Treatment Outcome and Associated Factors of Road Traffic Accident at EmergencyDepartmentof Trauma Treatment Centers of AddisAbaba, Ethiopia
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Date
2018-11
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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.
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Keywords
roadtraffic accident, outcome, trauma treatment center,Addis Ababa.