Department of Anaesthesia, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Amhara, Ethiopia
Department of Surgery, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Amhara, Ethiopia.
Inj Prev. 2021 Aug;27(4):384-394. doi: 10.1136/injuryprev-2020-044038. Epub 2021 Feb 12.
Road traffic injuries, which are responsible for premature deaths and functional losses, are the leading causes of unintentional injuries in Ethiopia. As most studies on road traffic injuries, so far, have been either local or regional, it is believed that combining the regional or local data to get nationally representative information could help programme implementers in setting priorities.
The aim of this review was to estimate the proportion of road traffic injuries, mortality and risk factors for the problem among all age groups in Ethiopia.
A systematic review of articles using MEDLINE/PubMed SCOPUS Web of Science and science direct was conducted. Additional studies were identified via manual search.
Only studies that reported road traffic injuries and/or mortalities for all age groups were included in this review.
All pooled analyses were based on random-effect models. Twenty-six studies for the prevalence of RTIs (n=37 424), 24 studies for road traffic injuries (RTI) mortality, (n=38 888), 9 studies for prevalence of fracture among RTIs (n=2817) and 5 studies for the prevalence of post-traumatic stress disorder (n=1733) met our inclusion criteria. Driving in the dark increased severity of injury by 1.77, 95% CI 1.60 to 1.95). The certainty of the evidence was assessed using GRADEpro Guideline Development Tool.
In this review, the burden of road traffic injuries and mortalities remains high in Ethiopia. Human factors are the most common causes of the problem in Ethiopia. The existing safety regulations should be re-evaluated and supported by continuous behavioural interventions.
CRD42019124406.
道路交通伤害是埃塞俄比亚非故意损伤的首要原因，可导致过早死亡和功能丧失。由于迄今为止大多数道路交通伤害研究都是局部或区域性的，因此人们认为将区域或局部数据合并以获取具有全国代表性的信息，可以帮助方案实施者确定优先事项。
本综述旨在评估埃塞俄比亚所有年龄段人群中道路交通伤害、死亡率和该问题危险因素的比例。
采用 MEDLINE/PubMed SCOPUS Web of Science 和 science direct 进行了系统综述，通过手动搜索还确定了其他研究。
只有报告了所有年龄段人群道路交通伤害和/或死亡率的研究才纳入本综述。
所有汇总分析均基于随机效应模型。纳入了 26 项用于评估 RTI 流行率的研究（n=37424），24 项评估道路交通伤害死亡率的研究（n=38888），9 项评估 RTI 骨折流行率的研究（n=2817）和 5 项评估创伤后应激障碍流行率的研究（n=1733）。夜间驾驶使损伤严重程度增加 1.77（95%置信区间 1.60 至 1.95）。使用 GRADEpro 指南制定工具评估证据的确定性。
在本综述中，埃塞俄比亚道路交通伤害和死亡率的负担仍然很高。人为因素是埃塞俄比亚该问题的最常见原因。现有的安全法规应重新评估，并通过持续的行为干预提供支持。
PROSPERO 注册号：CRD42019124406。
