Patterns of road traffic injury and potential consequences among patients visiting Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia

Duko, Bereket; Tadesse, Fikru; Oltaye, Zewdie

doi:10.1186/s13104-019-4192-5

Cited by 7 publications

(8 citation statements)

References 7 publications

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“…In our study, we found over-speeding (reported by more than 60% of the participants) to be the key contributing reason behind accidents. A similar study from Ethiopia reported a congruent result as they mentioned high speed (reported by 48.9% injured patients) to be the leading cause behind accident [ 35 ].…”

Section: Discussionmentioning

confidence: 92%

Patterns of injuries and injury severity among hospitalized road traffic injury (RTI) patients in Bangladesh

Roy

Hawlader

Nabi

et al. 2021

Heliyon

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Background: Road traffic injuries (RTIs) are one of the key public health issues worldwide causing 1.3 million deaths every year. This study aimed to determine the patterns of injuries due to road traffic accidents (RTAs), the severity of injuries, and factors associated with injury severity. Methodology: A cross-sectional study was conducted among RTA victims, who attended two large tertiary care hospitals located inside the Dhaka metropolitan area, through structured interview between 28 January and 22 March 2020. Results: Among 375 RTI patients, a total of 1390 injuries were recorded among interviewed patients, yielding a mean of 3.7 injuries per patient. The most frequently injured systems were external (n ¼ 351), lower limb (n ¼ 235), head and neck (n ¼ 151), and face (n ¼ 150). The mean ISS were 20.96 AE 12.027 with a maximum of 65 and a minimum of 4. Among patients, 87 (23.20%) had a severe injury, and 37 (9.87%) patients were critically injured. A statistically significant variation in ISS was observed in ANOVA among various categories of age, education, occupation, and purpose of going outside, vehicle type and fitness, accident type, road type, times required in hospitalization, and death history (p < 0.05). Conclusions: Our study has revealed several important findings which will help stakeholders and policymakers devise better policies to reduce RTA and RTA related injuries in Bangladesh.

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Section: Discussionmentioning

confidence: 92%

Patterns of injuries and injury severity among hospitalized road traffic injury (RTI) patients in Bangladesh

Roy

Hawlader

Nabi

et al. 2021

Heliyon

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“…3 Considering the intent of trauma, 159 (75.4%) of the admissions were due to unintentional injury which is in agreement with the result of a systemic review done by Azaj et al 4 RTC was the leading cause of trauma admissions and was nearly the same with the result of a study done at Hawassa University Comprehensive Specialized Hospital which was 40.9%. 14 According to Kirya et al, RTC was the leading cause of trauma admissions that accounted for 75%. 16 This could be attributed to the geographic difference and concentration of vehicles to larger cities in low and middle-income countries.…”

Section: Discussionmentioning

confidence: 99%

Pattern of trauma admission and outcome among patients presented to Jimma University Specialized Hospital, south-western Ethiopia

Bayissa

Alemu

2021

Trauma Surg Acute Care Open

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BackgroundTrauma is an ever evolving world problem that needs close attention and devising means to prevent and treat. The aim of the study is to identify the main reason for trauma admissions and assess the patient outcome after intervention. Therefore, knowing its actual nature might aid in postulating possible intervention as well as prevention measures.MethodA cross-sectional study was conducted from August to December 2015 in Jimma University Specialized Hospital, which is located in south-western Ethiopia. Two hundred and eleven consecutive trauma admissions to surgery department were included in the study. Data were collected and analyzed using computer software SPSS V.23.ResultA total of 211 admitted trauma patients were studied with male to female ratio of 3.14. The leading cause of trauma admission was road traffic collision at 84 (39.8%) and the least being bullet injury which was 6 (2.8%). Hospital mortality was 31 (14.7%). Factors associated with outcome of patients before discharge from hospital were male sex, adjusted OR (AOR)=2.3, 95% CI 1.08 to 4.75; Glasgow Coma Scale score 15/15, AOR=0.04, 95% CI 0.00 to 0.46; and hemoglobin >10 g/L, AOR=0.225, 95% CI 0.074 to 0.464, p<0.05.ConclusionRoad traffic collision takes the top position from all causes of trauma and unlike other developed countries and low and middle-income countries, pedestrians and motorcyclists were the major victims of the collision in this study.Level of evidence VI (This level of effectiveness rating scheme is based on the following: Ackley, B. J., Swan, B. A., Ladwig, G., & Tucker, S. (2008). Evidence-based nursing care guidelines: Medical-surgical interventions. (p. 7). St. Louis, MO: Mosby Elsevier.

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“…The emergency department of the hospital provides services to 102,033 patients a year. In addition, this unit serves 1800 injured patients a year, including 960 head injuries [ 18 ].…”

Section: Methodsmentioning

confidence: 99%

Incidence and predictors of mortality among patients with head injury admitted to Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia: A retrospective follow-up study

et al. 2021

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Introduction Head injury is the leading cause of morbidity and mortality throughout the world, especially in resource-limited countries including Ethiopia. However, little is known about the mortality rate and its predictors among these patients in Ethiopia. Thus, the study aims to assess the incidence rate of mortality and its predictors among patients with head injury admitted at Hawassa University Comprehensive Specialized Hospital. Methods Institutional based retrospective follow-up study was conducted among 1220 randomly selected head injury patients admitted from July 2017 to July 2019. Bivariable and multivariable Cox regression models were fitted to identify the predictors of mortality. Proportionality assumption was tested by a global test based on the Schoenfeld residuals test. Results The incidence of the mortality rate was 2.26 (95%CI: 1.9–2.6) per 100-person day observation. The independent predictors of time to death were age above 65 years (AHR:3.49, 95%CI:1.63, 7.48), severe TBI (AHR: 8.8, 95%CI:5.13, 15.0), moderate TBI (AHR:3, 95%CI:1.73,5.31), hypotension (AHR:1.72, 95%CI: 1.11,2.66), hypoxia (AHR:1.92, 95%CI: 1.33,2.76), hyperthermia (AHR:1.8, 95%CI: 1.23,2.63) and hypoglycemic (AHR:1.94, 95%CI: 1.34, 2.81) positively associated with mortality, while underwent neurosurgery was negatively associated with mortality (AHR: 0.25, 95% CI: 0.11,0.53). Conclusion The incidence of mortality rate among head injury patients was high. Older age, moderate and severe TBI, hypotension and hypoxia at admission, neurosurgical procedure, and the episode of hyperthermia and hypoglycemia during hospitalization were the independent predictors of mortality among head injury patients. Therefore, intervention to reduce earlier deaths should focus on the prevention of secondary brain insults.

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Patterns of road traffic injury and potential consequences among patients visiting Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia

Cited by 7 publications

References 7 publications

Patterns of injuries and injury severity among hospitalized road traffic injury (RTI) patients in Bangladesh

Patterns of injuries and injury severity among hospitalized road traffic injury (RTI) patients in Bangladesh

Pattern of trauma admission and outcome among patients presented to Jimma University Specialized Hospital, south-western Ethiopia

Incidence and predictors of mortality among patients with head injury admitted to Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia: A retrospective follow-up study

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