Road traffic injured patients with severe GCS and organ injury had a poor prognosis: a retrospective cohort study

Abstract

Background Ethiopia had an increasing trend of morbidity and mortality due to road traffic injury. Road traffic injured patient’s recovery rate is affected by many different factors. Those factors might affect the duration of time to recovery. Therefore studying the median time to recovery and its predictors of road traffic injured patients will be needed to act upon the patient’s hospital provided service. Method A retrospective cohort study design was employed. The study population was all admitted road traffic injured patients in Ayder tertiary hospital. We have used the total of all three-year RTI patients’ chart from 2015 to 2017 found in the hospital. After excluding incomplete charts for major variables the sample size was 322. Descriptive statistics, life table, Kaplan-Meier, log-rank test and assumptions of the Cox proportional hazard model was applied. Bi and multivariate Cox regression analysis, hazard ratios and associated 95% CI were estimated. Result Male to female RTI patient ratio was 3:1. Of the total 258(80.1%) had been recovered and the median survival time to recovery was 15 days (interquartile range 7–29). From those recovered, 104(40.3%) had been referred from other health facilities. Availability of referral form linkage [adjusted hazard ratio = 1.5, CI (1.1–1.9)], mild and moderate glass coma scale [adjusted hazard ratio = 2.3, CI (1.3–3.9)], conservative management [adjusted hazard ratio = 1.6, CI (1.2–2.1)], and not having organ injury [adjusted hazard ratio = 1.6, CI (1.1–2.3)] were associated with time to recovery in multivariate analysis. Conclusion Median time to recovery of road traffic injured patients was relatively good. Being referred from another health facility, mild and moderate glass coma scale, conservative management and without organ injury was positively associated with time to recovery of road traffic injured patients. We would like to recommend for future prospective studies to determine the time to return to work of road traffic injured patients and quality of life after the injury.

Survival Rates and Factors Related to the Survival of Traffic Accident Patients Transported by Emergency Medical Services

“…Although the 1-month survival rate was very high, it was comparable to the findings of Wongvatanakij et al, 19 who reported a survival rate of 97.9% for traffic accident patients who were treated in a tertiary hospital in Thailand, a study by Tesfay et al, 20 who reported that survival for traffic accident patients was quite good and had a short recovery time, and a study by Seid et al, 21 who reported a mortality rate of 7.4% for traffic accident patients in an emergency department in Addis Ababa, Ethiopia.…”

Factors Affecting Death and Severe Injury in Child Motor Vehicle Passengers

“…The GCS is a scoring system describing the state of consciousness and is also used for quantifiable determination of traumatic brain-injured patients' prognoses. For road traffic injuries, higher values of the GCS score positively reflect the time to recovery [34]. Therefore, for preventing fatality due to MVCs in child passengers, decreasing the severity of head injury and maintaining a high GCS score are considered as the highest priority.…”

In Relation to Morbidity, Mortality, and Hospital Stay, Determine the Predictive Value of Injury Severity Scores in Road Traffic Accidents

“…Legs and arms fractures were the most common injuries found in 32 (40%) and 25 (31.3%) followed by head fractures in 23 (28.8%) cases. [17] Mean injury severity score was 54.07±3.64. As per severity score, 36 (45%) cases had score between 51-75, 38 (47.5%) cases had score 26-50 and 6 (7.5%) patients had score <25.…”