The burden of road traffic injuries in an emergency department in Addis Ababa, Ethiopia

Abstract Background Adult emergency department mortality remains high in resource-limited lower-income countries. The majority of deaths occur within the first 24 h of presentation to the emergency department. Many of these mortality’s can be alleviated with appropriate interventions. This study was aimed to assess the magnitude, cause, and factors related to very early mortality in patients presented to the emergency department of Tikur Anbesa Specialized Tertiary Hospital, Ethiopia from March 2018 to 2020. Methods This is a cross-sectional retrospective chart review. Retrospective data were collected from the records of all patients who died within 72 h of emergency department presentation from March 2018 to 2020. Data entered using Epi data 4.2.1 and analyzed using SPSS Version 23. Using the Chi-square test, binary and multiple logistic regression analysis were carried out to measure the association of variables of interest and very early emergency mortality. P-value < 0.05, odds ratio with 95% CI were used to identify the significant factors. Results Between March 2018 to 2020, 30,086 patients visited the ED and 604 patients died within 72 h of presentation (274 died within 24 h and 232 within > 24–72 h). Shock (36.7%) and road traffic accidents (3.16%) were the major causes of death. Triage category red AOR 0.23 95% CI 0.1–0.55 and duration of illness 4–24 h AOR 0.47 95% CI 0.26–0.87 were significantly associated with decreased very early emergency department mortality. Meanwhile, co-morbid disease HIV AIDS AOR 2.72 95% CI 1.01–7.30 and residence Addis Ababa AOR 2.78 95% CI 1.36–5.68 and Oromia AOR 3.23 95% CI 1.58–6.54 were found significantly associated with increased very early emergency department mortality. Conclusions and recommendations The mortality burden of a road traffic accident and shock in the TASTH is significant and the magnitude of ED mortality differs between these groups. Residence Addis Ababa and Oromia, triage category red, co-morbid disease HIV AIDS, and duration of symptom 4–24 h were significantly associated with early emergency department mortality. Early detection and intervention are required to minimize emergency mortality.

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Characteristics associated with alcohol consumption among emergency department patients presenting with road traffic injuries in Hyderabad, India

Injury ◽

10.1016/j.injury.2015.07.022 ◽

2016 ◽

Vol 47 (1) ◽

pp. 160-165 ◽

Cited By ~ 7

Author(s):

Marissa B. Esser ◽

Shirin Wadhwaniya ◽

Shivam Gupta ◽

Shailaja Tetali ◽

Gopalkrishna Gururaj ◽

...

Keyword(s):

Emergency Department ◽

Alcohol Consumption ◽

Road Traffic ◽

Road Traffic Injuries ◽

Emergency Department Patients

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Epidemiology of Road Traffic Injuries Treated in a Large Romanian Emergency Department in Tîrgu-Mureş Between 2009 and 2010

Traffic Injury Prevention ◽

10.1080/15389588.2015.1030501 ◽

2015 ◽

Vol 16 (8) ◽

pp. 835-841 ◽

Cited By ~ 8

Author(s):

Diana Rus Ma ◽

Corinne Peek-Asa ◽

Erika Andrada Baragan ◽

Razvan Mircea Chereches ◽

Floarea Mocean

Keyword(s):

Emergency Department ◽

Road Traffic ◽

Road Traffic Injuries

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Safety Demonstration and Risk Management at Rail-Road Level Crossing at Addis Ababa Light Rail Transit Network

International Journal of Scientific Research in Science Engineering and Technology ◽

10.32628/ijsrset196518 ◽

2019 ◽

pp. 103-109

Author(s):

Adoh Lucky Ugochukwu ◽

Mutswatiwa Lovejoy ◽

Akello fiona Mercy

Keyword(s):

