Hospital mortality and associated factors of road traffic accident victims admitted at the two trauma centers in Addis Ababa,Ethiopia,2021.
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Date
2021-06
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Addis Abeba University
Abstract
About 1.35 million peoples deceased every year as a consequence of road traffic accidents (RTA).
Half of all road traffic deaths occur among susceptible road users: walkers, bikers, and racers. 93%
of the world's mortalities on the streets occur in low- and middle-income countries (LMICs),
although these nations have a small number of the world's vehicles.
Objective: To determine hospital mortality and associated factors of RTA victims admitted at the
Adds Ababa Burn and emergency trauma and Tikur Anebesa specialized hospital in Addis Ababa,
Ethiopia 2021.
Methods: The study was conducted in Adds Ababa Burn and emergency trauma (AaBET), and
Tikur Anebesa specialized hospital (TASH) in Addis Ababa, Ethiopia from March 13, 2021 to
April 23, 2021. Hospital-based retrospective cross-sectional chart review methods were
implemented from Dec 31
st
2018 to January 1
st,
2021. 398 RTA victims were selected using simple
random sampling method. Structured checklists were used to collect the data. The collected data
was cleaned and entered into Epi-data ver.4.6 and exported to SSPS ver.26 for analysis. Binary
logistic regression analyses were used to determine the association between variables.
Result: the study found that hospital mortality of road traffic accident victims admitted at AaBET
and TASH in AA, Ethiopia, were 31.6% during the last two years. Among RTA victims who had
severe head injury was more than 30 times (AOR=30.79, 95%CL: 6.62, 143.25) likely to cause
hospital mortality as compared to those who had a mild head injury. The hospital fatality of RTA
victims who were admitted for ≥ 1 day more than 24 times (AOR= 24.88, 95%CI: 5.13, 114.37)
likely to die as compared to those who had a length of hospital stay > 3days.
Conclusion and recommendation: This research clearly illustrates that the hospital mortality of
RTA in the last 3 years was found to be high. The study revealed that head injury state severity,
endotracheal intubation status, and length of hospital stay significantly determined hospital
mortality of road traffic accidents.
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Keywords
Hospital fatality, road traffic accident