Taye Amanuel, Ayalew Tilksew, Zeleke Balew, Bante Agegnehu, Endale Addisu
College of Health Science, Bahir Dar Health Science College, Bahir Dar, Ethiopia.
College of Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
BMC Pediatr. 2025 Feb 25;25(1):135. doi: 10.1186/s12887-024-05314-9.
A road traffic accident is a collision between vehicles, between pedestrians and vehicles, between vehicles and animals, or between fixed obstacles and vehicles that leads to fatal human injury and premature death. Children are highly vulnerable to road traffic accident death. Yet, evidence is scarce concerning it in this study area. This study aimed to determine the magnitude of mortality and associated factors among road traffic accident victim children.
An institution-based cross-sectional study was conducted among 391 victimized children using simple random sampling techniques from March 1st, 2021, to April 30th, 2021. The sample size was calculated using a single population proportion formula, and the data were collected retrospectively using a structured checklist. The data were checked for completeness and consistency, coded, entered into EPI Data version 3.1, and then transferred to STATA version 14 statistical software for analysis. Bivariate and multivariable binary logistic regression analyses were conducted to identify the association between dependent and independent variables. An adjusted odds ratio with a 95% CI was used to measure the strength of the association, and a P-value ≤ 0.05 was considered statistically significant.
The overall mortality was 10.7% (95% CI: 8- 14). Patients' age within 1- 4 years (AOR (95%CI: 7(2.0-24.6)), urgent need of blood transfusion (AOR (95%CI: 3.2(1.03-9.8)), Glasgow coma scale < 8 (AOR (95%CI: 6.7(2.1-20.8)), surgery done (AOR (95%CI: 4.7(1.6-14.1)), and length of stay < 5 days (AOR (95%CI: 4.7(1.6-13.3)) were significantly associated with mortality of road traffic accident victim children.
The overall mortality was high compared with other countries' findings. Being young, in urgent need of blood transfusion, Glasgow coma scale < 8, undergoing surgery, and short length of stay were significantly associated with mortality of road traffic accident victim children. This study recommended prioritizing young children and timely blood transfusions for emergency cases.
道路交通事故是指车辆之间、行人与车辆之间、车辆与动物之间或车辆与固定障碍物之间的碰撞，导致人员致命伤害和过早死亡。儿童极易因道路交通事故死亡。然而，在本研究区域，关于这方面的证据却很稀少。本研究旨在确定道路交通事故受害儿童的死亡率及其相关因素。
于2021年3月1日至2021年4月30日，采用简单随机抽样技术，对391名受害儿童进行了一项基于机构的横断面研究。样本量使用单总体比例公式计算，数据通过结构化检查表进行回顾性收集。对数据进行完整性和一致性检查、编码，录入EPI Data 3.1版本，然后转移到STATA 14版本统计软件进行分析。进行双变量和多变量二元逻辑回归分析，以确定因变量和自变量之间的关联。使用调整后的比值比及95%置信区间来衡量关联强度，P值≤0.05被认为具有统计学意义。
总体死亡率为10.7%（95%置信区间：8%-14%）。1至4岁的患者（调整后的比值比（95%置信区间：7（2.0-24.6））、急需输血（调整后的比值比（95%置信区间：3.2（1.03-9.8））、格拉斯哥昏迷量表评分<8（调整后的比值比（95%置信区间：6.7（2.1-20.8））、接受手术（调整后的比值比（95%置信区间：4.7（1.6-14.1））以及住院时间<5天（调整后的比值比（95%置信区间：4.7（1.6-13.3））与道路交通事故受害儿童的死亡率显著相关。
与其他国家的研究结果相比，总体死亡率较高。年龄小、急需输血、格拉斯哥昏迷量表评分<8、接受手术以及住院时间短与道路交通事故受害儿童的死亡率显著相关。本研究建议优先关注幼儿，并为紧急情况及时输血。
