Magnitude of Road Traffic Accidental (RTA) Death and Its associated factors among Adult Emergency Visit Patients at ALERT Hospital, A 2 Year Retrospective Review Study

Gemechu Jofiro, Bethelhem Teklu, M. Kumie
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Abstract

  Introduction: In low income countries, Road Traffic Accident (RTA) Death remains high. This describes that RTA are a major public health challenge. And also, the problem is increasing from time to time in resource-limited countries. The most economically active age groups (18-50) are at the greatest risk of dying as a result of RTA. This affects economically, social and political stability of the countries. Therefore, this study aimed to describe the pattern of RTA death and associated factors in the adult emergency department. Methods: A two-year retrospective chart review of RTA injury was conducted at ALERT Hospital. The data were collected by using a structured checklist. Descriptive statistic like frequencies, percentage, means, standard division, and proportion was computed for selected variables using SPSS version 21. Logistic regression was used to predict the measure of association between interest independent variables and death due to RTA injuries. Result: - The proportion rate of RTA death was 27(17.4%) from 155 of RTA injury patients presented Adult Emergency Department of ALERT Hospital. This result translates to a mortality rate of RTA was 34.8 deaths per 1000 patients per year. Multivariate analysis indicated that individuals who drank alcohol while driving were three times more likely to be died in RTA as compared to those who didn’t drink alcohol. And also, victims who had more year of experience in driving been less likely or reduced by a 65% chance of died in RTA than their counter parts. Conclusion: The prevalence of RTA death was high in this study. Use of alcohol while driving and year of experience in driving was most significant associated with road traffic accident-related death. To alleviate these problems awareness creation and measuring blood alcohol content levels and breathe analyzers for the driver during driving is more recommended.  
ALERT医院成人急诊患者道路交通意外死亡程度及其相关因素:一项为期2年的回顾性研究
导言:在低收入国家,道路交通事故死亡率仍然很高。这说明RTA是一项重大的公共卫生挑战。而且,在资源有限的国家,这个问题也在不断加剧。经济最活跃的年龄组(18-50岁)因RTA死亡的风险最大。这影响到各国的经济、社会和政治稳定。因此,本研究旨在描述成人急诊科RTA死亡的模式及其相关因素。方法:对ALERT医院的RTA损伤病例进行为期两年的回顾性分析。使用结构化检查表收集数据。使用SPSS version 21对所选变量进行频率、百分比、均值、标准划分和比例等描述性统计。Logistic回归用于预测利益自变量与RTA损伤死亡之间的相关性。结果:ALERT医院成人急诊科155例RTA损伤患者中,RTA死亡27例(17.4%)。这一结果转化为RTA的死亡率为每年每1000名患者34.8例死亡。多变量分析表明,开车时喝酒的人死于RTA的可能性是不喝酒的人的三倍。而且,有更多年驾驶经验的受害者在RTA中死亡的可能性低于或减少了65%的可能性。结论:本研究RTA死亡率较高。驾驶时饮酒和驾驶经验年数与道路交通事故相关死亡的关系最为显著。为了缓解这些问题,建议驾驶员在驾驶过程中提高意识,测量血液酒精含量水平和呼吸分析仪。
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