Assesment of Patterns and Outcomes of Chest Injury Among Adult Patients Received Trauma Care at Tikur Anbesa Specialized Hospital, Addis Ababa, Ethhiopia
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Date
2017-06
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Addis Ababa University
Abstract
Introduction: Globally, injury continues to be an important cause of morbidity and mortality
both in the developed and developing countries. It is the major public health problem in every
country across the world and causing approximately 5.8 million deaths per year. The Chest
trauma is a disease that has worsened long with growing urbanization and industrialization; due
to worldwide increases in violence, constructions and vehicle number.
Objective: The objective of this study was to assess the patterns and outcomes of chest injuries
among adult patients admitted with chest trauma in Tikur Anbessa specialized teaching hospital
(TASTH) over one year period between January 1, 2016 to December 31, 2016.
Methods and Materials: Hospital based retrospective descriptive cross- sectional study designs
were used to assess magnitude and outcomes of chest injury among patients admitted to TASTH.
The collected data were to Epi data software version 3.3.1. Then, the entered data was exported
to SPSS, version 21 for analyses. Descriptive statistics was used to present the results. Logistic
regression was used to determine association between dependent and independent variables.
Association between variables was taken as statistically significant for all variables resulted in p-
value of <0.05 on multiple logistic regression.
RESULTS: A total of 192 chest injury patients were treated at TASTH. Fifty three of them were
died during treatment. Age [AOR 8.9(95% CI, 1.51-53.24)], time of presentation to hospital after
injury [AOR 4.6(95% CI, 1.19-18.00)], Length of stay in hospital [AOR 0.12(95% CI, 0.02-
0.58)], presence of extra-thoracic associated body region injury [AOR 25(95% CI, 4.18-150.02)]
and development of complications [AOR 23(95% CI, 10-550)] were determinant of mortality in
the present study.
Conclusions and recommendations: Chest trauma predominantly affects the male and
economically productive age group with high morbidity and mortality in this environment. Road
traffic accident was the leading cause of chest trauma in this study outcome. The study calls for
early recognition and management of complications, awareness creations to society on their
health seeking behavior, adequate provision of ambulance service and road traffic accidents
prevention to reduce the morbidity and mortality resulting from chest injuries.
Key Words: Injuries, Chest injuries, Tikur Anbessa Specialized Teaching Hospital, Ethiopia
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Keywords
Injuries; Chest injuries; Tikur Anbessa Specialized Teaching Hospital; Ethiopia