Clinical Profile and Outcome of Trauma among Adult Patient Treated at Alert Hospital Trauma Center Emergency Department Addis Ababa, Ethiopia, 2021.
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Date
2021-06
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Addis Abeba University
Abstract
Introduction: A traumatic injury can be caused by a wide range of blunt, penetrating, and other
mechanisms. As a result, after a patient has sustained this injury, he/she may require immediate
care. So, all aspects of trauma care systems, such as a powerful prehospital care system, skilled
human power, facilities, equipment, and continuous supplies, must be in place for a successful
outcome.
Objective: This study is aimed to assess the clinical profile and outcome of trauma among adult
patient treated at ALERT hospital trauma center emergency department Addis Ababa, Ethiopia,
from January 1/2019 to December 1/2020.
Methods: A retrospective chart review study was performed during the time period of January
2019 to December 2020 on trauma patients treated to the trauma and emergency department of
ALERT hospital. For statistical analysis, Epi-data version 4.6 and SPSS version 25 were
employed, and Fisher's exact test was performed to determine the statistical association.
Results: Male to female ratio was 259:103, with the 24–33 age group predominantly affected
by trauma. The most common time of injury was 8–6 a.m., and the taxi was the predominant
mode of arrival to the hospital (59.7%). Inter personal violence (IPV) is the most common
accident, accounting for 31.8 %. Road traffic injury (R.T.I.) is the second most common cause
of injury accounted for 30.7% of victims, three wheelers or Bajaj (45%) dominated over others
vehicles. Mostly pedestrian was affected 62.1%. The Kampala severity score II (KTS II) were
show milled trauma (82.3%), moderate trauma (11%), and severe trauma account (6.6%). Open
wound/ Soft tissue injury (44.2%) and Extremity fracture (24%) were the frontrunners injury,
with 11.3% of the victims were polytrauma. The mortality rate was 3.6%.
Conclusions and recommendation: The injury was prominently IPV and RTA, the trauma
victims were young. The focus should be directed to injury prevention and safety measures.
Future studies can be directed to long term outcomes and follow up of injury victims to account
for exact mortality and morbidity due to such unfortunate events.
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Keywords
Clinical profile, trauma, outcome