Epidemiology and outcomes of injuries among trauma patients in Ethiopia: A 5 -years retrospective Analysis

2019 ◽  
Author(s):  
semagn Abate ◽  
Bedru Jemal Abafita ◽  
Hailemariam Mulugeta Kassim ◽  
Bivash Basu
Keyword(s):  
Lower Extremity ◽  
Interpersonal Violence ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Lower Extremity Injury ◽  
Emergency Medical Service System ◽  
Extremity Injury ◽  
Factors Associated ◽  
Length Of Hospitalization

Abstract 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

Regression Analysis of Lower Extremity Injury Influencing Factors under Frontal Crash

2014 ◽  
Vol 571-572 ◽  
pp. 152-155
Author(s):  
Long Zhen Wang ◽  
Shu Cai Xu ◽  
Xing Hua Lai ◽  
Jin Huan Zhang
Keyword(s):  
Lower Extremity ◽  
Traffic Safety ◽  
Automobile Industry ◽  
Road Traffic ◽  
Rapid Development ◽  
Road Traffic Injury ◽  
Lower Extremity Injury ◽  
Extremity Injury ◽  
Frontal Crash ◽  
Traffic Injury

Traffic safety problem becomes increasingly serious as a result of the rapid development of China automobile industry as well as increasing car’s ownership. The occupant road traffic injury data of NASS / CDS database (2005-2010) are systematically explored to statistically analyze injury characteristics and effects of collision velocity and angle for those occupants with lower extremity injury in frontal crash. Results of the present study has significant value on the design of vehicle crashworthiness and occupant restraint system.

scholarly journals Statistical modeling of number of human deaths per road traffic accident in Oromia region, Ethiopia

2020 ◽  
Author(s):  
Merga Abdissa Aga ◽  
Berhanu Teshome Woldeamanuel ◽  
Mekonnen Tadesse
Keyword(s):  
Young People ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Negative Binomial ◽  
Road Traffic ◽  
Daily Basis ◽  
Road Traffic Accidents ◽  
Factors Associated ◽  
Regional State

Abstract Background: Globally, road traffic accidents are leading causes of death among young people in general, and the main cause of death among young people aged 15–29 years. Recently, in Ethiopia, the average number of road traffic accidents has been increasing, particularly the Oromia regional state is experiencing a higher road traffic fatalities. This study was conducted to identify the major factors associated with the number of human deaths by road traffic accident in the Oromia Regional State, Ethiopia. Methods: We used data obtained from the Oromia Police Commission Bureau that have been recorded on daily basis road traffic accidents from July, 2016 - July, 2017. Count regression models were was used to assess the factors associated with the number of human deaths from road traffic accidents.Results: Of the total of 3900 road traffic accidents included in the 1188 (30.5%) were giving rise to fatal. The Hurdle models were of better fit than zero inflated Poisson and zero inflated negative binomial model. Thus, the Hurdle Poisson is recommended in this study. Age of the driver 31-50 years (AOR = 0.289, 95%CI: 0.175, 0.479) and higher than 50 years of age (AOR = 0.311, 95%CI: 0.129, 0.751), driver’s years of experience 5-10 years (AOR = 0.014, 95%CI:0.007, 0.027), and more than 10 years (AOR = 0.101, 95%CI:0.057, 0.176), vehicle type automobile (AOR = 8.642, 95%CI:2.7644, 27.023), vehicle years of service 5-10 years (AOR = 2.484, 95%CI:1.194, 5.169), and more than 10 years (AOR = 2.639,95%CI:1.268, 5.497), type of accident, vehicle upside down (AOR = 5.560,95%CI: 2.506, 12.336), causes of accident, turning illegal position (AOR = 0.454, 95%CI:0.226, 0.913), area of accident, residential place (AOR = 108.506, 95%CI: 13.725, 857.798), working areas (AOR = 129.606, 95%CI: 16.448, 1021.263), near hospitals (AOR =23.789, 95%CI: 3.038, 186.298), geographical locations, Western zones (AOR = 0.275, 95%CI: 0.167, 0.455), and South east zones (AOR = 0.624, 95%CI: 0.410, 0.950) were significant associated number of human deaths per road traffic accident factors in the study area.Conclusion: In this study,30.5% of accidents were giving rise to at least one human death per road traffic accident and different associated numbers of human deaths per road traffic accident factors have been identified. Thus, interventions by the bodies concerned with introduction educational programs that will create awareness about road traffic accidents and the associated human deaths, especially targeting road users, young drivers, passengers and pedestrians.

