Treatment Outcome, Pattern of Injuries and Associated Factors Among Traumatic Patients Attending Emergency Department of Dessie City Government Hospitals, Northeast Ethiopia: A Cross-Sectional Study

Birhan, Sindu; Gedamu, Sisay; Belay, Mulusew; Mera Mihiretu, Mengistu; Tadesse Abegaz, Nigusie; Fissha Adem, Yonas; Tilahun Yemane, Tesfalem; Abdu Yesuf, Kedir

doi:10.2147/oaem.s419429

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…Tindakan yang cepat ditargetkan menjadi strategi pencegahan dan manajemen cedera pada korban kecelakaan lalu lintas (Birhan et al, 2023). Pertolongan pertama merupakan suatu tindakan pencegahan cedera lebih lanjut dari dampak kecelakaan lalu lintas (Sharif et al, 2018).…”

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Faktor-Faktor yang Berhubungan dengan Perilaku dan Motivasi Masyarakat terhadap Pertolongan Pertama pada Korban Kecelakaan Lalu Lintas

Madani,

Firdaus,

Syafwani

et al. 2023

JOTING

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for traffic accident victims. The method used is quantitative research with a cross-sectional approach. The research results show that the most dominant gender factor is related to people's behavior toward first aid for traffic accident victims, with an OR value of 78.3. Meanwhile, the most dominant knowledge factor relates to people's motivation for first aid for traffic accident victims, with an OR value of 11.5. In conclusion, knowledge can motivate people to carry out first aid. Therefore, it is necessary to provide counseling, training, and assistance in improving community behavior and motivation in first aid to traffic accident victims. Keywords: Traffic Accidents, Motivation, Behavior, First Aid

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Faktor-Faktor yang Berhubungan dengan Perilaku dan Motivasi Masyarakat terhadap Pertolongan Pertama pada Korban Kecelakaan Lalu Lintas

Madani,

Firdaus,

Syafwani

et al. 2023

JOTING

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Magnitude and outcome of road traffic accidents among patients admitted in dessie town governmental hospitals, Northeast Amhara, Ethiopia, 2022

Degu,

Endris,

Ayele

et al. 2024

BMC Emerg Med

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Background Road traffic accidents(RTA) are a major public health problem worldwide, accounting for almost 1.24 million deaths per year and it is the number one cause of death among those aged group 15–29 years. Even though there are great benefits from access to road transportation there also poses a great challenge in the individual’s daily activities ranging from minor injury to death. Objective This study aimed to assess the magnitude and outcome of road traffic accidents among patients admitted in Dessie Town Governmental Hospitals, Northeast Amhara, Ethiopia, 2022. Methods A five-year hospital-based retrospective descriptive cross-sectional study design was conducted among 377 road traffic accident patients admitted to Dessie Town Governmental hospitals. Data were collected by simple random methods based on patient chart reviews from June 7/, 2022 to May 23/ 2017 using a checklist adapted from the WHO standard hospital-based road traffic accident questionnaires after obtaining consent from the concerned authority. EPI-Data software version 7.2 for data entry and SPSS version 25 for statistical analysis were used. Descriptive and inferential statistics were used. Statistical significance was declared at a p-value of < 0.05 with an adjusted odds ratio (AOR) and a 95% confidence interval (CI) in the final multinomial logistic regression model. Results The magnitude of road traffic accidents was 59%, using of logistic multi nominal logistic regression we found results such that, road traffic victims who had unstable vital signs at admission (AOR = 6.4,95% CI; 2.5–16.6), didn’t get prehospital treatment (AOR = 9.3,95% CI; 4–20), and severe injury (AOR = 9, 95% CI;7-15.4), had a Glasgow coma scale of 3–5 (AOR = 5.2,95% CI; 1.4–20) were found predictors for death were as unstable vital signs at admission (AOR = 3.79,95%CI;2.1–6.8), Doesn’t get prehospital treatment (AOR = 2.8, 95% CI; 1.4–5.7), Hospital stay for one to two months duration (AOR = 6,95% CI;2.3–15), and greater than two months duration (AOR = 6.5,95%CI;2.5–17) were found predictors for disability among road traffic victims. Conclusions and recommendations Road traffic accidents constitute a major public health problem in our setting and contribute significantly to excessively high morbidity and mortality. Unstable vital signs at admission, Client doesn’t get prehospital treatment, severely injured client, and had a Glasgow coma scale of 3–5 were found predictors for death were as an unstable vital sign at admission, Client doesn’t get pre-hospital treatment, Hospital stays for one to two months duration, and greater than two months duration were found predictors for disability among road traffic victims.

