Wubetie, Andualem (2015) Reaserch Thesis on Assessment of Injury Characteristics and Outcome of Fall Down Accident among Victims at Adult Emergency Department of Tikur Anbesa Specialized Hospital, Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
BACK GROUND:- Fall down accident is a major public health problem worldwide. It is the second leading cause of unintentional injury death, after road traffic injuries with annual estimation of 424 000 fatal falls. Over 80% of fall-related fatalities occur in low- and middle-income countries accounting over two third of these deaths. Though not fatal, approximately 37.3 million falls are severe enough to require medical attention occur each year. These falls are accounted for over 17 million disability-adjusted life years (DALYs) lost. (2) Statement of problems:. According to the World Health Organization, over 91% of unintentional injury deaths and 94% of DALYs lost in LMIC in 2004. The highest injury burden often occurs in those countries with the weakest evidence to guide intervention strategies, the fewest resources, and the least developed infrastructure to effect change. Rapid urbanization and industrialization and also co morbidities are major risk factors. Fall down accident stastics in Ethiopia provides little knowledge about its magnitude and related information needed for prevention. Significance of the study:- This study will help to gain information about the fall down accident characteristics and its burden related with major factors in the area of study and the country at large. It could help to develop countermeasures that could reduce the number and severity of accidents. In addition, the study may provide base line information to carry out further research. Objective: To assess injury characteristics and outcome of fall down accidents among trauma patients at adult emergency department of Tikur Anbesa Specialized Hospital Addis Ababa, Ethiopia from Jan-Mar, 2015.. Methodology: A prospective hospital based descriptive quantitative study was undertaken. A total of 233 fall down accident victims who visited the hospital between January and March 2015 were studied. A structured pre-tested interview questionnaire format was applied. The collected data were analyzed using SPSS version 20.0 Results 1124 (45.5%) were trauma patient from 2469 patients and 233 fall down accident victims were studied from 252 victims. Males were most affected gender accounted 179(76.8%) from of the 233 study participants. The patients’ age ranged from 13 to 82 years and the dominant age group is from 21-30(33.5%). Students and government workers were the most affected social groups accounted for 41(17.6%), 38(16.3%) respectively. Majority of the victims were injured while walking 100 (42.9%) and next to that working activities accounted 86(36.9%). Obstacle objects was the most common factor for the majority of the accident 68(29.6).Musculoskeletal and head were the most injured body site 135(57.9%) and 54(23.2%) respectively. Lower limb fracture were the leading types of fracture61(26.2%). The overall length of hospital stay ranged from 1 day to 65 days with a mean of 5 days. The disability and mortality rate were 43(18.5%),8(3.4% respectively. Conclusion Economically active age group of the population was main victims of the accident and males were more than three times affected than females. Students and government employers were most affected social groups. The victims were injured mostly during walking and at work place. Musculoskeletal and head were the most injured body site and lower limb fracture were the leading types of fracture . Disability was the most outcome of this study.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Fall down accident, injury characteristics, outcome, Tikur Anbesa specialized hospital |
| Subjects: | Q Science > Q Science (General) R Medicine > RA Public aspects of medicine > RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 29 Jun 2018 14:05 |
| Last Modified: | 29 Jun 2018 14:05 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6317 |
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