Road Traffic ◽

Addis Ababa ◽

Light Rail ◽

Rail Transit ◽

Light Rail Transit ◽

Level Crossing ◽

Effect Analysis ◽

Road Traffic Injuries ◽

Mode Effect ◽

Failure Mode Effect Analysis

Safety and security are among the major basic needs for the public in daily life and transportation plays a crucial role in satisfying this need. According to the World Health Organization (WHO) data, estimates of 1.2 million people worldwide died as a result of road traffic injuries in 2013 and it is estimated that road traffic injuries will be the 6th leading cause of death by 2030. Among the various types of road traffic injuries, accidents between trains and road vehicles are the deadliest and are associated with high cost of accidents. As Railway transportation continues to be an important piece to the overall national transportation puzzle in Ethiopia and as congestion continues to increase on the nation’s roadways, commuters continue to flock to public transit as an alternative transportation mode. In Addis Ababa Light Rail Transit, there are over 20 level crossings, this represent a significant safety hazard to both road and rail users. In this paper, we used safety demonstration by complete system analysis to carry out safety demonstration for level crossing at Addis Ababa Light Rail Transit, and Failure mode effect analysis was used for identifying the potential hazards associated with the system and their root causes. Hazards associated with Addis Ababa Light Rail Transit level crossing are identified and classified, and results showed that 41% of the hazards are caused by Human errors, technical problems has 32%, non-compliance with standard operating procedures takes 18% and 9% are caused by other factors. Our Failure mode effect analysis result shows that safe redesign of the level crossing, management and operation of level crossings can reduce risks, and frequent orientation of road vehicle users to always give attention to traffic signal in level crossing can reduce the number of fatal and serious incidents and collisions.

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The injury mechanism spectra and injury pyramids among children and adolescents in Zhuhai City, China

10.21203/rs.3.rs-25311/v1 ◽

2020 ◽

Author(s):

Xiling Yin ◽

Wencan Dai ◽

Yukai Du ◽

Deyun Li

Keyword(s):

Emergency Department ◽

Children And Adolescents ◽

Incidence Rate ◽

Road Traffic ◽

Emergency Department Visits ◽

Injury Mechanism ◽

Chinese Children ◽

Injury Death ◽

Road Traffic Injuries ◽

Chinese Children And Adolescents

Abstract Background: The unclear spectra and severity of injuries in the injury pyramids for Chinese children and adolescents prevent the prioritization interventions. This study aimed to describe the injury mechanism spectra and injury pyramids in this population to provide a priority for injury prevention strategies.Methods: Death, hospitalization, and outpatient/emergency department visit data from patients aged 0~17 years with injuries were obtained from January 1, 2013, to December 31, 2017, in Zhuhai City, China. The injury mechanism ratios were calculated, and the injury pyramids were drawn in proportion by using injury mortality and the incidence of both injury hospitalizations and outpatient/emergency department injury visits.Results: The top three mechanisms for injuries in children and adolescents seen in outpatient/emergency departments were falls (52.02%), animal bites (14.57%), and blunt injuries (10.60%). The top three mechanisms for injury hospitalizations were falls (37.33%), road traffic injuries (17.87%), and fire/burns (14.29%), while the top three mechanisms for injury deaths were drowning (32.91%), road traffic injuries (20.25%) and falls (13.92%). The incidence rate of outpatient/emergency department injury visits for children and adolescents was 11210.87/100,000; the incidence rate of injury hospitalization was 627.09/100,000, and the injury death rate was 10.70/100,000. For each injury death, there were 59 injury hospitalizations and 1,047 outpatient/emergency injury visits.Conclusions: The injury spectra were different for injury-related outpatient/emergency department visits, hospitalizations, and deaths among children and adolescents. The different sexes had different injury spectra at different stages of child development, and interventions should be formulated based on this finding. The size and shape of the injury pyramids varied by age, sex, region, and injury mechanisms; minor nonfatal injuries were more common in children and adolescents. The differences in the severity and extent of the injuries suggested that injury interventions in Chinese children and adolescents still have a long way to go.

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The injury mechanisms and injury pyramids among children and adolescents in Zhuhai City, China

10.21203/rs.3.rs-25311/v2 ◽

2020 ◽

Author(s):

Xiling Yin ◽

Wencan Dai ◽

Yukai Du ◽

Deyun Li

Keyword(s):

