Characteristics and outcome of traumatic chest injury patients visited a specialized hospital in Addis Ababa, Ethiopia: A one-year retrospective study

Baru, Ararso; Weldegiorgis, Ermiyas; Zewdu, Tigist; Hussien, Heyria

doi:10.1016/j.cjtee.2020.02.001

Cited by 10 publications

(11 citation statements)

References 20 publications

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“…Twenty-one eligible studies included in the meta-analysis were published between 1981 and 2023. Of these 21 published original studies that reported the proportion of mortality, four were conducted in Ethiopia [ 26 , 29 , 39 , 40 ], and the majority of studies (nine) were conducted in Nigeria [ 4 , 25 , 27 , 28 , 33 – 37 ]. The other studies were conducted in Tanzania (three) [ 30 , 31 , 43 ], South Africa (two) [ 41 , 42 ], Cameroon (one) [ 32 ], Senegal (one) [ 44 ], and Sudan (one) [ 38 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most patients with chest trauma had associated head and neck injuries, followed by injuries to the extremities. The highest mortality was reported in Ethiopia (27.6%) [ 26 ]. whereas the lowest mortality was reported in Nigeria (1.1%) [ 27 ] (Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…According to a recent study in Ethiopia, the mortality rate of chest trauma was 27% in 2020 and 26% in 2023 [ 9 ]. A recent study conducted in Ethiopia revealed that late presentation beyond 6 h, patient age (> 50), penetrating injury, bilateral chest injury, associated extra-thoracic injury, and the need for ICU care were predictors of mortality following traumatic chest injuries [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Mortality of traumatic chest injury and its predictors across sub-saharan Africa: systematic review and meta-analysis, 2024

Adal,

Tareke,

Bogale

et al. 2024

BMC Emerg Med

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Introduction Globally, chest trauma remain as a prominent contributor to both morbidity and mortality. Notably, patients experiencing blunt chest trauma exhibit a higher mortality rate (11.65%) compared to those with penetrating chest trauma (5.63%). Aim This systematic review and meta-analysis aimed to assess the mortality rate and its determinants in cases of traumatic chest injuries. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist guided the data synthesis process. Multiple advanced search methods, encompassing databases such as PubMed, Africa Index Medicus, Scopus, Embase, Science Direct, HINARI, and Google Scholar, were employed. The elimination of duplicate studies occurred using EndNote version X9. Quality assessment utilized the Newcastle-Ottawa Scale, and data extraction adhered to the Joanna Briggs Institute (JBI) format. Evaluation of publication bias was conducted via Egger’s regression test and funnel plot, with additional sensitivity analysis. All studies included in this meta-analysis were observational, ultimately addressing the query, what is the pooled mortality rate of traumatic chest injury and its predictors in sub-Saharan Africa? Results Among the 845 identified original articles, 21 published original studies were included in the pooled mortality analysis for patients with chest trauma. The determined mortality rate was nine (95% CI: 6.35–11.65). Predictors contributing to mortality included age over 50 (AOR 3.5; 95% CI: 1.19–10.35), a time interval of 2–6 h between injury and admission (AOR 3.9; 95% CI: 2.04–7.51), injuries associated with the head and neck (AOR 6.28; 95% CI: 3.00–13.15), spinal injuries (AOR 7.86; 95% CI: 3.02–19.51), comorbidities (AOR 5.24; 95% CI: 2.93–9.40), any associated injuries (AOR 7.9; 95% CI: 3.12–18.45), cardiac injuries (AOR 5.02; 95% CI: 2.62–9.68), the need for ICU care (AOR 13.7; 95% CI: 9.59–19.66), and an Injury Severity Score (AOR 3.5; 95% CI: 10.6–11.60). Conclusion The aggregated mortality rate for traumatic chest injuries tends to be higher in sub-Saharan Africa. Factors such as age over 50 years, delayed admission (2–6 h), injuries associated with the head, neck, or spine, comorbidities, associated injuries, cardiac injuries, ICU admission, and increased Injury Severity Score were identified as positive predictors. Targeted intervention areas encompass the health sector, infrastructure, municipality, transportation zones, and the broader community.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mortality of traumatic chest injury and its predictors across sub-saharan Africa: systematic review and meta-analysis, 2024

