Severity of Injury and Associated Factors Among Injured Patients Who Visited the Emergency Department at Wolaita Sodo Teaching and Referral Hospital, Ethiopia

Overview

Journal Ethiop J Health Sci

Specialty Health Services

Date 2020 Mar 14

PMID 32165808

Citations 4

Authors

Robera Olana Fite

Mamo Mesele

Mathewos Wake

Masresha Assefa

Ayele Tilahun

Affiliations

Soon will be listed here.

Abstract

Background: An injury is a physical damage that occurs when the body is exposed to an excessive amount of energy. Physical agents, radiation, chemical agents, biological agents and physiological needs deprivation can cause injury. The study was aimed at assessing the severity of injury and identifying the factors associated with it among injured patients.

Methods: A cross-sectional study was conducted among patients who visited the emergency department of Wolaita Sodo Teaching and Referral Hospital from January 1, 2012 - January 1, 2017. A total of 320 patient records were included in the study and selected using simple random sampling. Statistical association was done for categorical variables using Chi-square. Rank correlation was done for three ordered options independent variables, Chi-squared test for trend used for two options independent variables, and General Chi-square test of independence used for independent variables with not ordered three and above options. Multivariate multinomial logistic regression was conducted. A P-value <0.05 was taken as a significant association.

Results: The study indicated that the majority (45.3%), 128(40%) and 47(14.7%) had minor, moderate and severe injury, respectively. Residence (AOR 0.462; 95%CI 0.268, 0.798), cause of injury (AOR 3.602; 95%CI 1.336, 9.714), night time injury (AOR 4.895; 95%CI 1.472, 16.277), afternoon time injury (AOR 8.776; 95%CI 2.699, 28.537), and chest injury (AOR 2.391; 95%CI 1.048, 5.454) were significant predictors of moderate injury. Afternoon time of injury (AOR; 4.683; 95%CI 1.137, 19.296) and head, neck and spinal cord injury (AOR; 4.933; 95%CI 1.945, 12.509) were predictors of severe injury.

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References

Nzaumvila D, Govender I, Kramer E . Glass injuries seen in the emergency department of a South African district hospital. Afr J Prim Health Care Fam Med. 2015; 7(1):e1-e8. PMC: 4656924. DOI: 10.4102/phcfm.v7i1.886. View

Gedlu E . Accidental injuries among children in north-west Ethiopia. East Afr Med J. 1994; 71(12):807-10. View

Mbanjumucyo G, George N, Kearney A, Karim N, Aluisio A, Mutabazi Z . Epidemiology of injuries and outcomes among trauma patients receiving prehospital care at a tertiary teaching hospital in Kigali, Rwanda. Afr J Emerg Med. 2018; 6(4):191-197. PMC: 6234177. DOI: 10.1016/j.afjem.2016.10.001. View

Gal M, Rus D, Peek-Asa C, Chereches R, Sirlincan E, Boeriu C . Epidemiology of assault and self-harm injuries treated in a large Romanian Emergency Department. Eur J Emerg Med. 2011; 19(3):146-52. PMC: 4320966. DOI: 10.1097/MEJ.0b013e32834ada2e. View

Hofman S, Lucke J, Heim N, de Gelder J, Fogteloo A, Heringhaus C . Prediction of 90-day mortality in older patients after discharge from an emergency department: a retrospective follow-up study. BMC Emerg Med. 2016; 16(1):26. PMC: 4944462. DOI: 10.1186/s12873-016-0090-5. View

Carter P, Cook L, Macy M, Zonfrillo M, Stanley R, Chamberlain J . Individual and Neighborhood Characteristics of Children Seeking Emergency Department Care for Firearm Injuries Within the PECARN Network. Acad Emerg Med. 2017; 24(7):803-813. PMC: 5515362. DOI: 10.1111/acem.13200. View

