Trauma care and predictors of mortality at a single-centre trauma hospital in Ethiopia: A prospective observational study

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-08-26 DOI:10.1016/j.ienj.2025.101665

Helina Bogale Abayneh , Stine Engebretsen , Kristin Halvorsen , Stein Ove Danielsen

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引用次数: 0

Abstract

Introduction

Trauma accounts for 11 % of the total global burden of disease and is the leading cause of death in individuals under 40 years of age. Ethiopia faces a substantial task in establishing well-equipped and sufficiently staffed emergency departments. Moreover, current research in Ethiopia concentrates on trauma epidemiology and specific trauma types to guide evidence-based intervention strategies rather than emphasising trauma care features. Thus, this study aims to explore the trauma care process and investigate the predictors of ED mortality at a single-centre trauma hospital in Ethiopia.

Methods

We conducted a single-centre prospective observational study at Addis Ababa Burn Emergency and Trauma Hospital in Ethiopia. Observations were conducted from November 30, 2022, to May 24, 2023. The study included patients admitted with reported major injuries during the study period. Descriptive statistics and multivariate logistic regression were applied to explore predictors of ED mortality.

Results

The cohort consisted of 425 patients, 73.4 % were male, and the median age was 32 years. Of the patients, 188 (44.4 %) met the criteria for trauma team activation, but none received treatment from such teams. Among the patients in need of emergency procedures, 22.6 % experienced delays within 48 h of observation. Epidural or subdural haematoma was diagnosed in 37.1 % of patients, but fewer patients underwent a craniotomy procedure. A small percentage of patients stayed in the ED for less than 24 h (13.4 %), while ED mortality was 10.4 %. Lower Glasgow Coma Scale, haematoma presence and shorter length of ED stay were associated with increased odds of ED mortality.

Conclusions

Close to half of the participants met the criteria for trauma team activation, but none received treatment from such teams.

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埃塞俄比亚一家单中心创伤医院的创伤护理和死亡率预测因素：一项前瞻性观察研究

创伤占全球疾病总负担的11%，是40岁以下人群死亡的主要原因。埃塞俄比亚在建立设备良好和人员充足的急诊科方面面临着重大任务。此外，埃塞俄比亚目前的研究集中在创伤流行病学和特定的创伤类型上，以指导循证干预策略，而不是强调创伤护理的特点。因此，本研究旨在探讨创伤护理过程，并调查在埃塞俄比亚的单中心创伤医院ED死亡率的预测因素。方法我们在埃塞俄比亚亚的斯亚贝巴烧伤急诊和创伤医院进行了一项单中心前瞻性观察研究。观测时间为2022年11月30日至2023年5月24日。该研究包括在研究期间报告有严重损伤的患者。应用描述性统计和多元逻辑回归探讨ED死亡率的预测因素。结果该队列共纳入425例患者，男性占73.4%，中位年龄32岁。其中188例（44.4%）患者符合创伤小组激活标准，但没有人接受过创伤小组的治疗。在需要急诊治疗的患者中，22.6%的患者在观察后48小时内出现延误。37.1%的患者被诊断为硬膜外或硬膜下血肿，但很少有患者接受开颅手术。一小部分患者在急诊科停留时间少于24小时（13.4%），而急诊科死亡率为10.4%。较低的格拉斯哥昏迷评分、血肿的存在和较短的ED住院时间与ED死亡率的增加有关。结论接近一半的参与者符合创伤小组激活的标准，但没有人接受过创伤小组的治疗。

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.