Emergency Medicine

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Browsing Emergency Medicine by Author "Abebe, Asmamaw(BSc, MSc, Lecturer)"

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    Clinical Pattern and management outcomes among Road Traffic Accident Victims attending Emergency Department of Jimma University Medical Center, Jimma,Southwest Ethiopia
    (Addis Abeba University, 2021-05) Endale, Dereje; Dr. Beyene, Temesgen(Emergency Physician, Assistant Professor); Abebe, Asmamaw(BSc, MSc, Lecturer)
    Background: Road Traffic Accident is an incident on a way or street open to public traffic that becomes one of the most significant public health problems in the world especially in developing countries. In Ethiopia, RTA is the major public health problem even though studies indicate clinical pattern and management outcomes among these victims are limited. The aim of this study is to assess clinical pattern and management outcomes among road traffic accident victims who attended emergency department of Jimma University Medical Center, Jimma Ethiopia, 2021. Methods: Hospital based retrospective cross sectional study design was implemented based on patients' record review for one year. Records of patients were revieweduntil the calculated minimum sample size (357) attained. Systematic random sampling technique was applied to recruit the records. Pretested checklist was used to collect data. Descriptive statistics were used to show the distribution of variables under the study.Independent factors associated with management outcomes were assessed using binarylogistic regression using SPSS version 26 at p<0.05. Results:Among 357 cases reviewed, the median age was 27 ± 13.71 years and male victims accounted for 75.6%. The largest proportion was pedestrians (49.6%) injured by motorcycle (42.9%)and sustained fracture (60.5%). More than half of victims (58%) never got any type of prehospital care. On triage paper, majority were classified as Red needing urgent/immediate intervention (38.7%)of which 71.4% of themwere managed surgically. Regarding management outcomes, 84.9% were discharged with improvement, referred (1.7%) and died (12.6%). Using multivariate logistic regression analysis,anatomical sites (head injury)(AOR=16.61: 95% CI; 3.85,71.71),mechanism of injury (AOR= 0.23; 95% CI: 0.08, 0.68), time elapsed to reach nearby health facility (AOR= 3.30; 95 CI (1.13, 9.60), time of the day (AOR= 2.79; 95% CI; 1.06, 7.34), condition of patient at ED (AOR= 7.78; 95% CI: 2.33, 26.06), GCS at admission(AOR= 20.12; 95% CI: 7.23,55.96)and days spent in hospital (AOR= 6.85; 95% CI 5.81, 8.06)were independent predictors of unfavorable outcome. Conclusion:This study finding can help reducethe mortality and disability from RTA by appropriately identifying the priority patient and giving appropriate intervention promptly.In general, anatomical sites, mechanism of injury, GCS on admission, disposition outcome, time to health facility, condition of the patient, and days spent in hospital were independent predictors for unfavorable outcome.