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Pattern of Injury and Associated Variables as Seen in the Emergency Department at Tikur Anbessa Specialized Referral Hospital, Addis Ababa, Ethiopia.
Tadesse, B.; Tekilu, S.; Nega, B. & Seyoum, N.
Abstract
Background: Traumatic injuries represent a significant and growing disease burden in the
developing world, and now represent one of the leading causes of death in economically active
adults in many low- and middle-income countries. This study was aimed at determining the pattern
of injuries and variables associated among patients visiting Emergency Department (ED) due to
injury at Black Lion Hospital, Addis Ababa, Ethiopia.
Methods: This was a prospective cross sectional hospital based study done with a systematic
random sampling method. The study was done in Tikur Anbessa specialized referral hospital. The
study was conducted in between February 1 to April 30, 2013. Results: A total of 3287 new patients
were seen in the ED, of whom 989 (32.5%) reported to be injury victims, of them 321 patients were
included in the study. The M: F ratio is3.58:1. More than 41% of patients were aged between 20
and 29.The most frequent cause of injury was Road Traffic Accident (RTAs), 123(38.3%), followed
by stuck/hit by a person or object, 101(31.5%), and fall accident 68(21.2%).Further analysis
showed that the odds of injury of assault to be increased for males (P= 0.037, AOR, 2.528, 95%CI
(1.058-6.037), patients with monthly income < 650 Ethiopian birr{(P= 0.002, AOR 2.91, 95% CI
(1.493-5.705)},and age< 40 years old is significantly associated with injury of assault {(P= 0.004,
AOR 3.27, 95%CI(1.451-7.375)}. Injury of assault is 61% less likely to be occurred in rural areas
than the urban dwellers {(P= 0.002, AOR 0.39%CI (.219-.707)}.
Conclusion: Appropriate interventions to reduce the occurrences of injuries should be instituted by
the local authorities and other responsible body. There is also a need to educate the community
members particularly risk groups on how to prevent injuries.
Keywords
Injury; Variables associated with injury; Emergency department
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