埃塞俄比亚创伤患者道路交通伤害的负担：一项系统评价与荟萃分析。

The burden of road traffic injury among trauma patients in Ethiopia: A systematic review and meta-analysis.

作者信息

Endalamaw Aklilu, Birhanu Yeneabat, Alebel Animut, Demsie Amare, Habtewold Tesfa Dejenie

机构信息

Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Department of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

Afr J Emerg Med. 2019;9(Suppl):S3-S8. doi: 10.1016/j.afjem.2019.01.013. Epub 2019 Feb 4.

BACKGROUND

Road traffic injury (RTI) is one of the main reasons for trauma-related admission in Ethiopian hospitals. Nationally representative data is needed to develop and implement the public health emergency management strategy. Therefore, this study was aimed to estimate the national pooled prevalence of RTI among trauma patients in Ethiopia.

METHODS

PubMed, Excerpta Medica Database (EMBASE), psycEXTRA, and Google Scholar databases were searched. Heterogeneity of studies was assessed using the I statistics. Publication bias was checked by using funnel plot and Egger's regression test. The DerSimonian and Laird's random-effects model was used to estimate the pooled prevalence. Subgroup analysis was conducted by age and region. The trend of RTI estimated as well.

RESULTS

The pooled prevalence of RTI among trauma patients in Ethiopia was 31.5% (95% CI: 25.4%, 37.7%). Regional subgroup analysis showed that the pooled prevalence of RTI was 58.3% in the region of southern, nation, nationalities, and peoples (SNNPR) and 33.3% in Addis Ababa. Subgroup analysis based on patients age showed that the pooled prevalence of RTI was 51.7% in adults, 14.2% in children, and 32.6% in all age group. The time-trend analysis has shown an increasing burden of RTI in Ethiopian hospitals.

CONCLUSION

The burden of RTI among trauma patients was high. Therefore, strengthening road safety management throughout the country is needed to reduce RTI.

背景

道路交通伤害（RTI）是埃塞俄比亚医院创伤相关入院的主要原因之一。制定和实施公共卫生应急管理策略需要具有全国代表性的数据。因此，本研究旨在估计埃塞俄比亚创伤患者中RTI的全国汇总患病率。

方法

检索了PubMed、医学文摘数据库（EMBASE）、psycEXTRA和谷歌学术数据库。使用I统计量评估研究的异质性。通过漏斗图和Egger回归检验检查发表偏倚。采用DerSimonian和Laird随机效应模型估计汇总患病率。按年龄和地区进行亚组分析。还估计了RTI的趋势。

结果

埃塞俄比亚创伤患者中RTI的汇总患病率为31.5%（95%CI：25.4%，37.7%）。区域亚组分析显示，南部各族人民州（SNNPR）地区RTI的汇总患病率为58.3%，亚的斯亚贝巴为33.3%。基于患者年龄的亚组分析显示，成人中RTI的汇总患病率为51.7%，儿童为14.2%，所有年龄组为32.6%。时间趋势分析表明，埃塞俄比亚医院中RTI的负担在增加。