Magnitude and patterns of injuries among patients in Gondar University Hospital, northwest Ethiopia: an institutional-based study

Ayele, Tadesse Awoke; Zeleke, Berihun Megabiaw; Tessema, Gizachew Assefa; Melak, Melkitu Fentie

doi:10.2147/oas.s126043

Cited by 16 publications

(22 citation statements)

References 6 publications

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“…In this study, patients from rural area are more affected with injury as compared to urban and this finding is consistent with a study done in University of Gondar and Yirgalem 2,7 . However, patients residing in Urban are affected more likely as compared to patients from rural in multicenter study conducted in Amhara regional state and Sub-Saharan African countries 6,20 .…”

Section: Discussionsupporting

confidence: 92%

“…The prevalence of injury in this study was 46.6% which is comparable with a study conducted in Yirgalem (49%) 2 . But it was higher than studies conducted University of Gondar (25%) 7 and Tikur Anbesa Hospital (32%) 22 and this discrepancy might be due to poor road safety, more motorcycle transportation in our study area. It was lower than a study conducted in Amhara regional State (55.6%) 6 and Jimma University Referral Hospital 5 and this is explained by study setting and large sources of population compared to this study area.…”

Section: Discussioncontrasting

confidence: 68%

“…Road traffic accident was the commonest types of injury (47.3%) followed by inter-personnel violence (30.1%) which is comparable with findings of Sub-Saharan African countries and WHO reports 1,20,21,25,26 . In this study, lower extremity injury is the most common types of injury unlike other studies conducted in Africa which was head injury [5][6][7][8]22,27,28 . This discrepancy might be due to Head injury case referral as our hospital didn't have neurosurgical facilities.…”

Section: Discussionmentioning

confidence: 89%

“…A study conducted in University of Gondar revealed that the prevalence of injury was 25% and from which 82% were young males. The commonest mechanism of injury was Assault (49.9%) and road traffic accidents (48%) 7 . Another multicenter study conducted in Amhara regional state showed that the prevalence of injury in the region was 55.5% 6 .…”

mentioning

confidence: 99%

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

Abate

Jemal

Kassim

et al. 2019

Preprint

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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

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Section: Discussionsupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 68%

Section: Discussionmentioning

confidence: 89%

mentioning

confidence: 99%

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

Abate

Jemal

Kassim

et al. 2019

Preprint

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show abstract

“…Injury has become a life-threatening community health problem associated with significant mortality and morbidity worldwide (1,2,(11)(12)(13)(14)(15)(16)(17)(18)(3)(4)(5)(6)(7)(8)(9)(10). According to the World Health Organization (WHO) injury and violence surveillance, more than 5 million people die per year due to injury which accounts for 9% of the world's deaths (19).…”

Section: Introductionmentioning

confidence: 99%

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

Jemal

Abate

Kasim

et al. 2020

Ethiop J Health Sci

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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.

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The burden of road traffic injury among trauma patients in Ethiopia: A systematic review and meta-analysis

Endalamaw

Birhanu

Alebel

et al. 2019

African Journal of Emergency Medicine

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Background Road traffic injury (RTI) is one of the main reasons for trauma-related admission in Ethiopian hospitals. Nationally representative data is needed to develop and implement the public health emergency management strategy. Therefore, this study was aimed to estimate the national pooled prevalence of RTI among trauma patients in Ethiopia. Methods PubMed, Excerpta Medica Database (EMBASE), psycEXTRA, and Google Scholar databases were searched. Heterogeneity of studies was assessed using the I 2 statistics. Publication bias was checked by using funnel plot and Egger’s regression test. The DerSimonian and Laird's random-effects model was used to estimate the pooled prevalence. Subgroup analysis was conducted by age and region. The trend of RTI estimated as well. Results The pooled prevalence of RTI among trauma patients in Ethiopia was 31.5% (95% CI: 25.4%, 37.7%). Regional subgroup analysis showed that the pooled prevalence of RTI was 58.3% in the region of southern, nation, nationalities, and peoples (SNNPR) and 33.3% in Addis Ababa. Subgroup analysis based on patients age showed that the pooled prevalence of RTI was 51.7% in adults, 14.2% in children, and 32.6% in all age group. The time-trend analysis has shown an increasing burden of RTI in Ethiopian hospitals. Conclusion The burden of RTI among trauma patients was high. Therefore, strengthening road safety management throughout the country is needed to reduce RTI.

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Magnitude and patterns of injuries among patients in Gondar University Hospital, northwest Ethiopia: an institutional-based study

Cited by 16 publications

References 6 publications

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

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

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

The burden of road traffic injury among trauma patients in Ethiopia: A systematic review and meta-analysis

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