TY - JOUR
PY - 2022//
TI - Clinical profile and outcomes of trauma patients visiting the emergency department of a trauma center Addis Ababa, Ethiopia
JO - African journal of emergency medicine
A1 - Abebe, Asmamaw
A1 - Belay, Ermiyas
A1 - Boru, Yared
A1 - Abebe, Tesfaye
A1 - Kifle, Fitsum
A1 - Kefyalew, Merahi
SP - 478
EP - 483
VL - 12
IS - 4
N2 - INTRODUCTION: The term traumatic injury refers to physical injuries that present quickly and with a great deal of severity. These injuries can result from blunt, penetrating, and other causes. The best patients' outcomes are achieved when all parts of a trauma care system are in place. In low-resource settings, these facilities are scarce and their requirements high. Identifying patient profiles and evaluating these in relation to patient outcomes will help to guide interventions and monitor progress.
METHODS: This study aimed to examine the clinical profile and outcomes of trauma patients at ALERT Hospital, Ethiopia's busiest national trauma center. A retrospective cross-sectional chart review of 362 patients admitted from January 2019 to December 2019 at Alert Hospital trauma and emergency department was conducted.
RESULTS: The male-to-female ratio was 2.5:1, with trauma more prevalent among those in the age group of 24-33. Comparatively more injuries 98 (27.1%) occur between 8 and 6 a.m. and 90 (24.9%) of patients were transported by ambulance to the hospital. Among patients referred to the hospital, 247 (68.2%) patients received pre-hospital treatment. Interpersonal Violence (IPV) accounts for 31.8% of all accidents, followed by Road Traffic Accidents (RTA), which account for 30.7%. The Kampala Trauma Severity score (KTS) II showed mild trauma (82.3%), moderate trauma (11%), and severe trauma account (6.6%). A total of 44.2% of the victims suffered soft tissue injuries and 24% suffered extremity fractures, with 11.3% sustaining polytrauma. The mortality rate was 3.6%, with RTA, head injury, polytrauma, the severity of the injury, and patients with CPR were statistically associated factors.
DISCUSSION: IPV and RTA were the two most frequent causes of injuries, with most trauma victims being young. A great deal of emphasis needs to be given to preventing injury and improving prehospital emergency services.
Language: en
LA - en SN - 2211-419X UR - http://dx.doi.org/10.1016/j.afjem.2022.10.013 ID - ref1 ER -