scholarly journals Statistical modeling of number of human deaths per road traffic accident in Oromia region, Ethiopia

2020 ◽  
Author(s):  
Merga Abdissa Aga ◽  
Berhanu Teshome Woldeamanuel ◽  
Mekonnen Tadesse
Keyword(s):  
Young People ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Negative Binomial ◽  
Road Traffic ◽  
Daily Basis ◽  
Road Traffic Accidents ◽  
Factors Associated ◽  
Major Factors

Abstract Abstract Background : Globally, road traffic accidents are leading causes of death among young people in general, and the main cause of death among young people aged 15–29 years. This study was conducted to identify the major factors associated with the number of human deaths by road traffic accident in the Oromia Regional State, Ethiopia. Methods: We used data obtained from the Oromia Police Commission Bureau that have been recorded on daily basis road traffic accidents from July, 2016 - July, 2017. Count regression models were was used to assess the factors associated with the number of human deaths from traffic accidents. Results : Of the total of 3900 road traffic accidents included in the 1188 (30.5%) were giving rise to fatal. The Hurde models were of better fit than zero inflated Poisson and zero inflated negative binomial model. Thus, the Hurdle Poisson is recommended in this study. Age of the driver 31-50 years (AOR = 0.289, 95%CI: 0.175, 0.479) and higher than 50 years of age (AOR = 0.311, 95%CI: 0.129, 0.751), driver’s years of experience 5-10 years (AOR = 0.014, 95%CI: 0.007, 0.027), and more than 10 years (AOR = 0.101, 95%CI: 0.057, 0.176), vehicle type automobile (AOR = 8.642, 95%CI: 2.7644, 27.023), vehicle years of service 5-10 years (AOR = 2.484, 95%CI: 1.194, 5.169), and more than 10 years (AOR = 2.639, 95%CI: 1.268, 5.497), type of accident, vehicle upside down (AOR = 5.560, 95%CI: 2.506, 12.336), causes of accident, turning illegal position (AOR = 0.454, 95%CI: 0.226, 0.913), area of accident, residential place (AOR = 108.506, 95%CI: 13.725, 857.798), working areas (AOR = 129.606, 95%CI: 16.448, 1021.263), near hospitals (AOR = 23.789, 95%CI: 3.038, 186.298), geographical locations, Western zones (AOR = 0.275, 95%CI: 0.167, 0.455), and South east zones (AOR = 0.624, 95%CI: 0.410, 0.950) were significant associated number of human deaths per road traffic accident factors in the study area. Conclusion : In this study, 30.5% of accidents were giving rise to at least one human death per road traffic accident and different associated numbers of human deaths per traffic accident factors have been identified.

scholarly journals Pattern and Outcomes of Injuries among Trauma Patients in Gedeo Zone, Dilla, South Ethiopia: A 5 Years Retrospective Analysis

2020 ◽  
Vol 30 (5) ◽  
Author(s):  
Bedru Jemal Abafita ◽  
Semagn Mekonnen Abate ◽  
Hilemariam Mulugeta Kasim ◽  
Bivash Basu
Keyword(s):  
Interpersonal Violence ◽  
Road Traffic ◽  
Cross Sectional Study ◽  
Lower Extremity Injury ◽  
Time Of Arrival ◽  
Trauma Patients ◽  
Emergency Medical Service System ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Revised Trauma Score

BACKGROUND: Injury has become a life threatening community health problem associated with significant mortality and morbidity worldwide. The aim of this study was to assess the burden of injury in Dilla University Hospital.METHODS: Institution-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 the factors associated with hospital mortality.RESULTS: Road traffic accident was the commonest cause of injury 178(47.3%) followed by interpersonal violence 113(30.1%). 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 of arrival >24hr were predictors of mortality in a patient with injury.CONCLUSION: Lower extremity injury was common and mostly associated with RTA. Pre-hospital emergency medical service system and trauma registry need to be established to decrease the burden of injury.

