Association of pre-hospital care and injury severity among road traffic injured patients admitted in Addis Ababa public hospitals Addis Ababa, Ethiopia
| dc.contributor.advisor | Getachew, Sefonias (MPH) | |
| dc.contributor.author | Fekadu, Bethelhem | |
| dc.date.accessioned | 2018-11-23T11:37:11Z | |
| dc.date.accessioned | 2023-11-05T14:56:57Z | |
| dc.date.available | 2018-11-23T11:37:11Z | |
| dc.date.available | 2023-11-05T14:56:57Z | |
| dc.date.issued | 2018-10 | |
| dc.description.abstract | Background: Globally, about 1.25 million people die every year due to road traffic related cases and as many as 50 million more are injured and it is a number one cause for the death among those aged 15-29 years. Ethiopia is one of the countries with the highest number of road traffic injuries in the world. Pre-hospital care play an important role in life support services. The present study was carried out to assess the association of pre-hospital care and injury severity for road traffic accident victims in Addis Ababa public hospitals, Addis Ababa, Ethiopia. Methods: A facility based cross sectional study design was used. Systematic random sampling was used to reach 391 road traffic injured patients from public hospitals.Both patient medical report and a structured questionnaire which is adopted from standardized tool from WHOwas used. Kampala Trauma Score II (KTS II) was calculated for the outcome variable injury severity and was ranked as severe injury and non-severe injury. Data was entered to Epidata 4.2 and exported and analyzed through Statistical Package for the Social Sciences (SPSS) version 20.Descriptive analysis was conducted to determine with frequency, proportions and summary measure. Bivariate and multivariable logistic regression was used to identify the relation of independent predictors with the injury severity. The p value less than 0.05 was considered for statistical significance. Results: A total of 385 road traffic injured victims were included. Participants who scored severe injury were 22.9%. The male to female ratio was 2:1. The patient’s ages range from 15- 80, with a mean of 32 and standard deviation of ± 12 years. Pedestrians (48.6%) who were travelling were the majority of road traffic crash victims. More than half of the patients did not get any kind of pre-hospital care before reaching to health facility. Frequently raised reasons for this were lack of equipment (50.6%) and poor knowledge (36.8%). People who had pre-hospital care were less likely to develop severe injury (AOR 0.4595% CI (0.24,0.842)). Additionally, age of the patient and being a driver significantly influenced injury severity score. Conclusion:Road traffic accident constitute major public health problem causing a burden in the health care system. Integrating pre-hospital care in the health care system also plays a major role in minimizing further damage caused by RTA. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/14449 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Ababa Universty | en_US |
| dc.subject | Road trafficinjury,Pre-hospital care,Injury severity. | en_US |
| dc.title | Association of pre-hospital care and injury severity among road traffic injured patients admitted in Addis Ababa public hospitals Addis Ababa, Ethiopia | en_US |
| dc.type | Thesis | en_US |