Prevalence of injury and associated factors among patients visiting the Emergency Departments of Amhara Regional State Referral Hospitals, Ethiopia: a cross-sectional study
Abstract:BackgroundInjury significantly affecting the health and well-being of the society.The prevalence tends to be higher in low income countries. The aim of this study was to assess the prevalence of injury and associated factors among patients visiting emergency departments of Amhara Regional State referral hospitals.MethodsInstitution based cross sectional study was conducted from March to April 2014. The systematic random sampling technique was employed to select the study participants. The data were collected u… Show more
“…But it was higher than studies conducted University of Gondar (25%) 7 and Tikur Anbesa Hospital (32%) 22 and this discrepancy might be due to poor road safety, more motorcycle transportation in our study area. It was lower than a study conducted in Amhara regional State (55.6%) 6 and Jimma University Referral Hospital 5 and this is explained by study setting and large sources of population compared to this study area. The prevalence of injury in one of Nigerian Tertiary Hospital was lower than half of ours and this might be due to better mode of transportation and road safety 23 .…”
Section: Discussioncontrasting
confidence: 72%
“…The commonest mechanism of injury was Assault (49.9%) and road traffic accidents (48%) 7 . Another multicenter study conducted in Amhara regional state showed that the prevalence of injury in the region was 55.5% 6 . Those who are young and daily laborers, substance abusers and those who are with low monthly incomes were the most likely injury victims 6 .…”
mentioning
confidence: 99%
“…Another multicenter study conducted in Amhara regional state showed that the prevalence of injury in the region was 55.5% 6 . Those who are young and daily laborers, substance abusers and those who are with low monthly incomes were the most likely injury victims 6 . A study conducted in Tikur Anbesa Specialized and teaching Hospital showed that the prevalence of injury was 32.5%.…”
Background: Injury becomes life threatening community health problem associated with significant mortality and morbidity worldwide. Road traffic accident is the most commonly encountered trauma and the leading cause of death and disability from injuries in Ethiopia. The aim of this study is to assess the epidemiology and outcomes of injury in Ethiopian University Hospital. Methods: Institutional based retrospective cross-sectional study was conducted from January 2015 to June 2019. Data was collected using questionnaire adapted from WHO injury surveillance guideline. Bivariate and multivariate logistic regressions were performed to determine factors associated with hospital mortality. Results: A total of 376 trauma cases were included in the study. The majority of 196(52.1%) victims were in the age range of 20-40 years. Road traffic accident was the commonest mechanism of injury 178(47.3%) followed by interpersonal violence 113(30.1%). The majority of patients 135(35.9%) had associated with lower extremity injury and there was 23(6%) mortality in this study. Revised trauma score (RTS) < 10 (AOR=2.5; 95% CI, 1.8-25.6), Glasgow coma scale (GCS) (AOR =0.3; 95% CI, 0.13-0.5), Length of hospitalization (LOS) 1-7 days (AOR=0.1; 95% CI, 0.01-0.8), and Time to arrival >24hr were predictors of mortality in a patient with injury. Conclusion: A lower extremity injury was common and mostly associated with RTA. Length of hospitalization > 7 days, RTS<10, decrease GCS and time to arrival >24hr were factors associated with mortality. Pre-hospital emergency medical service system and trauma registry needs to be established to decrease burden of injury. Keywords: Injury, Epidemiology, Outcome, Ethiopia
“…But it was higher than studies conducted University of Gondar (25%) 7 and Tikur Anbesa Hospital (32%) 22 and this discrepancy might be due to poor road safety, more motorcycle transportation in our study area. It was lower than a study conducted in Amhara regional State (55.6%) 6 and Jimma University Referral Hospital 5 and this is explained by study setting and large sources of population compared to this study area. The prevalence of injury in one of Nigerian Tertiary Hospital was lower than half of ours and this might be due to better mode of transportation and road safety 23 .…”
Section: Discussioncontrasting
confidence: 72%
“…The commonest mechanism of injury was Assault (49.9%) and road traffic accidents (48%) 7 . Another multicenter study conducted in Amhara regional state showed that the prevalence of injury in the region was 55.5% 6 . Those who are young and daily laborers, substance abusers and those who are with low monthly incomes were the most likely injury victims 6 .…”
mentioning
confidence: 99%
“…Another multicenter study conducted in Amhara regional state showed that the prevalence of injury in the region was 55.5% 6 . Those who are young and daily laborers, substance abusers and those who are with low monthly incomes were the most likely injury victims 6 . A study conducted in Tikur Anbesa Specialized and teaching Hospital showed that the prevalence of injury was 32.5%.…”
