Risk factors for injury mortality in rural Tanzania: a secondary data analysis

Ae-Ngibise, Kenneth Ayuurebobi; Masanja, Honorati; Kellerman, Ronel; Owusu‐Agyei, Seth

doi:10.1136/bmjopen-2012-001721

Cited by 19 publications

(16 citation statements)

References 43 publications

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“…The overall 31.98/100,000 age-standardized mortality rate due to injuries in this study was similar to that reported in a population-based study in a rural district of Tanzania [39]. It has already been reported that more males than females are likely to die from injuries than women [39]. A previous descriptive analysis of road tra c injuries in Tanzania has shown that between 1990 and 2000 the number of RTI rose by 44% and that of death by 64% [32].…”

Section: Discussionsupporting

confidence: 87%

“…Road tra c injuries (RTI) have been reported to account for the largest proportion of unintentional injuries in low-and middle-income countries [61]. The overall 31.98/100,000 age-standardized mortality rate due to injuries in this study was similar to that reported in a population-based study in a rural district of Tanzania [39]. It has already been reported that more males than females are likely to die from injuries than women [39].…”

Section: Discussionsupporting

confidence: 82%

“…Although several studies have addressed the prevalence and risk factors of NCDs in Tanzania, there is limited information on the causes and mortality patterns of in-hospital NCDs. In Tanzania, most often community-based data have been used as sources of mortality data [34][35][36][37][38][39]. Nonetheless, such data are only available every 5-10 years.…”

Section: Introductionmentioning

confidence: 99%

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Patterns and trends of hospital mortality due to non-communicable diseases and injuries in Tanzania: a 10- year retrospective analysis

Mboera¹,

Kishamawe²,

Rumisha³

et al. 2020

Preprint

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Background: Globally, non-communicable diseases (NCD) kill about 40 million people annually, with about three-quarters of the deaths occurring in low and middle-income countries. This study was carried out to determine the patterns, trends, and causes of non-communicable disease mortality in hospitals of Tanzania from 2006-2015.Methods: This retrospective study involved primary, secondary, tertiary, and specialized hospitals in Tanzania. Death statistics were extracted from inpatient department registers, death registers, and International Classification of Diseases (ICD) report forms. Variables collected were deceased’s age, sex, cause and date of death. The ICD-10 coding system was used to assign each death to its underlying cause. Data were analysed using STATA version 14. Results: A total of 247,976 deaths were reported during the 10 years (2006–2015) in 39 hospitals. Of the total deaths, 67,711 (27.3%) were due to non-communicable diseases (NCD) and injuries. Cardio-circulatory diseases (31.9%), cancers (18.6%), chronic respiratory diseases (18.4%), and injuries (17.9%) accounted for the largest proportion (86.8%) of deaths due to NCDs. The majority (57.6%) of deaths due to NCD occurred among males. Overall, the total deaths from NCDs increased by 153.3% from 4,298 in 2006 to 10,886 in 2015. The age group 15-59 years (53.4%) was the most affected category. The overall 10-year annual age-standardized mortality rate (ASMR) for all NCDs and injuries was 235.2 per 100,0000 population. It was higher for males (287.2/100,000) than for females (186.7/100,000). The annual ASMR increased from 11.9 in 2006 to 36.5 per 100,000 populations in 2015. Most of the NCD deaths occurred in the secondary (40.0%) and primary level hospitals (27.8%). There were variations in the type of non-communicable diseases by geographical distributions. Conclusions: There was a substantial increase in ASMR due to NCDs and injuries in Tanzania from 2006 to 2015. Most of the deaths due to NCD and injuries affected the productive young adult group and males. The burden caused by NCD in the most productive ages means that families, communities, and the nation at large suffer from premature deaths. The government of Tanzania must invest in early detection and timely treatment of NCDs to reduce premature deaths.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

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Patterns and trends of hospital mortality due to non-communicable diseases and injuries in Tanzania: a 10- year retrospective analysis

Mboera¹,

Kishamawe²,

Rumisha³

et al. 2020

Preprint

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“…This huge sex disparity cannot be attributable to population profile but rather due to characteristics inherent in males [19]. Males have consistently been shown to be at a higher risk of injury and lifestyle and behavioral factors may be responsible [20,21]. The male proportion found is however larger than what has been reported in other studies; Rwanda 57% [15], Finland 75% [22] and Ethiopia 79% [23].…”

