department of Surgery and Subspecialties, University of Ebolowa, Ebolowa, Cameroon
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