Abstract:
Abstract
Background: Traumatic injuries represent a vital and growing illness burden in the
developing world, and currently represent one in every of the leading causes of death in
economically active adults in several low- and middle-income countries. However; the pattern,
outcome and associated factors of injury is vary from setup to set up even in the same setup at
different period of time and understudied.
Objective: To assess pattern, outcome and associated factors of injury among trauma patients
visiting surgical emergency department at University of Gondar comprehensive and specialized
hospital, 2021.
Methods: Institutional-based Cross-sectional study design was conducted from January 9, 2019
to January 8, 2021 in University of Gondar Comprehensive Specialized Hospital. Single
population formula was used to determine sample size. Simple random sampling technique was
used to extract 386 injured patient’s charts, pretested and structured checklist were used to
collect the datum from trauma registry logbook. Data were entered into epi-data version 4.6
statistical software and exported to STATA version 14.1statistical software for analysis.
Variables with p -value of less than 0.25 in the bi-variable binary logistic regression analysis
were considered for the multivariable binary logistic regression analysis. In the multivariable
binary logistic regression analysis, the Adjusted Odds Ratio (AOR) with the 95% Confidence
Interval (CI) were reported to declare the statistical significance and strength of association
between the dependent and independent variables. Hosmer-Lemeshow test was used to assess
the model fitness and the model was fitted (p-value>0.05).
Result: In this study, 13.99% died during the study period (95% CI: 10%, 17%). The majority
(81.09%) of patients were males and the median age was 28 (IQR20-39) years. The commonest
mechanism of injury was assault 62.44%, followed by road traffic accident, 26.17%. In
multivariable logistic regression analysis, Glasgow Coma Scale (GCS) (AOR =6.6; 95% CI:
2.6-16.4), length of Stay (LOS) (AOR=2.8; 95% CI: 1.2-6.2), time of arrival (AOR=0.15; 95%
CI :( 0.06-0.37), and region of the body injured (AOR=6.3; 95% CI: 1.3-28.5) were
significantly associated with mortality in a patient with injur