Rosen T, Bloemen E, LoFaso V, Clark S, Flomenbaum N, Lachs M . Emergency Department Presentations for Injuries in Older Adults Independently Known to be Victims of Elder Abuse. J Emerg Med. 2016; 50(3):518-26. PMC: 4764406. DOI: 10.1016/j.jemermed.2015.10.037. View

Fayyaz J, Wadhwaniya S, Shahzad H, Feroze A, Zia N, Mir M . Pattern of fall injuries in Pakistan: the Pakistan National Emergency Department Surveillance (Pak-NEDS) study. BMC Emerg Med. 2015; 15 Suppl 2:S3. PMC: 4682409. DOI: 10.1186/1471-227X-15-S2-S3. View

Hsia R, Nath J, Baker L . California emergency department visit rates for medical conditions increased while visit rates for injuries fell, 2005-11. Health Aff (Millwood). 2015; 34(4):621-6. PMC: 4507565. DOI: 10.1377/hlthaff.2014.0471. View

10.

Ogendi J, Ayisi J . Causes of injuries resulting in a visit to the emergency department of a Provincial General Hospital, Nyanza, western Kenya. Afr Health Sci. 2011; 11(2):255-61. PMC: 3158511. View

11.

Brown R, Steinman M . Characteristics of emergency department visits by older versus younger homeless adults in the United States. Am J Public Health. 2013; 103(6):1046-51. PMC: 3670659. DOI: 10.2105/AJPH.2012.301006. View

12.

Seid M, Azazh A, Enquselassie F, Yisma E . Injury characteristics and outcome of road traffic accident among victims at Adult Emergency Department of Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia: a prospective hospital based study. BMC Emerg Med. 2015; 15:10. PMC: 4493961. DOI: 10.1186/s12873-015-0035-4. View

13.

Negussie A, Getie A, Manaye E, Tekle T . Prevalence and outcome of injury in patients visiting the emergency Department of Yirgalem General Hospital, Southern Ethiopia. BMC Emerg Med. 2018; 18(1):14. PMC: 5964923. DOI: 10.1186/s12873-018-0165-6. View

14.

Mitchell R, Cameron C, McClure R . Higher mortality risk among injured individuals in a population-based matched cohort study. BMC Public Health. 2017; 17(1):150. PMC: 5288995. DOI: 10.1186/s12889-017-4087-0. View

15.

Sorenson S . Gender disparities in injury mortality: consistent, persistent, and larger than you'd think. Am J Public Health. 2011; 101 Suppl 1:S353-8. PMC: 3222499. DOI: 10.2105/AJPH.2010.300029. View

16.

Khan U, Hisam B, Zia N, Mir M, Alonge O, Jamali S . Uncovering the burden of intentional injuries among children and adolescents in the emergency department. BMC Emerg Med. 2015; 15 Suppl 2:S6. PMC: 4682402. DOI: 10.1186/1471-227X-15-S2-S6. View

17.

Pallett J, Sutherland E, Glucksman E, Tunnicliff M, Keep J . A cross-sectional study of knife injuries at a London major trauma centre. Ann R Coll Surg Engl. 2014; 96(1):23-6. PMC: 5137642. DOI: 10.1308/003588414X13824511649616. View

18.

Long S, Fone D, Gartner A, Bellis M . Demographic and socioeconomic inequalities in the risk of emergency hospital admission for violence: cross-sectional analysis of a national database in Wales. BMJ Open. 2016; 6(8):e011169. PMC: 5013358. DOI: 10.1136/bmjopen-2016-011169. View

19.

Corfield A, MacKay D, Pell J . Association between trauma and socioeconomic deprivation: a registry-based, Scotland-wide retrospective cohort study of 9,238 patients. Scand J Trauma Resusc Emerg Med. 2016; 24:90. PMC: 4937548. DOI: 10.1186/s13049-016-0275-7. View

20.

Woldemichael K, Berhanu N . Magnitude and pattern of injury in jimma university specialized hospital, South west ethiopia. Ethiop J Health Sci. 2012; 21(3):155-65. PMC: 3275868. View