scholarly journals Statistical modeling of numbers of human deaths per road traffic accident in the Oromia region, Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251492
Author(s):  
Merga Abdissa Aga ◽  
Berhanu Teshome Woldeamanuel ◽  
Mekonnen Tadesse
Keyword(s):  
Young People ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Daily Basis ◽  
Road Traffic Accidents ◽  
Residential Areas ◽  
Factors Associated ◽  
Traffic Police

Background Globally, road traffic accidents are the leading causes of death among young people in general, and the main cause of death among young people aged 15–29 years. Recently, in Ethiopia, the number of road traffic accidents has been increasing. The study aimed to identify the potential factors associated with the number of human deaths by road traffic accidents in the Oromia Regional State, Ethiopia. Methods We used data obtained from the Oromia region traffic police office recorded on daily basis road traffic accidents from July 2016 up to July 2017. Count regression models were was used to analyses the factors associated with the number of human deaths from road traffic accidents. Results Age of the driver’s 31–50 years (AOR = 0.289, 95%CI: 0.175, 0.479) and higher than 50 years old (AOR = 0.311, 95%CI: 0.129, 0.751), driver’s years of experience 5–10 years (AOR = 0.014, 95%CI: 0.007, 0.027), and more than 10 years (AOR = 0.101, 95%CI: 0.057, 0.176), automobile vehicle type (AOR = 8.642, 95%CI: 2.7644, 27.023), vehicle years of service 5–10 years (AOR = 2.484, 95%CI: 1.194, 5.169), and more than 10 years (AOR = 2.639, 95%CI: 1.268, 5.497), vehicle upside down accidents (AOR = 5.560, 95%CI: 2.506, 12.336), turning illegal position (AOR = 0.454, 95%CI: 0.226, 0.913), residential areas (AOR = 108.506, 95%CI: 13.725, 857.798), and working areas (AOR = 129.606, 95%CI: 16.448, 1021.263) were significant associated number of human deaths per road traffic accident factors in the study area. Conclusion Human deaths per road traffic accidents occurred due to the younger age of the driver, driver’s lack of sufficient experience, vehicle serviced for long years, driving on a wet road, driving in the afternoon, driving near/around residential places and vehicle to driver’s relation. Thus, the regional traffic police should give special attention to younger drivers, less experienced drivers, old vehicles, driving near residential areas, driving automobiles, and driving in the afternoon to control traffic system to reduce the number of human deaths pear road traffic accident.

scholarly journals Use of prehospital, hospitalization and presence of sequelae and/or disability in road traffic injury victims in Brazil

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249895
Author(s):  
Gabriela Camargo Tobias ◽  
Polyana Maria Pimenta Mandacarú ◽  
Rafael Alves Guimarães ◽  
Otaliba Libânio Morais Neto
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Prehospital Care ◽  
Road Traffic Accidents ◽  
Factors Associated ◽  
The Road ◽  
Care Services ◽  
The Moment

Objective To estimate the prevalence and analyze the association between sociodemographic and behavioral variables with the use of prehospital care, hospitalization and sequelae and/or disability in victims of road traffic accidents victims in Brazil. Methods Data from the National Health Survey conducted in 2013 in Brazil were used. Data were collected through a direct household survey. The research sample consisted of 1,840 individuals who reported road traffic accidents in the previous 12 months. Poisson regression analysis was used to evaluate the factors associated with the use of prehospital care services, hospitalization, and the presence of sequelae and/or disability. Results The prevalence of road traffic accidents victims who received prehospital care was 13.0% (95% Confidence Interval [95% CI]: 10.3–16.3) and the factors associated with this outcome were: residing in the Northeast or North region of Brazil; residing in rural areas; and being a motorcycle occupant at the moment of the road traffic accident. The frequency of hospitalization was 7.7% (95% CI: 6.0–10.0) and the associated factors were: age between 40 and 59 years; being a motorcycle occupant or pedestrian and having received on-site care at the moment of the road traffic accident. The prevalence of sequelae and/or disability was 15.1% (95% CI: 12.5–18.2) and the associated factors were: age range between 30 and 39 years or 40 and 59 years; being a motorcycle occupant, being a pedestrian or belonging to other category of modes of transport and having received on-site care at the moment of the road traffic accident. Conclusion The study allowed to evaluate the factors associated with prehospital care, hospitalization and presence of sequelae and/or disability in the victims of road traffic accident and the results can guide the implementation of interventions that prioritize the population exposed to the highest risk of road traffic accident injuries and with less access to prehospital and hospital care services in Brazil.

