MORTALITY RATE AND FACTORS ASSOCIATED WITH DEATH IN TRAUMATIC CHEST INJURY PATIENTS AT UNIVERSITY OF GONDAR SPECIALIZED HOSPITAL, NORTHWEST ETHIOPIA, 2020

Abstract

Abstract Introduction: Traumatic chest injury is being responsible for 10%-15% of all trauma-related hospital admissions and 25%-50% of trauma-related deaths across the world. Several predictors have been described for mortality following chest trauma. However, limited studies were available in Ethiopia. Objective: To assess the mortality rate and factors associated with death in traumatic chest injury patients who were admitted at University of Gondar Specialized Hospital between Ju1y1, 2016 to June 30, 2020 G.C Method: A retrospective cross-sectional study was done from Ju1y1, 2016 to June 30, 2020 at University of Gondar Specialized Hospital. Data was collected from patients’ chart. The collected data were entered into Epi-info version 7 and transferred to SPSS version 20.0 for processing and analysis. Multivariable logistic regression was used to show factors associated mortality. P- Value <0.05 was considered statistically significant. Result: A total of 419 patients were included. The mean age was 36.17±15.6 years. 76.6% of victims were male. The majority of patients (55.8%) sustained blunt injuries. Violence (52.5%) was the leading cause of injuries. Hemopneumothorax (27.7.0%), hemothorax (22.9%) rib fractures (17.2%% were the most common type of chest injuries. Associated extra-thoracic injuries were noted in 70.4% of patients. The majority of patients (64.7%) of patients were treated successfully with chest tube. Thirty-five point three had complications of which pneumonia (13.8%) and Atelectasis (12.6%) were common.