Adal,

Tareke,

Bogale

et al. 2024

BMC Emerg Med

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“…HIV-negative ICU cases were 41% less likely to die as compared with those HIV-positive admitted cases in ICU (AHR = 0.59, 95% CI: 0.39-0.91). This is evident from previous literature suggestions that 4,[6][7][8]10,11,32 weekend admission by emergency physicians increases the load and burden cases for quality care and specifically which is not supported with trained human resources and material inpatient death in the ICU unit is inevitable unless effective prognosis-tailored care and resource utilization were invested. 6,16 This is evidenced in the finding of this work, which is more than one in every third 139 (36.2%) admitted cases were started ICU care on weekend admission by emergency physicians.…”

Section: Discussionmentioning

confidence: 99%

“…1,9 The epidemiology and severity of cases were affected by two critical determinates including time of arrival at ICU and a skilled physician with mechanical equipment both for recovery and post-admission death. 9 The most frequently diagnosed and admitted cases for care at ICU were stroke, 10 respiratory failure, 1 road traffic accident, 9 cardiac failure, 11 medical comorbidities (diabetic mellitus, hypertension (HTN), and HIV/AIDS were prominent evidence. [12][13][14] After inpatient cases were admitted to the ICU, there were two existing criteria including inpatient death or prognosis discharge.…”

Section: Introductionmentioning

confidence: 99%

Incidence and Predictors of Inpatient Mortality Rate After Cases Started Care in the Intensive Care Unit in Debre Markos Referral Hospital

Shumet,

Kebede

2023

Health Services Research and Managerial Epidemiology

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Background The intensive care unit (ICU) is a separate area in which potential health care services for patients who are in critical condition with detailed observation, monitoring, and advanced treatment than other units. This study aimed to assess the incidence and predictors of inpatient mortality after inpatient treatment was started in Debre Markos Comprehensive Specialized Hospital. Methods A facility-based retrospective cohort study was employed among 384 ICU-admitted patients from December 30, 2020 to January 1, 2022. The collected data were entered into Epi Data version 4.2 and exported to STATA 14.0 for further analysis. The Cox proportional hazard regression model was fitted after checking using the Schoenfeld residual and log-log plot test. A categorical variable with an adjusted hazard ratio of 95% CI was claimed for predictors. Result Overall, 384 admitted adult patients were included in the final analysis with a mean (±SD) age of 42.1 (±17.1) years. At the end of the follow-up period, 150 (39.06%) cases died in the ICU. The overall incidence of the mortality rate was 16.9 (95% CI: 13.7-19.55) per 100 person per day. Epidemiologically, 347 (90.36%) cases were medical illness, 25 (6.51%) surgical, and 12 (3.13%) were obstetric cases, respectively. The median length of inpatient stay was found to be 4.9 (IQR ± 2.8) days. In multivariable analysis; being (+) for human immunodeficiency virus (AHR = 0.59, 95% CI: 0.39-0.91), age ≥65yearas (AHR = 1.61, 95% CI: 1.11-2.32), and admission on weekend-time (AHR = 1.48, 95% CI: 1.06-2.06) were predictors of inpatient death. Conclusion The overall in-hospital mortality rate was significantly higher than in the previous study in this hospital with a short median survival time. The inpatient mortality rate was significantly associated with age ≥65 years, being HIV positive, and admission during weekend time. Therefore, effective intervention strategies should be highly needed for ICU team members for early risk factors prevention.

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Development and validation of the first performance assessment scale for interdisciplinary chest tube insertion: a prospective multicenter study

Ghazali

Ilha-Schuelter

Barreyre³

et al. 2022

Eur J Trauma Emerg Surg

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Characteristics and outcome of traumatic chest injury patients visited a specialized hospital in Addis Ababa, Ethiopia: A one-year retrospective study

Cited by 10 publications

References 20 publications

Mortality of traumatic chest injury and its predictors across sub-saharan Africa: systematic review and meta-analysis, 2024

Mortality of traumatic chest injury and its predictors across sub-saharan Africa: systematic review and meta-analysis, 2024

Incidence and Predictors of Inpatient Mortality Rate After Cases Started Care in the Intensive Care Unit in Debre Markos Referral Hospital

Development and validation of the first performance assessment scale for interdisciplinary chest tube insertion: a prospective multicenter study

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