Prevalence of head injury and associated factors among trauma patients visiting surgical emergency department of Gondar University Referral Hospital, Northwest Ethiopia 2016. Across-sectional study

Walle, Tarkie Abebe; Tiruneh, Bewket Tadesse; Bashah, Debrework Tesgera

doi:10.1016/j.ijans.2018.08.002

Cited by 13 publications

(15 citation statements)

References 22 publications

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“…The finding that there were not relations between gender and head injuries is in agreement with studies in Germany, Brazil and Taiwan (Orsi et al 2014 ; da Nóbrega et al 2017 ; Lam et al 2020 ). In contrast to our results, gender was associated with the occurrence of head injuries among traumatized persons in Ethiopia (Walle et al 2018 ). This difference could be explained by the fact that this Ethiopian study takes into account all causes of trauma and not only those related to road crashes.…”

Section: Discussioncontrasting

confidence: 99%

“…This founding is in line with previous studies, which found that the age of subjects involved in road crashes ranged from 25 to 35 years old and up to 38 years old (Tumwesigye et al 2016 ; Brown et al 2011 ; Tidjani et al 2018 ; Hode et al 2017 ; Lam et al 2019 ; Xiong et al 2016 ; Chalya et al 2014 ). As in our study, some previous studies did not found age associated with head injuries (Orsi et al 2014 ; Lam et al 2020 ; Walle et al 2018 ; Kamulegeya et al 2015 ). However, studies in Taiwan, China and Nigeria reported age as a factor associated with injury severity (Lam et al 2019 ; Xiong et al 2016 ) and or maxillofacial injuries (Oginni et al 2006 ).…”

Section: Discussionsupporting

confidence: 79%

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Effect of wearing a helmet on the occurrence of head injuries in motorcycle riders in Benin: a case-control study

et al. 2021

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Background In Benin, motorcycles are the main means of transport for road users and are involved in more than half of crashes. This study aims to determine the effect of wearing a helmet on reducing head injuries in road crashes in Benin. Methods This case-control study took place in 2020 and focused on road trauma victims. The sample, consisting of 242 cases (trauma victims with head injuries) for 484 controls (without head injuries), was drawn from a database of traffic crash victims recruited from five hospitals across the country from July 2019 to January 2020. Four groups of independent variables were studied: socio-demographic and economic variables, history, behavioural variables including helmet use and road-related and environmental variables. To assess the shape of the association between the independent variables and the dependent variable, a descending step-by-step binary logistic regression model was performed using an explanatory approach. Results Fewer of the subjects with a head injury were wearing a helmet at the time of the crash 69.8% (95% CI = 63.6–75.6) compared to those without a head injury 90.3% (95% CI = 87.3–92.8). Adjusting for the other variables, subjects not wearing helmets were at greater risk of head injuries (OR = 3.8, 95% CI (2.5–5.7)); the head injury rating was 1.9 (95% CI = 1.2–3.3) times higher in subjects who were fatigued during the crash than among those who were not and 2.0 (95% CI = 1.2–3.3) times higher in subjects with no medical history. Conclusion Failure to wear a helmet exposes motorcyclists to the risk of head injuries during crashes. It is important to increase awareness and better target such initiatives at the subjects most at risk.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 79%

Effect of wearing a helmet on the occurrence of head injuries in motorcycle riders in Benin: a case-control study

et al. 2021

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“…This founding is in line with previous studies, which found that the age of subjects involved in road crashes ranged from 25 to 35 years old and up to 38 years old (9,16,26,27,(29)(30)(31). As in our study, some previous studies did not found age associated with head injuries (20,24,32,33). However, studies in Taiwan, China and Nigeria reported age as a factor associated with injury severity (29, 30) and or maxillofacial injuries (34).…”

Section: Discussionsupporting

confidence: 93%

“…The nding that there were not relations between gender and head injuries is in agreement with studies in Germany, Brazil and Taiwan (20,21,24). In contrast to our results, gender was associated with the occurrence of head injuries among traumatized persons in Ethiopia (32). This difference could be explained by the fact that this Ethiopian study takes into account all causes of trauma and not only those related to road crashes.…”

