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Injury characteristics and outcome of road traffic accident among victims at Adult Emergency Department of Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia: a prospective hospital based study

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dc.contributor.authorSeid, M.
dc.contributor.authorAzazh, A.
dc.contributor.authorEnquselassie, F.
dc.contributor.authorYisma, E.
dc.date.issued2015
dc.description.abstractBackground: Road traffic injuries are the eighth leading cause of death globally, and the leading cause of death for young people. More than a million people die each year on the world's roads, and the risk of dying as a result of a road traffic injury is highest in Africa. Methods: A prospective hospital based study was undertaken to assess injury characteristics and outcome of road traffic accident among victims at Adult Emergency Department of Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia. A structured pre-tested questionnaire was used to gather the required data. The collected data were analyzed using SPSS version 20.0. Hierarchical multiple regression analysis was used to identify predictors of fatalities among the road traffic crash victims. Results: A total of 230 road traffic accident victims were studied. The majority of the study subjects were men 165 (71.7 %) and the male/female ratio was 2.6:1. The victims' ages ranged from 14 to 80 years with the mean and standard deviations of 32.15 and ± 14.38 years respectively. Daily laborers (95 (41.3 %)) and students (28 (12.2 %)) were the majority of road traffic accident victims. Head (50.4 %) and musculoskeletal (extremities) (47.0 %) were the most common body region injured. Fractures (78.0 %) and open wounds (56.5 %) were the most common type of injuries sustained. The overall length of hospital stay (LOS) ranged from 1 day to 61 days with mean (± standard deviation) of 7.12 ± 10.5 days and the mortality rate was 7.4 %. Hierarchical multiple regression analysis showed that age of the victims (ß = 0.16, p < 0.05), systolic blood pressure on admission (ß = -0.35, p < 0.001) and Glasgow coma scale (ß = -0.44, p < 0.001) were statistically significant predictors of fatalities among the victims. Conclusions: This study showed diverse injury characteristics and high morbidity and mortality among the victims attending Adult Emergency Department of Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia. The findings reflect that road traffic accident is a major public health problem. Urgent road traffic accident preventive measures and prompt treatment of the victims are warranted in order to reduce morbidity and mortality among the victims.
dc.identifier.citationBMC Emergency Medicine, 2015; 15(1, article no. 10):1-9
dc.identifier.doi10.1186/s12873-015-0035-4
dc.identifier.issn1471-227X
dc.identifier.issn1471-227X
dc.identifier.orcidYisma, E. [0000-0003-0703-1515]
dc.identifier.urihttps://hdl.handle.net/11541.2/146048
dc.language.isoen
dc.publisherBMC
dc.relation.fundingAddis Ababa University
dc.rightsCopyright 2015 Seid et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article,unless otherwise stated. (http://creativecommons.org/licenses/by/4.0)
dc.source.urihttps://doi.org/10.1186/s12873-015-0035-4
dc.subjectroad traffic accident
dc.subjectinjury characteristics
dc.subjectoutcome
dc.subjectTikur Anbessa specialized hospital
dc.subjectAddis Ababa
dc.subjectEthiopia
dc.subjectHumans
dc.subjectWounds and Injuries
dc.subjectLength of Stay
dc.subjectInjury Severity Score
dc.subjectProspective Studies
dc.subjectAccidents, Traffic
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectMiddle Aged
dc.subjectEmergency Service, Hospital
dc.subjectFemale
dc.subjectMale
dc.subjectYoung Adult
dc.titleInjury characteristics and outcome of road traffic accident among victims at Adult Emergency Department of Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia: a prospective hospital based study
dc.typeJournal article
pubs.publication-statusPublished
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ror.mmsid9916485510901831

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