Section: Discussionmentioning

confidence: 99%

Demographic profile and pattern of fatal injuries in Nairobi, Kenya, January–June 2014

2017

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BackgroundViolence and Injuries are a significant global public health concern characterized by marked regional variation in incidence. Approximately five million people die from injuries each year, accounting 9% of all deaths worldwide. In Kenya, injuries are increasingly becoming a cause of hospital admissions and mortality where they account for 10% of all the deaths. The objective of this study was to determine the magnitude, demographic profile and pattern of fatal injuries in Nairobi.MethodsRetrospective review of death certificates from the Department of Civil Registration was done for deaths caused by injuries that occurred in Nairobi during the period, January to June 2014. Data was collected using a standardized form. Data entry, cleaning and analysis was done using Epi info version 7.0.ResultsA total of 11,443 records were reviewed. From this data, deaths resulting from injuries were 1,208 accounting for 10.6% of all recorded deaths. Majority of the deaths resulting from injuries occurred in persons aged 25 to 44 years (48.1%). Males accounted for 85% of all the injuries. The leading cause of injury was assault by blunt force at 30.5%, followed by road traffic injuries at 25.9% and fire arm injuries at 15%. Pre-hospital deaths accounted for 51.4% of all the deaths. Nineteen percent of the deaths resulting from injuries had autopsies performed on them.ConclusionOur study found that injuries are an important cause of fatality in Nairobi, accounting for one in ten deaths. There is need for multisectoral collaboration as some of the preventive measures that target the most prevalent injuries such as assault and road traffic injuries lie outside the health sector. There exists information gaps on the death certificates hence there is need to adequately capacity build both clinicians and death certifiers. There is also a need to revise the death certificates and to improve the pre-hospital care system for the injured persons.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-3958-0) contains supplementary material, which is available to authorized users.

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“…In all cases, male death was dominant. Traffic accident in England and Hussain et (7,(9)(10)(11)(12). In our study, due to its low rates (2 cases) penetrating trauma was not evaluated.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Causes of Preventable Deaths in Pre-hospital SettingsAssessment of Causes of Preventable Deaths in Pre-hospital Settings

Gholipour¹,

Rad²,

Vahdati³

et al. 2016

Erciyes Med J

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Objective: Death from trauma is a major problem for the health system. The determination of preventable deaths is a valuable indicator of quality and efficiency in the management of trauma patients. The purpose of our study was to investigate the cause of preventable death in pre-hospital settings in the city of Tabriz. Materials and Methods:In a cross-sectional study from 2013 to 2014 in Tabriz, all traumatic patients who died at the scene of trauma or during transport and before reaching the hospital were referred to forensics for autopsy studies. For all deaths, data on demographics, mechanism and type of injury, place of death, mode of transportation, injury to the central nervous system (CNS) and results of necropsy were recorded. Preventability of death was defined upon examination of the necropsy report.Results: In this study, 160 pre-hospital deaths were studied. The commonest mechanism of injury was a vehicular traffic accident (83.8%), and blunt trauma in 98.8% was the commonest type of injury. In total, 80.6% of the deaths were at the scene of trauma and 18.8% on arrival to the hospital. CNS injury was recorded in 71.9% of the cases. The commonest cause of death from the necropsy report was CNS injury (60.6%), exsanguination or breathing problems (28.1%), and CNS injury with exsanguination or breathing problems (11.2%). In this study, death was possibly preventable in 25.6% of the cases, and 21.9% of the deaths were definitively preventable. Conclusion:Many deaths occurred at the scene of trauma, and traffic accidents are the main mechanism of injury. A high percentage of deaths as seen in the autopsy had CNS injuries, and this was the main cause of death. The high rate of preventable death in the present study compared to that in similar studies in other countries is a significant finding.

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Risk factors for injury mortality in rural Tanzania: a secondary data analysis

Cited by 19 publications

References 43 publications

Patterns and trends of hospital mortality due to non-communicable diseases and injuries in Tanzania: a 10- year retrospective analysis

Patterns and trends of hospital mortality due to non-communicable diseases and injuries in Tanzania: a 10- year retrospective analysis

Demographic profile and pattern of fatal injuries in Nairobi, Kenya, January–June 2014

Assessment of Causes of Preventable Deaths in Pre-hospital SettingsAssessment of Causes of Preventable Deaths in Pre-hospital Settings

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