Prevalence of Head Injury Among Trauma Patients at Debre Tabor Comprehensive Specialized Hospital, North Central Ethiopia

Tesfaw, Aragaw; Eshetu, Mekdim; Dagnaw, Fentaw Teshome; Fenta, Efrem; Taye, Moges Gelaw; Mihret, Gashaw; Atiklt, Getaneh; Yosef, Tewodros

doi:10.2147/oas.s321404

Cited by 10 publications

(9 citation statements)

References 23 publications

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“…In this study, the risk of occupational injury was 1.74 times higher among male workers as compared to female workers. This finding was consistent with a studies conducted in Ethiopia ( 31 – 33 ), Ghana ( 34 ), and China ( 35 ) which reported that male workers are more prone to occupational injury than female workers. The possible explanation for this report is due to the difference in tasks and males are high in risk-taking behavior ( 36 ).…”

Section: Discussionsupporting

confidence: 92%

Occupational injuries and contributing factors among industry park construction workers in Northwest Ethiopia

Yosef

Sineshaw

Shifera

2023

Front. Public Health

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BackgroundConstruction business is currently the second greatest source of injuries in Ethiopia after automotive accidents, with a risk of fatality that is five times higher than that of other industrial sectors. To establish measures for injury prevention, it is crucial to assess the severity of occupational injuries and identify the variables that contribute to them. Therefore, this study aimed to assess the magnitude and factors associated with occupational injuries among Bure Industrial Park construction workers, Northwest Ethiopia.MethodsAn institutional-based cross-sectional study was conducted among 372 construction workers at Bure Industrial Park. The study participants were selected using a simple random sampling method. The data were collected using interviewer-administered structured questionnaire and work environment observation using structured checklist. In the descriptive statistic, frequencies, proportion, and mean were calculated and the results of the analysis were presented in text and tables. The bi-variable and multivariable logistic regression analyses were carried out to identify independent factors having associations with the occurrence of occupational injury.ResultsThe overall prevalence of occupational injuries among Bure industrial park construction workers was 39.4%, 95%C.I (34.4%-44.4%). Factors such as sex (being male) [AOR = 1.74, 95%CI (1.02–2.97)], being married [AOR = 2.79, 95%CI (1.50–5.17)], no use of personal protective equipment [AOR = 1.67, 95%CI (1.12–2.85)], no training on occupational safety [AOR = 1.45, 95%CI (1.06–2.98)], and not satisfied with the job [AOR = 5.97, 95%CI (3.48–10.2)] were the factors associated with occupational injuries.Conclusion and recommendationThe finding shows the public health importance of occupational injury among construction workers in the study area. Numerous factors have been linked to workplace injuries, including sex, marital status, the usage of personal protection equipment, training in occupational safety, and job satisfaction. As a result, in order to lower the rate of occupational injury, employers should prioritize offering safety training, encouraging the use of personal protective equipment while working, conducting routine workplace inspections, and ensuring that their staff members are happy at work by providing comfortable workspaces.

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Section: Discussionsupporting

confidence: 92%

Occupational injuries and contributing factors among industry park construction workers in Northwest Ethiopia

Yosef

Sineshaw

Shifera

2023

Front. Public Health

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“…Head injury can be defined as a definite history of an upset to the head, a laceration of the scalp, or altered consciousness secondary to physical injury/structural alteration to the skull by any type of external force to the head [ 1 ]. Traumatic brain injury (TBI) is a non-congenital injury to the brain from an external mechanical force that leads to permanent or temporary impairment of cognitive, physical, and psychosocial functions [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…In Ethiopia, TBI is a significant public health problem with a reported prevalence of 39.7% and it is the leading reason behind mortality and disability [ 1 , 18 ]. The effects of TBI are not limited to an individual’s health but are also a cause of increased socioeconomic burden to the family as well as to the country in general [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Incidence and predictors of mortality among traumatic brain injury patients admitted to Amhara region Comprehensive Specialized Hospitals, northwest Ethiopia, 2022

