Baru Ararso, Weldegiorgis Ermiyas, Zewdu Tigist, Hussien Heyria
College of Medicine and Health Sciences, Arbaminch University, Arbaminch, Ethiopia.
College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Chin J Traumatol. 2020 Jun;23(3):139-144. doi: 10.1016/j.cjtee.2020.02.001. Epub 2020 Feb 7.
Injury continues to be an important cause of morbidity and mortality in both developed and developing countries. Globally, it is responsible for approximately 5.8 million deaths per year and 91% of these deaths occur in developing countries. Road traffic collision, suicides and homicides are the leading cause of traumatic deaths. Despite the fact that traumatic chest injury is being responsible for 10% of all trauma-related hospital admissions and 25% of trauma-related deaths across the world including in Ethiopia, only few published studies showed the burden of traumatic chest injury in Ethiopia. So, this study aims at assessing the characteristics and outcome of traumatic chest injury patients visited Tikur Anbesa Specialized Hospital (TASH) over one year period.
A single center based retrospective study was done. We collected data from patients' records to assess characteristics and outcome of traumatic chest injury at TASH over one year period. All patients diagnosed with traumatic chest injury and received treatment at the hospital from January 1 to December 31, 2016 regardless of its types and severity levels were included in the study. Patients with incomplete medical records for at least 20% of the study variables and without detailed medical history, or patients died before receiving any health care were excluded from the study. The collected data were cleaned and entered into Epidata version 3.1 and exported to SPSS Version 21.0 for analysis. Bivariate and multivariate logistic regression models were used to examine factors associated with outcome of traumatic chest injury patients.
A total of 192 chest injury patients were included in the study and about one-fourth of chest injury victims were died during treatment period in TASH. Road traffic collision (RTC) was the leading cause of morbidity and mortality among traumatic chest injury victims. Age of the victims (adjusted odds ratio (AOR) 8.9, 95% confidence interval (CI) 1.51-53.24), time elapsed between the occurrence of traumatic chest injury and admission to health care facilities (AOR 4.6, 95% CI 1.19-18.00), length of stay in hospital (AOR 0.12, 95% CI 0.02-0.58), presence of multiple extra-thoracic injury (AOR 25, 95% CI 4.18-150.02) and development of complications (AOR 23, 95% CI 10-550) were factors associated with death among traumatic chest injury patients in this study.
RTC contributed for a considerable number of traumatic chest injuries in this study. Old age, delay in delivering the victim to health care facilities, length of stay in hospital, and development of atelectasis and pneumonia were associated with death among traumatic chest injury patients. Road safety interventions, establishment of organized pre-hospital services, and early recognition and prompt management of traumatic chest injury related complications are urgently needed to overcome the underlying problems in the study setting.
在发达国家和发展中国家，损伤仍然是发病和死亡的重要原因。在全球范围内，损伤每年导致约580万人死亡，其中91%的死亡发生在发展中国家。道路交通事故、自杀和杀人是创伤性死亡的主要原因。尽管创伤性胸部损伤占全球所有创伤相关住院病例的10%，占创伤相关死亡的25%，包括在埃塞俄比亚，但只有少数已发表的研究显示了埃塞俄比亚创伤性胸部损伤的负担。因此，本研究旨在评估在提库尔安贝萨专科医院（TASH）就诊的创伤性胸部损伤患者在一年期间的特征和结局。
进行了一项基于单一中心的回顾性研究。我们从患者记录中收集数据，以评估TASH在一年期间创伤性胸部损伤的特征和结局。所有在2016年1月1日至12月31日期间被诊断为创伤性胸部损伤并在该医院接受治疗的患者，无论其类型和严重程度如何，均纳入研究。研究变量至少20%的病历不完整且无详细病史的患者，或在接受任何医疗护理前死亡的患者被排除在研究之外。收集的数据进行清理后录入Epidata 3.1版本，并导出到SPSS 21.0版本进行分析。使用二元和多元逻辑回归模型来检查与创伤性胸部损伤患者结局相关的因素。
本研究共纳入192例胸部损伤患者，约四分之一的胸部损伤受害者在TASH治疗期间死亡。道路交通事故（RTC）是创伤性胸部损伤受害者发病和死亡的主要原因。受害者的年龄（调整优势比（AOR）8.9，95%置信区间（CI）1.51 - 53.24）、创伤性胸部损伤发生与入院接受医疗护理之间的时间间隔（AOR 4.6，95%CI 1.19 -