Emergency Department ◽

Children And Adolescents ◽

Incidence Rate ◽

Road Traffic ◽

Emergency Department Visits ◽

Injury Death ◽

Road Traffic Injuries ◽

Injury Mortality ◽

Injury Mechanisms ◽

Nonfatal Injuries

Abstract Background: The unclear mechanisms and severity of injuries in the injury pyramids for Chinese children and adolescents prevent the prioritization of interventions. This study aimed to describe the injury mechanisms and injury pyramids in this population to provide a priority for injury prevention strategies. Methods: Death, hospitalization, and outpatient/emergency department visit data from patients aged 0~17 years with injuries were obtained from January 1, 2013, to December 31, 2017, in Zhuhai City, China. The injury mechanism ratios were calculated, and the injury pyramid ratios were drawn in proportion using injury mortality and the incidence of both injury hospitalizations and outpatient/emergency department injury visits. Results: The top three mechanisms for injuries in children and adolescents treated in outpatient/emergency departments were falls (52.02%), animal bites (14.57%), and blunt injuries (10.60%). The top three mechanisms for injury hospitalizations were falls (37.33%), road traffic injuries (17.87%), and fire/burns (14.29%), while the top three mechanisms for injury deaths were drowning (32.91%), road traffic injuries (20.25%) and falls (13.92%). The incidence rate of outpatient/emergency department injury visits for children and adolescents was 11,210.87/100,000; the incidence rate of injury hospitalization was 627.09/100,000, and the injury death rate was 10.70/100,000. For each injury death, there were 59 injury hospitalizations and 1,047 outpatient/emergency injury visits. Conclusions: The injury mechanisms were different for injury-related outpatient/emergency department visits, hospitalizations, and deaths among children and adolescents. The injury mechanisms by sex at different stages of child development, and interventions should be formulated based on this finding. The ratios of the injury pyramids varied by age, sex, region, and injury mechanisms; minor nonfatal injuries were more common in children and adolescents. The differences in the severity and extent of the injuries suggested that injury interventions in children and adolescents still have a long way to go.

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Epidemiological study of patients of road traffic injuries attending emergency department of a trauma center in New Delhi

Indian Journal of Critical Care Medicine ◽

10.4103/ijccm.ijccm_197_17 ◽

2017 ◽

Vol 21 (10) ◽

pp. 678-683 ◽

Cited By ~ 6

Author(s):

Amit Gupta ◽

Sanjeev Gupta ◽

Subodh Kumar ◽

Shashi Kant ◽

Puneet Misra ◽

...

Keyword(s):

Emergency Department ◽

Epidemiological Study ◽

Trauma Center ◽

Road Traffic ◽

New Delhi ◽

Road Traffic Injuries

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Road Traffic Injuries in Lazio, Italy: A Descriptive Analysis From an Emergency Department–Based Surveillance System

Annals of Emergency Medicine ◽

10.1016/j.annemergmed.2005.01.033 ◽

2005 ◽

Vol 46 (2) ◽

pp. 152-157 ◽

Cited By ~ 24

Author(s):

Paolo Giorgi Rossi ◽

Sara Farchi ◽

Francesco Chini ◽

Laura Camilloni ◽

Piero Borgia ◽

...

Keyword(s):

Emergency Department ◽

Surveillance System ◽

Road Traffic ◽

Descriptive Analysis ◽

Road Traffic Injuries

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The injury mechanisms and injury pyramids among children and adolescents in Zhuhai City, China

BMC Public Health ◽

10.1186/s12889-021-10425-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Xiling Yin ◽

Wencan Dai ◽

Yukai Du ◽

Deyun Li

Keyword(s):

Emergency Department ◽

Children And Adolescents ◽

Incidence Rate ◽

Road Traffic ◽

Emergency Department Visits ◽

Injury Death ◽

Road Traffic Injuries ◽

Injury Mortality ◽

Injury Mechanisms ◽

Nonfatal Injuries

Abstract Background The unclear mechanisms and severity of injuries in the injury pyramids for Chinese children and adolescents prevent the prioritization of interventions. This study aimed to describe the injury mechanisms and injury pyramids in this population to provide a priority for injury prevention strategies. Methods Death, hospitalization, and outpatient/emergency department visit data from patients aged 0 ~ 17 years with injuries were obtained from January 1, 2013, to December 31, 2017, in Zhuhai City, China. The injury mechanism ratios were calculated, and the injury pyramid ratios were drawn in proportion using injury mortality and the incidence of both injury hospitalizations and outpatient/emergency department injury visits. Results The top three mechanisms for injuries in children and adolescents treated in outpatient/emergency departments were falls (52.02%), animal bites (14.57%), and blunt injuries (10.60%). The top three mechanisms for injury hospitalizations were falls (37.33%), road traffic injuries (17.87%), and fire/burns (14.29%), while the top three mechanisms for injury deaths were drowning (32.91%), road traffic injuries (20.25%) and falls (13.92%). The incidence rate of outpatient/emergency department injury visits for children and adolescents was 11,210.87/100,000; the incidence rate of injury hospitalization was 627.09/100,000, and the injury death rate was 10.70/100,000. For each injury death, there were 59 injury hospitalizations and 1048 outpatient/emergency injury visits. Conclusions The injury mechanisms were different for injury-related outpatient/emergency department visits, hospitalizations, and deaths among children and adolescents. The injury mechanisms by sex at different stages of child development, and interventions should be formulated based on this finding. The ratios of the injury pyramids varied by age, sex, region, and injury mechanisms; minor nonfatal injuries were more common in children and adolescents. The differences in the severity and extent of the injuries suggested that injury interventions in children and adolescents still have a long way to go.

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