Head Injury-A Neglected Public Health Problem: A Four-Month Prospective Study at Jimma University Specialized Hospital, Ethiopia

Aenderl, Isabel; Gashaw, Teshager; Siebeck, Matthias; Mutschler, Wolf

doi:10.4314/ejhs.v24i1.4

Cited by 43 publications

(51 citation statements)

References 22 publications

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“…This is the similar to a study in Ethiopia, where there are 47 males out of 52 HI patients (90.4%). 11 This result is also similar to the study in United Arab Emirates, where there are 521 males out of 589 HI patients (88.3%). 2 The result in this study may be due to the less exposure to risk factors of HI in females as they prefer to stay in the house compared to males.…”

Section: Discussionsupporting

confidence: 88%

“…10 The lowest cause of HI in this study is assault (5%), which is different to a study in Ethiopia (2014), where fights is the highest cause of HI (38.5%). 11 The difference of results may be caused by considerable variations due to different study locations. 4 Two-wheelers motor vehicle is the highest cause of RTAs in patients with HI in this study (68%).…”

Section: Discussionmentioning

confidence: 99%

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Causes of head injury in Dr. Hasan Sadikin General Hospital Bandung in 2015

Tan

Arifin

Prajitno

2019

Int J Community Med Public Health

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Background: The study aimed to describe the causes of head injury (HI) in Rumah Sakit Hasan Sadikin Bandung with the considerations of gender, age and the severity of HI.Methods: This was a descriptive retrospective study. The study subjects were HI patients in Department of Neurosurgery of Dr. Hasan Sadikin General Hospital Bandung in 2015. Consecutive sampling was used with minimum sample size of 97 patients. The variables of the study were patients’ characteristics, causes of head injury, and types of road traffic accidents in HI patients. The data were collected from medical records.Results: Road traffic accidents (RTAs) contributed to 70.3% mild HI, 77.2% moderate HI, and 100% severe HI and it was the highest cause of HI (73%). Two-wheelers motor vehicle contributed to 62.5% mild HI, 75% moderate HI, and 66.7 severe HI and it was the highest cause of RTAs (68%). Majority of the HI patients were male (57%). The highest number of HI was 18-45 years old.Conclusions: RTAs is the main mechanism of HI, while two-wheelers motor vehicle is the main cause of RTAs.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Causes of head injury in Dr. Hasan Sadikin General Hospital Bandung in 2015

Tan

Arifin

Prajitno

2019

Int J Community Med Public Health

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“…Several authors in the literature [10][11][12][13][14] have reported the young age and the male predominance found in this study. Traumatic brain injuries remain a major problem affecting the young subjects and thus handicaps the social and especially economic development of low-income countries such as ours.…”

Section: Epidemiological Characteristicssupporting

confidence: 67%

Helmet Wearing and Traumatic Brain Injuries Among Motorcyclists in Cotonou

Tidjani¹

2018

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Abstract:Background: traumatic brain injury is a real health problem, especially in low-income countries. The aim of this study was to assess the impact of helmet wearing on primary injuries in motorcycle trauma. Methods: this was a crosssectional study from 1 st January to 31 st December 2013. It covered all motorcycle users, admitted in emergency at Cotonou National Teaching Hospital, with a traumatic brain injury. Epidemiological variables and primary lesions were identified. Statistical analysis was performed with Chi 2 and Fischer's tests; a p-value ≤ 0.05 was considered statistically significant. Results: we collected 310 patients (57.9% of traumatic brain injury), 11 of whom wore a helmet. They were predominantly male (male to female ratio =7.6), with a mean age of 33.2 ± 10.9 years. Craftsmen (24.4%) were the most affected. The head trauma was often opened (172 cases / 299) in patients without helmet compared with 4 cases / 11 in patients with helmet (p = 0.001). Similarly, primary lesions were often more severe in patients without helmet, with a large number of primary lesions requiring surgery. Conclusion: helmet wearing significantly reduces the risk of serious primary injuries in motorcyclists in our context. Strict enforcement of mandatory helmet use should reduce the incidence of disabling injuries in our country.

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“…These findings are consistent with a study in Ethiopia, where RTIs were the second major cause of head injuries after interpersonal fights. 18 Our study findings have a number of policy and practice implications. First, they highlight the importance for EDs and referral departments (surgical departments in particular) to increase their capacity for RTI-related admissions during the holiday periods.…”

Section: Public Health Action Rtis In Addis Ababa Ethiopia 69mentioning

confidence: 81%

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

Getachew

Ali

Tayler-Smith

et al. 2016

public health action

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T he global burden of road traffic injuries (RTIs) is growing constantly, with approximately 1.2 million people killed and 20-50 million people injured each year. 1 This major public health problem disproportionately affects low-and middle-income countries (LMICs), and is likely to become a greater problem, with RTI-related deaths and injuries forecast to increase by 80% in LMICs between 2000 and 2020. 2 RTIs place an immense burden on health care systems, diverting financial and human resources and bed occupancy from other priorities. 3 Emergency medical services (EMS), a system of ambulances and emergency departments (EDs) at hospitals, provide critical care for injured or ill patients before they are integrated into other health services. 4 However, there are several challenges to delivering high quality EMS care in sub-Saharan Africa, including patient overload, poor integration with other health services, limited and inefficient services, poor clinical documentation, and a shortage of physicians and necessary supplies. [5][6][7] The epidemiology of conditions presenting to the EMS needs to be studied to make efficient use of the scarce existing human, material and financial resources. 8 Ethiopia, a country with a low small vehicle/population ratio, is considered one of the countries worst affected by RTIs. 9 This is due mainly to poor road safety plans and the failure of drivers to abide by the traffic rules. 10 While some studies have highlighted the general burden of RTIs in Ethiopia, the burden of RTIs on hospital EDs is still an under-researched area. A study conducted in the ED of Black Lion Hospital, Addis Ababa, showed that RTI injuries constituted 48% of all ED casualities. 11 The study did not capture certain aspects of the RTI burden, however, such as the severity of cases, patient outcomes and the RTI-related workload in other hospital departments.To address these gaps, our study highlights the overall burden of RTIs in the ED of the Zewditu Memorial Hospital, Addis Ababa. We report on 1) the annual trend in the number and proportion of ED admissions resulting from an RTI, 2) the demographic and clinical characteristics of RTI cases, 3) the RTI outcomes at the end of the ED encounter, and 4) the specific characteristics and outcomes of RTI cases involving a head injury over a 1-year period. The results of this study are expected to guide efforts to improve the preparedness of EDs and the hospital referral departments that manage RTI cases. METHODS Study designThis was a descriptive cross-sectional study using retrospectively collected routine hospital data. Study settingEthiopia is one of the most populated countries in sub-Saharan Africa, with 82 million inhabitants. The country comprises nine regions and two city administrations; 16% of its population resides in urban areas. 12 Addis Ababa, the capital city, is the largest city in Ethiopia, with an estimated population of 3.5 million, constituting a quarter of the urban population in the country. 13 The country is poor, with a per capita gross ...

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Head Injury-A Neglected Public Health Problem: A Four-Month Prospective Study at Jimma University Specialized Hospital, Ethiopia

Cited by 43 publications

References 22 publications

Causes of head injury in Dr. Hasan Sadikin General Hospital Bandung in 2015

Causes of head injury in Dr. Hasan Sadikin General Hospital Bandung in 2015

Helmet Wearing and Traumatic Brain Injuries Among Motorcyclists in Cotonou

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

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