Section: Discussionsupporting

confidence: 89%

Effect of wearing a helmet on the occurrence of head injuries in motorcycle riders in Benin: a case-control study nested in a cohort

Santos¹,

Ahanhanzo²,

Kpozéhouen³

et al. 2021

Preprint

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Background In Benin, motorcycles are the main means of transport for road users and are involved in more than half of crashes. This study aims to determine the effect of wearing a helmet on reducing head injuries in road crashes in Benin. Methods This case-control study nested in a cohort took place in 2020 and focused on road trauma victims. The sample, consisting of 242 cases (trauma victims with head injuries) for 484 controls (without head injuries), was drawn from a cohort of traffic crash victims recruited from five hospitals across the country from July 2019 to January 2020. Four groups of independent variables were studied: socio-demographic and economic variables, history, ²oural variables including helmet use and road-related and environmental variables. To assess the shape of the association between the independent variables and the dependent variable, a descending step-by-step binary logistic regression model was performed using an explanatory approach.. Results Fewer of the subjects with a head injury were wearing a helmet at the time of the crash 69.8% (95% CI = 63.6 - 75.6) compared to those without a head injury 90.3% (95% CI = 87.3 - 92.8). Adjusting for the other variables, subjects not wearing helmets were at greater risk of head injuries (OR = 3.8, 95% CI (2.5 - 5.7)); the head injury rating was 1.9 (95% CI = 1.2 - 3.3) times higher in subjects who were fatigued during the crash than among those who were not and 2.0 (95% CI = 1.2 - 3.3) times higher than in subjects with no medical history. Conclusion Failure to wear a helmet exposes motorcyclists to the risk of head injuries during crashes. It is important to increase awareness and better target such initiatives at the subjects most at risk.

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“…Another study conducted at Dilla University referral hospital shows the prevalence of head injury was 32.1%, and road traffic accident was the main cause of head injury (17). A study at Gondar University referral hospital also showed a prevalence of 40.5% for head injury; of these 46.7% occurred due to interpersonal fight (18). A study in Ayder referral hospital showed prevalence of head injury was 56.3% and the most common causes were fall accident (41.9%), road traffic accident (24.9%), and interpersonal violence (24.8%) (19).…”

Section: Introductionmentioning

confidence: 97%

Prevalence of Traumatic Brain Injury Among Trauma Patients in Ethiopia: Systematic Review and Meta-Analysis

Abate¹,

Jemal²,

Bekele³

2021

Ann Afr Surg.

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Background: Traumatic brain injury (TBI) is a common cause of mortality and disability in young age populations, particularly in children and adolescents. The objective of this systematic review and metaanalysis was to assess the prevalence of TBI among trauma patients in Ethiopia. Methods: A three-stage search strategy was conducted on PubMed/Medline, Science Direct and African Journals Online, and a grey literature search was conducted on Google Scholar. Data were analyzed with R version 3.6.1. Results: The pooled prevalence of TBI in Ethiopia was 20% (95% confidence interval (CI), 11–32). Subgroup analysis revealed that road traffic accident was the commonest mechanism of injury in Ethiopia at 21% (95% IC, 15– 30), next was assault at 18% (95% CI, 5–48). Conclusion: This review shows a high prevalence of TBI among trauma patients in Ethiopia when compared with continental and global reports. Policymakers and stakeholders should work on regulatory laws on transportation; pre-hospital emergency medical care system is also in high demand.Keywords: Head injury, Road traffic accident, Assault, Ethiopia

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Prevalence of head injury and associated factors among trauma patients visiting surgical emergency department of Gondar University Referral Hospital, Northwest Ethiopia 2016. Across-sectional study

Cited by 13 publications

References 22 publications

Effect of wearing a helmet on the occurrence of head injuries in motorcycle riders in Benin: a case-control study

Effect of wearing a helmet on the occurrence of head injuries in motorcycle riders in Benin: a case-control study

Effect of wearing a helmet on the occurrence of head injuries in motorcycle riders in Benin: a case-control study nested in a cohort

Prevalence of Traumatic Brain Injury Among Trauma Patients in Ethiopia: Systematic Review and Meta-Analysis

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