scholarly journals OUTCOME AND ASSOCIATED FACTORS AMONG ROAD TRAFFIC ACCIDENT VICTIMS AT WOLAITA SODDO CHRISTIAN HOSPITAL, WOLAITA SODDO, SOUTH ETHIOPIA 2020, INSTITUTION-BASED CROSS-SECTIONAL STUDY.

Author(s):  
Eshetu Yisihak ◽  
ASRAT HIZKEL ◽  
Teklemichael Gebru ◽  
Desta Markos

ABSTRACT Background In today's world road traffic accident victims is treated as a major epidemic of non-communicable disease. Road traffic accidents caused numerous family tragedies such as serious economic loss to the community and the death of young people. The problem is more severe in low and middle-income countries. In Ethiopia, the largest proportion of series injuries comes from road traffic accidents and become major causes of death in the emergency room. Despite this, only a little is known about treatment outcomes of road traffic accident victims and its associated factors in Ethiopia. Method An institution-based Cross-sectional study design was conducted at Wolaita Soddo Christian hospital with a sample of 400 road traffic accidents. The medical record was selected using a systematic sampling method. Data was entered using Epi-data version 4.1 and was exported to and analyzed using SPSS version 23. A multivariable logistic regression model was used to assess the association between the independent variables and dependent variables. RESULT The overall death rate was 9.5%. Being out of hospital catchment area [AOR= 2.16, 95% CI= (1.01-4.70)] presence of co-morbid condition [AOR= 6.77 95% CI= (2.44-18.81)] lack of first aid help [AOR= 2.77 95% CI= (1.17-6.52)] and severity of the injury [AOR= 3.85 95% CI= (1.50-9.89)] were found to be significantly associated with outcome of road traffic accident victims. Conclusion The study shows that the death rate from road traffic accidents was high. Therefore, designing strategies to decrease death from road traffic accidents by giving great emphasis to road traffic accident victims with co-morbid conditions and severe injury and focusing on the availability and accessibility of pre-hospital care service. Keywords: Outcome, road traffic accident, Wolaita Soddo Christian hospital, Ethiopia

Author(s):  
. Urfi ◽  
Ali Amir ◽  
Salman Khalil ◽  
Mohd F. Hoda

Background: Road traffic accidents (RTAs) with the head injury warrants early treatment. The delay in receiving the specialized care adversely affects the outcome. Economic losses due to RTA with the Head Injury amount of Rs 550 crores (12.5 billion dollars), an amount that equals our defense budget. Insurance of vehicles and victims and compensation claims are related legal issues. The Objectives of the study were: 1. To analyze the delay in reaching the hospital following the Road Traffic Accident with Head Injury. 2. To study the pattern of pre-hospital treatment received. 3. To measure the socioeconomic and legal impact of Road Traffic Accident cases with Head Injury.Methods: A hospital based cross-sectional study was conducted in casualty and allied departments of Jawaharlal Nehru Medical College and Hospital, Aligarh. All cases of RTA with Head Injury admitted from August 2010 to July 2011 who were 15-45 years of age were included in the study using purposive sampling. Data was analyzed with SPSS 20.Results: A total of 463 patients were included in the study. Almost two-third of patients i.e. 315 (68.0%) were brought to hospital within 6 hours and the remaining 148 (32.0%) reached hospital after lapse of 6 or more hours. Of all patients who reached hospital before 6 hours, only 70 males and 10 females received some form of pre-hospital treatment. The mean expenditure during hospital stay was Rs.3663.71. About 51.6% of patients had to stay for 1-3 days in hospital following a head injury. As many as three-fourth of vehicles involved in accident were insured while just 14.3% of patients were insured. Only 5 (1.1%) out of the 463 patients applied for compensation till the time of interview.Conclusions: Reaching hospital early has direct bearing on final outcome of accidents. RTAs with Head Injury lead to variable out-of-pocket expenditure for patients and their attendants. Majority of victims do not have insurance, though insurance of vehicles is a common practice.


