Treatment Outcome and Associated Factors of Road Traffic Accident at EmergencyDepartmentof Trauma Treatment Centers of AddisAbaba, Ethiopia

No Thumbnail Available

Date

2018-11

Journal Title

Journal ISSN

Volume Title

Publisher

Addis Ababa Universty

Abstract

Background: Road Traffic Accident (RTA) is a collision between two or more vehicles, between vehicles and pedestrians, passenger and driver, between vehicles and animals or between vehicles and fixed obstacles. Every year about 1.3 million people die because of RTA. Ethiopia was experienced a tremendous loss of life and property each year as one of the leading countries of the world with death rate of 37.28 per 100,000. Objective: This study aimed to assess the treatment outcome and associated factors of RTA at emergency department (ED) of trauma treatment centers of Addis Ababa, Ethiopia. Method: Cross sectional study design, using retrospective data that covers the period of January 1, 2016 – December 31, 2017 at ED of trauma treatment centers,Usingsingle proportionsample size determinationformula,a412RTA medical records selected by systematic random sampling. A structured pre-tested data abstraction format was use to gather the required data. The collected data analyzed using SPSS version 23.Descriptive statistics used to showthe distribution of variables.The associated factors with dependent variabledetermined by multivariable logistic regression with its corresponding (CI: 95%). Results:Results: Among 542 admitted RTA victims to ED of trauma treatment centers: 40.4 % were discharged with medical advice, 5 % died, 0.74% defaulted and the rest 53.6% transfer to surgical department, orthopedic department , ICU and refer to other health facility. RTA victimsthose admitted to ED of trauma treatment center were found in Addis Ababa ,delayed presentation and had comorbid condition: (AOR: 3.470, 95 % CI (1.210-9.955), (AOR:12.932, 95 % CI (3.004-55.674) and (AOR : 6.255 95% CI(1.676-23.348)were more likely to die. RTA victims who were not received first aid service (AOR: 4.848, 95% CI (1.430-16.439) significantly associated with death. In addition,injury severities were predictor of death. Conclusion: The study revealed that RTAis significant public health problem, which cause injury and death among the victims and not receiving first aid, delayed presentation, severity of injury and co-morbid conditionwere statistically significant factors that influence death of RTA victims. Hence,properly managed sever cases, pre-hospital car availability and readiness is essential to deduce the poor outcome of RTA.

Description

Keywords

roadtraffic accident, outcome, trauma treatment center,Addis Ababa.

Citation

Collections