Demlie,

Alemu,

Messelu

et al. 2023

BMC Emerg Med

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Introduction Traumatic brain injury is a substantial cause of mortality and morbidity with a higher burden in low and middle-income countries due to healthcare systems that are unable to deliver effectively the acute and long-term care the patients require. Besides its burden, there is little information on traumatic brain injury-related mortality in Ethiopia, especially in the region. Therefore, this study aimed to assess the incidence and predictors of mortality among traumatic brain injury patients admitted to comprehensive specialized hospitals in the Amhara region, northwest Ethiopia, 2022. Methods An institution-based retrospective follow-up study was conducted among 544 traumatic brain injury patients admitted from January 1, 2021, to December 31, 2021. A simple random sampling method was used. Data were extracted using a pre-tested and structured data abstraction sheet. Data were entered, coded, and cleaned into EPi-info version 7.2.0.1 software and exported to STATA version 14.1 for analysis. The Weibull regression model was fitted to determine the association between time to death and covariates. Variables with a P-value < 0.05 were declared statistically significant. Results The overall incidence of mortality among traumatic brain injury patients was 1.23 per 100 person-day observation [95% (CI: 1.0, 1.5)] with a median survival time of 106 (95% CI: 60, 121) days. Age [AHR: 1.08 (95% CI; 1.06, 1.1)], severe traumatic brain injury [AHR: 10 (95% CI; 3.55, 28.2)], moderate traumatic brain injury [AHR: 9.2 (95% CI 2.97, 29)], hypotension [AHR: 6.9 (95% CI; 2.8, 17.1)], coagulopathy [AHR: 2.55 (95% CI: 1.27, 5.1)], hyperthermia [AHR: 2.79 (95% CI; 1.4, 5.5)], and hyperglycemia [AHR: 2.28 (95% CI; 1.13, 4.6)] were positively associated with mortality while undergoing neurosurgery were negatively associated with mortality [AHR: 0.47 (95% CI; 0.27-0 0.82)]. Conclusion The overall incidence of mortality was found to be high. Age, severe and moderate traumatic brain injury, hypotension at admission, coagulopathy, presence of associated aspiration pneumonia, undergoing a neurosurgical procedure, episode of hyperthermia, and hyperglycemia during hospitalization were the independent predictors of time to death. Therefore, interventions to reduce mortality should focus on the prevention of primary injury and secondary brain injury.

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“…A subgroup analysis also showed no statistically significant difference between the number of male patients in pediatric/adolescent or adult age groups between rural and urban populations (OR: 1.01, 95% CI [1.00, 1.03], p=0.13; and OR 1.16, 95% CI [0.82, 1.63], p=0.40, respectively) (Fig 3). Injuries of all severities were reported in 22 studies (5, 6, 14, 15, 18, 19, 20, 21, 26, 28, 29, 32, 33, 34, 36, 38, 40, 41, 44, 45, 46, 47), with the remaining studies reporting on either mild or severe traumatic head injury only (Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…Several behavioural factors have been proposed as potential contributors to these findings. Cheng et al (2017) (27), Karwat et al (49) and Tesfaw et al (47) suggested lower rates of law-abiding behaviour and higher rates of risk-taking behaviour, including driving under the influence of alcohol, rurally. Greater occupational and recreational ATV use associated with rural farming regions may also account for the higher rate of head injuries resulting from motorized vehicle accidents in rural areas.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and outcomes of head trauma in rural and urban populations: A systematic review and meta-analysis

Chequer de Souza,

Dobson,

Lee

et al. 2023

Preprint

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Objective: To identify and describe differences in demographics, injury characteristics, and outcomes between rural and urban head injury patients. Data Sources: CINAHL, Emcare, MEDLINE, and Scopus. Review Methods: A systematic review and meta-analysis of studies comparing epidemiology and outcomes of rural and urban head trauma was conducted in accordance with PRISMA and MOOSE guidelines. Results: 36 studies with ~2.5-million patients were included. Incidence of head injury was higher in males, regardless of location. Rates of transport-related head injuries, particularly involving motorized vehicles other than cars, were significantly higher in rural populations (OR:3.63, 95% CI[1.58,8.35], p=0.002), whereas urban residents had more fall-induced head trauma (OR:0.73, 95% CI[0.66,0.81], p<0.00001). Rural patients were 28% more likely to suffer severe injury, indicated by Glasgow Coma Scale (GCS)<8 (OR:1.28, 95% CI[1.04,1.58], p=0.02). There was no difference in mortality (OR:1.09, 95% CI[0.73,1.61], p=0.067), however, urban patients were twice as likely to be discharged with a good outcome (OR:0.52, 95% CI[0.41,0.67], p<0.00001). Conclusions: Rurality is associated with greater severity and poorer outcomes of traumatic head injury. Transport accidents disproportionally affect those travelling on rural roads. Future research recommendations include addition of prehospital data, adequate follow-up, standardized measures, and sub-group analyses of high-risk groups, e.g., Indigenous populations.

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Prevalence of Head Injury Among Trauma Patients at Debre Tabor Comprehensive Specialized Hospital, North Central Ethiopia

Cited by 10 publications

References 23 publications

Occupational injuries and contributing factors among industry park construction workers in Northwest Ethiopia

Occupational injuries and contributing factors among industry park construction workers in Northwest Ethiopia

Incidence and predictors of mortality among traumatic brain injury patients admitted to Amhara region Comprehensive Specialized Hospitals, northwest Ethiopia, 2022

Epidemiology and outcomes of head trauma in rural and urban populations: A systematic review and meta-analysis

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