Evaluation of CT scanned Multiple Injured in peacetime and Ile Ife-Modakeke Communal War

Background: Computed Tomography Scan (CT scan) is effective in delineating soft tissue and bony injuries. The multiply injured in peacetime and communal war who had CT scan in the sub-Saharan Africa has not been evaluated. Results: A total of forty three peacetime multiple injured (PMI) patients and thirty IMCW patients required CT scan. The main cause of multiple injuries in peacetime was road traffic injury 83.3% as compared to the gunshot 90% and explosive blast (10%) injuries during the communal war. A total of 77.2% and 89.2% of limb fractures were of Gustillo Anderson type III in the IMCW and PMI groups respectively. The distribution of CT scan findings and surgical treatment differs in the two groups of patients. There were 16.3% mortality and mean duration of hospital stay of 35 days +/-17.2 in the PMI group. 71.4% of PMI group's mortality died of pulmonary embolism and 28.6% from sepsis. However, the mean duration of IMCW patient's hospital stay was 21 days +/-7.6 and 3.3% mortality from multiple organ failure Conclusion: We have applied the Injury Severity Score to communal war multiple injuries. A striking difference existed among the CT scanned PMI and IMCW patients. This could be used to prognosticate outcome of the multiply traumatized treatment awaiting CT scanning.