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Mortality and its determinants among patients attending in emergency departments

Messelu,

Amlak,

Mekonnen

et al. 2024

BMC Emerg Med

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Background Due to the high burden of mortality from acute communicable and non-communicable diseases, emergency department’s mortality has become one of the major health indices in Ethiopia that should be evaluated regularly in every health institution. However, there are inconsistencies between studies, and there is no systematic review or meta-analysis study about the prevalence of mortality in the emergency department. Therefore, this study aimed to determine the pooled prevalence of mortality and identify its determinants in the emergency departments of Ethiopian hospitals. Methods This systematic review was conducted according to the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and has been registered with PROSPERO. A structured search of databases (Medline/PubMed, Google Scholar, CINAHL, EMBASE, HINARI, and Web of Science) was undertaken. All observational studies reporting the prevalence of mortality of patients in emergency departments of Ethiopian hospitals, and published in English up to December 16, 2023, were considered for this review. Two reviewers independently assess the quality of the studies using the Joanna Briggs Institute (JBI) critical appraisal tool. A meta-analysis using a random-effects model was performed to estimate the pooled prevalence. The heterogeneity of studies was assessed using I2 statistics, and to identify the possible causes of heterogeneity, subgroup analysis and meta-regression were used. Egger’s test and funnel plots were used to assess publication bias. STATA version 17.0 software was used for all the statistical analyses. A p-value less than 0.05 was used to declare statistical significance. Results A total of 1363 articles were retrieved through electronic search databases. Subsequently, eighteen studies comprised 21,582 study participants were included for analysis. The pooled prevalence of mortality among patients in the Emergency Department (ED) was 7.71% (95% CI: 3.62, 11.80). Regional subgroup analysis showed that the pooled prevalence of mortality was 16.7%, 12.89%, 10.28%, and 4.35% in Dire Dawa, Amhara, Oromia, and Addis Ababa, respectively. Moreover, subgroup analysis based on patients’ age revealed that the pooled prevalence of mortality among adults and children was 8.23% (95% CI: 3.51, 12.94) and 4.48% (95% CI: 2.88, 6.08), respectively. Being a rural resident (OR; 2.30, 95% CI: 1.48, 3.58), unconsciousness (OR; 3.86, 95% CI: 1.35, 11.04), comorbidity (OR; 2.82, 95% CI: 1.56, 5.09), and time to reach a nearby health facility (OR; 4.73, 95% CI: 2.19, 10.21) were determinants of mortality for patients in the emergency departments. Conclusion and recommendations This study found that the overall prevalence of mortality among patients in emergency departments of Ethiopian hospitals was high, which requires collaboration between all stakeholders to improve outcomes. Being a rural resident, unconsciousness, comorbidity, and time elapsed to reach health facilities were determinants of mortality. Improving pre-hospital care, training healthcare providers, early referral, and improving first-line management at referral hospitals will help to reduce the high mortality in our country.

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Treatment Outcome, Pattern of Injuries and Associated Factors Among Traumatic Patients Attending Emergency Department of Dessie City Government Hospitals, Northeast Ethiopia: A Cross-Sectional Study

Cited by 3 publications

References 19 publications

Faktor-Faktor yang Berhubungan dengan Perilaku dan Motivasi Masyarakat terhadap Pertolongan Pertama pada Korban Kecelakaan Lalu Lintas

Faktor-Faktor yang Berhubungan dengan Perilaku dan Motivasi Masyarakat terhadap Pertolongan Pertama pada Korban Kecelakaan Lalu Lintas

Magnitude and outcome of road traffic accidents among patients admitted in dessie town governmental hospitals, Northeast Amhara, Ethiopia, 2022

Mortality and its determinants among patients attending in emergency departments

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