2018 ◽  
Vol 7 (1) ◽  
pp. 52
Author(s):  
Bayapa Reddy N. ◽  
Shakeer Kahn P. ◽  
Surendra Babu D. ◽  
Khadervali N. ◽  
Chandrasekhar C. ◽  
...  

2015 ◽  
Vol 30 (6) ◽  
pp. 599-605 ◽  
Author(s):  
Adam R. Aluisio ◽  
Annelies De Wulf ◽  
Ambert Louis ◽  
Christina Bloem

AbstractIntroductionMore than 90% of traumatic morbidity and mortality occurs in low- and middle-income countries (LMIC). Haiti is the poorest country in the Western Hemisphere and lacks contemporary statistics on the epidemiology of traumatic injuries. This study aimed to characterize the burden of traumatic injuries among emergency department patients in the Northeast region of Haiti.MethodsData were collected from the emergency departments of all public hospitals in the Northeast region of Haiti, which included the Fort Liberté, Ouanaminthe, and Trou du Nord sites. All patients presenting for emergent care of traumatic injuries were included. Data were obtained via review of emergency department registries and patient records from October 1, 2013 through November 30, 2013. Data on demographics, mechanisms of trauma, and anatomical regions of injury were gathered using a standardized tool and analyzed using descriptive statistics. Temporal analysis of injury frequency was explored using regression modeling.ResultsData from 383 patient encounters were accrued. Ouanaminthe Hospital treated the majority of emergent injuries (59.3%), followed by Fort Liberté (30.3%) and Trou du Nord (10.4%). The median age in years was 23 with 23.1% of patients being less than 15 years of age. Road traffic accidents (RTAs) and interpersonal violence accounted for 65.8% and 30.1% of all traumatic mechanisms, respectively. Extremity trauma was the most frequently observed anatomical region of injury (38.9%), followed by head and neck (30.3%) and facial (19.1%) injuries. Trauma due to RTA resulted in a single injury (83.8%) to either an extremity or the head and neck regions most frequently. A minority of patients had medical record documentation (37.9%). Blood pressure, respiratory rate, and mental status were documented in 19.3%, 4.1%, and 0.0% of records, respectively. There were 6.3 injuries/day during the data collection period with no correlation between the frequency of emergent trauma cases and day of the week (R^2=0.01).ConclusionsTraumatic injuries are a common emergent presentation in the Northeast region of Haiti with characteristics similar to other LMIC. Documentation and associated data to adequately characterize the burden of disease in this region are lacking. Road traffic accidents are the predominate mechanism of injury, suggesting that interventions addressing prevention and treatment of this common occurrence may provide public health benefits in this setting.AluisioAR,De WulfA,LouisA,BloemC.Epidemiology of traumatic injuries in the Northeast region of Haiti: a cross-sectional study.Prehosp Disaster Med.2015;30(6):599–605.


2020 ◽  
Vol 58 (229) ◽  
Author(s):  
Sameer Thapa ◽  
Anup Raj Upreti ◽  
Bishow Raj Dawadi

Introduction: Injury is one of the major global public health problems causing significant number of death and disability. The study aims to study the epidemiological and clinical profile of patients presented in emergency department with injury. Methods: This was a descriptive cross-sectional study conducted in a tertiary care hospital from September 2019 to February 2020 after obtaining ethical approval from Institutional review board (reference number 007-076/077). A convenient sampling method was applied. Epidemiological factors, chronological factors, causes of injury, anatomical distribution, pattern of injury were studied. Statistical analysis was done using statistical package for the social sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 197 patients, 72 (36.5%) patients had fall followed by road traffic accident 57 (28.9%). Of total, 80 (40.6%) had injury at home and 80 (40.6%) had cut injury. Head and neck accounted for 66 (33.5%) of total injury followed by upper Extremities 50 (25.4%) and lower extremities 47 (23.9%). Eighty-seven (44.2%) of the patients visited emergency within 30 minutes of sustained injury. Conclusions: The top three leading causes of injuries visiting emergency department were: fall, Road Traffic Accident and physical assaults respectively. The most common mode was fall being cut as most common pattern. Head and neck was the most commonest site of injury. The common place of injury was home.


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