PDF(Pubmed)
Abstract：
UNASSIGNED: Injury has become a life-threatening community health problem related to vital morbidity and mortality worldwide. Approximately 90% of injury-related deaths occurred in low-income and middle-income countries. There are limited data that address the outcomes of injuries in adult trauma patients at the time of discharge to improve the outcome of trauma care in developing countries, including Ethiopia. Therefore, this study aimed to determine the mortality following injury and its associated factors among adult patients in comprehensive specialized hospitals in Amhara\'s national regional state.
UNASSIGNED: An institution-based cross-sectional study was conducted among 596 adult trauma patients admitted between 1 January 2018 and 30 December 2020. A systematic random sampling technique was employed to select the study participants. Data were collected from patient charts and registry books by using a data extraction tool. Data were entered into Epi-data version 4.6, and analysis was done using Stata version 16. The binary logistic regression model was fitted, and both bi-variable and multi-variable logistic regression analyses were employed.
UNASSIGNED: A total of 581 adult trauma patient charts with a recorded rate of 97.5% were included in the final analysis. The overall mortality outcome of injury at discharge was found to be 8.3% (95% CI: 6-10.5%). Age 26-40 years [adjusted odds ratio (AOR): 3.35 (95% CI: 1.35-8.33)], revised trauma score 10 [AOR: 3.11, (95% CI: 1.39-6.99)], duration of time before arrival in hospital more than 24 h [AOR: 3.61 (95% CI: 1.18-11.02)], and surgical management in hospital [AOR: 0.25 (95% CI: 0.12-0.54)] were predictors of mortality in patients with injuries.
UNASSIGNED: In this study, the mortality outcome of injury is considerably high, and the middle age group, late presentation to the hospital, lower revised trauma score, and surgical management were significantly associated with the mortality outcome of injury on discharge from the hospital. Therefore, it is better if clinicians emphasize traumatically injured patients, especially for middle age groups, and lower revised trauma scores.
UNASSIGNED: An institution-based cross-sectional study was conducted among 596 adult trauma patients admitted between 1 January 2018 and 30 December 2020. A systematic random sampling technique was employed to select the study participants. Data were collected from patient charts and registry books by using a data extraction tool. Data were entered into Epi-data version 4.6, and analysis was done using Stata version 16. The binary logistic regression model was fitted, and both bi-variable and multi-variable logistic regression analyses were employed.
UNASSIGNED: A total of 581 adult trauma patient charts with a recorded rate of 97.5% were included in the final analysis. The overall mortality outcome of injury at discharge was found to be 8.3% (95% CI: 6-10.5%). Age 26-40 years [adjusted odds ratio (AOR): 3.35 (95% CI: 1.35-8.33)], revised trauma score 10 [AOR: 3.11, (95% CI: 1.39-6.99)], duration of time before arrival in hospital more than 24 h [AOR: 3.61 (95% CI: 1.18-11.02)], and surgical management in hospital [AOR: 0.25 (95% CI: 0.12-0.54)] were predictors of mortality in patients with injuries.
UNASSIGNED: In this study, the mortality outcome of injury is considerably high, and the middle age group, late presentation to the hospital, lower revised trauma score, and surgical management were significantly associated with the mortality outcome of injury on discharge from the hospital. Therefore, it is better if clinicians emphasize traumatically injured patients, especially for middle age groups, and lower revised trauma scores.
摘要：
伤害已成为威胁生命的社区健康问题，与世界范围内的重要发病率和死亡率有关。大约90%的伤害相关死亡发生在低收入和中等收入国家。有有限的数据来解决成年创伤患者在出院时的损伤结果，以改善发展中国家的创伤护理结果，包括埃塞俄比亚。因此,本研究旨在确定阿姆哈拉州地区综合性专科医院成年患者受伤后的死亡率及其相关因素。
对2018年1月1日至2020年12月30日期间收治的596名成人创伤患者进行了一项基于机构的横断面研究。采用系统随机抽样技术选择研究参与者。通过使用数据提取工具从患者图表和注册表中收集数据。将数据输入到Epi-data版本4.6中，并使用Stata版本16进行分析。拟合二元Logistic回归模型，采用双变量和多变量逻辑回归分析。
■最终分析包括581例成人创伤患者图，记录率为97.5％。出院时损伤的总死亡率为8.3％（95％CI：6-10.5％）。年龄26-40岁[调整后优势比（AOR）：3.35（95％CI：1.35-8.33）]，修正后的创伤评分10[AOR：3.11，（95%CI：1.39-6.99）]，到达医院之前的持续时间超过24小时[AOR：3.61（95％CI：1.18-11.02）]，和医院手术治疗[AOR:0.25(95%CI:0.12-0.54)]是损伤患者死亡率的预测因子.
■在这项研究中，伤害的死亡率相当高，和中年群体，迟到医院，较低的修正创伤评分,和手术治疗与出院时损伤的死亡结局显著相关.因此,如果临床医生强调受伤的病人会更好，特别是对于中年群体，和较低的修正创伤评分。
对2018年1月1日至2020年12月30日期间收治的596名成人创伤患者进行了一项基于机构的横断面研究。采用系统随机抽样技术选择研究参与者。通过使用数据提取工具从患者图表和注册表中收集数据。将数据输入到Epi-data版本4.6中，并使用Stata版本16进行分析。拟合二元Logistic回归模型，采用双变量和多变量逻辑回归分析。
■最终分析包括581例成人创伤患者图，记录率为97.5％。出院时损伤的总死亡率为8.3％（95％CI：6-10.5％）。年龄26-40岁[调整后优势比（AOR）：3.35（95％CI：1.35-8.33）]，修正后的创伤评分10[AOR：3.11，（95%CI：1.39-6.99）]，到达医院之前的持续时间超过24小时[AOR：3.61（95％CI：1.18-11.02）]，和医院手术治疗[AOR:0.25(95%CI:0.12-0.54)]是损伤患者死亡率的预测因子.
■在这项研究中，伤害的死亡率相当高，和中年群体，迟到医院，较低的修正创伤评分,和手术治疗与出院时损伤的死亡结局显著相关.因此,如果临床医生强调受伤的病人会更好，特别是对于中年群体，和较低的修正创伤评分。
