Prevalence of injury and associated factors among patients visiting the Emergency Departments of Amhara Regional State Referral Hospitals, Ethiopia: a cross-sectional study

Debrework Tesgera Bashah, Berihun Assefa Dachew, Bewket Tadesse Tiruneh, Debrework Tesgera Bashah, Berihun Assefa Dachew, Bewket Tadesse Tiruneh

Abstract

Background: Injury significantly affecting the health and well-being of the society. The prevalence tends to be higher in low income countries. The aim of this study was to assess the prevalence of injury and associated factors among patients visiting emergency departments of Amhara Regional State referral hospitals.

Methods: Institution based cross sectional study was conducted from March to April 2014. The systematic random sampling technique was employed to select the study participants. The data were collected using an interviewer administered questionnaire. Bivariate and multivariate logistic regressions were performed to identify factors associated with injury. Odds ratios with 95% confidence interval were computed to determine the level of significance.

Result: The prevalence of injury was 55.6%. Being male (AOR = 2.8; 95% CI, 1.79-4.47), monthly income less than 34.2 USD (AOR = 1.89; 95% CI, 1.03-3.46), being age between 20 to 44 years (AOR = 2.25; 95% CI, 1.06-4.81), being a daily laborer (AOR = 6.27; 95% CI, 2.38-16.47), being a farmer (AOR = 2.9; 95% CI, 1.31-6.41) and being a substance user (AOR = 2. 16; 95 % CI, 1.18-3.96) were significantly associated with injury.

Conclusion: The prevalence of injury was high. Being male, age 20 to 44 years, income < 34.2 USD, being a daily laborer, being a farmer and alcohol use were factors associated with injury. Hence, appropriate injury prevention strategy should be designed in order to lessen the magnitude of injury.

Figures

Fig. 1
Fig. 1
Mechanism of injury in patients visiting the emergency department of Amhara regional state referral hospitals, 2014 (n = 230)
Fig. 2
Fig. 2
Type of care given prior to arrival to referral hospital among patients visiting the emergency department of Amhara region referral hospitals, 2014, (n = 230)

References

    1. World Health Organization: Health status ; 2012.
    1. El Tayeb EI, Abdalla S, Morkve O, Heuch I, Van den Bergh G. Injuries in Khartoum state, the Sudan: a household survey of incidence and risk factors. International journal of injury control and safety promotion. 2014;21(2):144-53. Epub 2013/05/10.
    1. World health organization. The global burden of disease. 2008.
    1. World health organization. The magnitude and causes of injury. Injuries and violence the fact sheet. 2004.
    1. World health organization. Burden: mortality, morbidity and risk factors. 2008.
    1. Lu T, Hsiao A, Chang P, Chao Y, Hsu C, Peng H, et al. Counting injury deaths: a comparison of two definitions and two countries. Injury prevention : Journal of the International Society for Child and Adolescent Injury Prevention. 2015;21(1):127-32. Epub 2013/12/19.
    1. Swart L, Niekerk A, Seedat M. Paraprofessional home visitation program to prevent childhood unintentional injuries in low-income communities: a cluster randomized controlled trial. Inj Prev. 2008;14(3):164–169. doi: 10.1136/ip.2007.016832.
    1. Moshiro C, Heuch I, Astrom A, Setel P, Hemed Y, Kvale G. Injury morbidity in an urban and a rural area in Tanzania: an epidemiological survey. BMC public health. 2005;5:11. Epub 2005/02/01.
    1. Tsegaye F, Abdella K, Ahmed E, Tadesse T, Bartolomeos K. Pattern of Fatal Injuries in Addis Ababa, Ethiopia: A One-year Audit. East and Central African Journal of Surgery 2010;15(2):10-7.
    1. Awoke T, Assefa G, Berhanu Z. Pattern magnitude and associated factors of injury. University of Gondar: Twenty third annual conference; 2013. p. 32.
    1. Brindis D, Jane P, Teresa V, Caron M, Rebecca M. The National Initiative to Improve Adolescent Health by the Year 2010. Improving the Health of Adolescents & Young Adults: A Guide for States and Communities. 2004.
    1. Osman M, Kebede Y, Anberbir S. Magnitude and pattern of injuries in North Gondar Administrative zone, North West Ethiopia. Ethiop Med J. 2003;41:213–220.
    1. International Labor Organization . Estimating the Economic Costs of Occupational Injuries and Illnesses in Developing Countries: Essential Information for Decision-Makers. Geneva: European Union, ILO; 2012.
    1. CSA. Ethiopian Housing and Population Survey. 2007.
    1. Woldemichael K, Berhanu N. Magnitude and pattern of injury in Jimma University specialized hospital, South west ethiopia. Ethiopian journal of health sciences. 2011;21(3):155–165.
    1. Zimmerman K, Mzige AA, Kibatala PL, et al. Road traffic injury incidence and crash characteristics in Dare salaam: A population based study. Accid Anal Prev. 2011;7:204–210.
    1. Chichom M, Etoundi M, Azabji K, Juillard C, Stevens K. Hospital-based injury data from level III institution in Cameroon: retrospective analysis of the present registration system. Injury. 2013;44(1):139-43. Epub 2011/11/22.
    1. Mutto M, Lawoko S, Nansamba C, Ovuga E, Svanstrom L. Unintentional childhood injury patterns, odds, and outcomes in Kampala City: an analysis of surveillance data from the National Pediatric Emergency Unit. Journal of injury & violence research. 2011;3(1):13-8. Epub 2011/04/13.
    1. Tadesse B, Tekilu S, Nega B, Seyoum N. Pattern of Injury and Associated Variables as Seen in the Emergency Department at Tikur Anbessa Specialized Referral Hospital, Addis Ababa, Ethiopia. East Cent Afr J surg. 2014;19(1):73-82.
    1. Wolde A, Abdella K, Ahmed E, Tsegaye F, Babaniyi O, Kobusingye O, et al. Pattern of Injuries in Addis Ababa, Ethiopia: A One-year Descriptive Study. East and Central African Journal of Surgery. 2008;13(2):14-22.
    1. Bener A, Abdulrahman YS, Abdelaleem EY, Khalid MK. Trends and characteristics of injuries in the State of Qatar: hospital-based study. Int J Inj Contr Saf Promot. 2012;19(4):368–372. doi: 10.1080/17457300.2012.656314.
    1. Woldemichael K, Berhanu N. Magnitude and Pattern of Injury in Jimma University Specialized Hospital, South West Ethiopia. Ethiop J Health Sci. 2011;21(3):155–165.
    1. Woldemichael K, Tessema F, Sena L., Sofonias G, Abdella K. Community based survey of injury in Jimma zone, North west Ethiopia. Ethiopian journal of health sciences. 2008;17(4):179-88.
    1. Prekker ME, James RM, Erik GR, Michelle HB. The prevalence of injury of any type in an urban emergency department population. Lippincott WiliamsandWilkins. 2009;66(6):1688–1695.
    1. Gemplers. Stress Leads to Illness and Injury. TailgaTraining Tips Sheet [Internet]. 2009.
    1. WHO. Contry profiles African Region. 2004.
    1. Pickett W, Molcho M, Simpson K, Janssen I, Kuntsche E, Mazur J, et al. Cross national study of injury and social determinants in adolescents. Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention. 2005;11(4):213-8. Epub 2005/08/06.

Source: PubMed

3
Subscribe