Chest Trauma Evaluation and Outcome of Management in a Tertiary Hospital - One Year Experience

2020 ◽  
Vol 22 (2) ◽  
pp. 110-117
Author(s):  
Md Mahmudul Islam ◽  
Khondkar AK Azad ◽  
Md Aminul Islam ◽  
Rivu Raj Chakraborty
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Chest Trauma ◽  
Road Traffic ◽  
Tube Thoracostomy ◽  
Rib Fracture ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
The Mean

Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after the trauma has occurred. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. Objective: To observe the pattern and outcome of management in chest trauma Methods: This is an observational study carried out in Casualty department of Chittagong Medical College Hospital (CMCH), Chittagong, between April 2015 to March 2016. Our study was included all patients, both sexes, following chest injury at Casualty units of Chittagong Medical College Hospital. All the data were recorded through the preformed data collection sheet and analyzed. Result: The mean age was found 37.7±18.1 years with range from 12 to 80 years. Male female ratio was 11.8:1. The mean time elapsed after trauma was found 6.1±3.1 hours with range from 1 to 72 hours. Almost one third (35.7%) patients was affecting road traffic accident followed by 42(27.3%) assault, 35(22.7%) stab injury, 15(9.7%) fall and 7(4.5%) gun shot . More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. 42(27.2%) patients was found open pneumothorax followed by 41(26.6%) rib fracture, 31(20.1%) haemopneumothorax, 14(9%) simple pneumothorax, 12(7.8%) haemothorax, 6(3.9%) chest wall injury, 5(3.2%) tension pneumothorax, and 3(1.9%) flail chest. About the side of tube 60(39.0%) patients were given tube on left side followed by 57(37.0%) patients on right side, 9(5.8%) patients on both (left & right) side and 28(18.2%) patients needed no tube. Regarding the complications, 13(30%) patients had persistent haemothorax followed by 12(29%)tubes were placed outside triangle of safety, 6(13.9%) tubes were kinked, 6(13.9%) patients developed port side infection, 2(4.5%)tube was placed too shallow, 2(4.5%) patients developed empyema thoracis and 2(4.5%) patients developed bronchopleural fistula. The mean ICT removal information was found 8.8±3.6 days with range from 4 to 18 days. Reinsertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients were recovered well, 43(27.9%) patients developed complication and 6(3.9%)patients died. More than two third (66.9%) patients had length of hospital stay 11-20 days. Conclusion: Most of the patients were in 3rd decade and male predominant. Road traffic accident and tube thoracostomy were more common. Open pneumothorax, rib fracture and haemopneumothorax were commonest injuries. Nearly one third of the patients had developed complications. Re-insertion of ICT needed almost five percent and death almost four percent. Journal of Surgical Sciences (2018) Vol. 22 (2) : 110-117

Epidemiological Study of Road Traffic Accident Cases Attending the Civil Hospital, Ahmedabad

2012 ◽  
Vol 3 (8) ◽  
pp. 282-283
Author(s):  
Dr. Chhaya Lakhani ◽  
◽  
Dr. Rachana Kapadia ◽  
Dr. Dhara Prajapati ◽  
Dr. A.Bhagyalaxmi Dr. A.Bhagyalaxmi
Keyword(s):  
Epidemiological Study ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Civil Hospital

ADHD is a Risk Factor of Road Crashes: A Purposive Study of Finding Relation between ADHD and Road Traffic Accident in Bangladesh

2018 ◽  
Vol 9 (08) ◽  
pp. 20531-20536
Author(s):  
Nusrat Shamima Nur ◽  
M. S. l. Mullick ◽  
Ahmed Hossain
Keyword(s):  
Risk Factor ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Fatality Rate ◽  
Road Traffic Accidents ◽  
Road Crashes ◽  
Road Crash ◽  
Day By Day

Background: In Bangladesh fatality rate due to road traffic accidents is rising sharply day by day. At least 2297 people were killed and 5480 were injured in road traffic accidents within 1st six months of 2017.Whereas in the previous year at 2016 at least 1941 people were killed and 4794 were injured within the 1st six months. No survey has been reported in Bangladesh yet correlating ADHD as a reason of impulsive driving which ends up in a road crash.

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