Background: Injury becomes life threatening community health problem associated with significant mortality and morbidity worldwide. Road traffic accident is the most commonly encountered trauma and the leading cause of death and disability from injuries in Ethiopia. The aim of this study is to assess the epidemiology and outcomes of injury in Ethiopian University Hospital. Methods: Institutional based retrospective cross-sectional study was conducted from January 2015 to June 2019. Data was collected using questionnaire adapted from WHO injury surveillance guideline. Bivariate and multivariate logistic regressions were performed to determine factors associated with hospital mortality. Results: A total of 376 trauma cases were included in the study. The majority of 196(52.1%) victims were in the age range of 20-40 years. Road traffic accident was the commonest mechanism of injury 178(47.3%) followed by interpersonal violence 113(30.1%). The majority of patients 135(35.9%) had associated with lower extremity injury and there was 23(6%) mortality in this study. Revised trauma score (RTS) < 10 (AOR=2.5; 95% CI, 1.8-25.6), Glasgow coma scale (GCS) (AOR =0.3; 95% CI, 0.13-0.5), Length of hospitalization (LOS) 1-7 days (AOR=0.1; 95% CI, 0.01-0.8), and Time to arrival >24hr were predictors of mortality in a patient with injury. Conclusion: A lower extremity injury was common and mostly associated with RTA. Length of hospitalization > 7 days, RTS<10, decrease GCS and time to arrival >24hr were factors associated with mortality. Pre-hospital emergency medical service system and trauma registry needs to be established to decrease burden of injury. Keywords: Injury, Epidemiology, Outcome, Ethiopia
“…In Ethiopia there is high report of injuries from health facilities (6,7). However, health facilities reports did not show how many cases of injuries were work places related and could not well address what factors were associated with those injuries and illness (7,8). There are also few fragmented empirical studies on predictors or determinants of occupational injury and illness (9)(10)(11).…”
BackgroundGlobally, work related injury has been continued as a major public health problem. In Ethiopia there are few fragmented empirical studies particularly among workers of fast growing sectors and there is no a national representative study on work related injury. Therefore, this study aims to determine the magnitude of occupational injury and to identify its predictors among construction, textile and municipal solid waste management workers in Ethiopia.Objectiveto determine magnitude of Work related injury and its disparity across selected occupations in EthiopiaMethod:Both published and unpublished articles conducted in Ethiopia on work related injury were searched between the periods 12 October, 2019 to 15 December, 2019. Random effect model was employed to estimate the overall magnitude of occupational injury and its predictors.ResultsThe overall magnitude of work related injury was 39.35% (95% CI: 27.40, 51.30%). Subgroup analysis revealed that there was slight disparity across occupations and regions. Drinking alcohol, smoking cigarette, khat chewing habit, work related stress, level of education and utilization of PPE were significantly associated with work related injury.ConclusionThis study found that more than 1 in 3 workers had at least one occupational injury at work. There was slight disparity across occupations and regions. It is strongly recommend that health education programs about the risk of substance use on occupational injury and apply strict occupational safety practices regulations should be strengthened.
“…Although disasters are manageable and preventable they are still considered as a major public health issues. In Ethiopia, currently traumatic injuries especially road tra c accidents are major issues (7).…”
Background: Globally disasters are increasing at alarming rate that leads giving training and making preparing frontline emergency department nurses an important issue. Although disasters are manageable and preventable they are still considered as a major public health issues. Methods: Hospital based cross sectional study used to come up with the findings. All emergency department working nurses from the region referral hospitals were assumed as study subjects. The disaster information on respondents was gathered with self-administered written questionnaires. Data entry and coding was made by using epidata software manager v4.6.0.2 and further exported to spss version 26 for further analysis. Result: In our study finding most participants were males 68(66.7%). In addition mean age of data respondents were 31.2±5.8. It is found that 25(24.5%) of participants have adequate practice on the contrary 75(75.5%) of respondents have inadequate practice. Also, 40(39.2%) respondents need training on first aid and treatment principles, 37(36.3%) need training on disaster preparedness and 31(30.4%) need training on basic principles of disaster response. In multivariate analysis variables with practice of disaster preparedness are training performed in a hospital set up {P value= 0.047, OR: 0.282, 95%CI: (0.081-0.985)} and simulation done in hospital {P value= 0.002, OR: 0.071, 95%CI: (0.055-0.530)} were significantly associated. Conclusions: Skill level of emergency department nurses with regard to disaster preparedness is inadequate so that training supported with drills & simulation and education are mandatory.
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