Patterns of trauma and its management outcoms among trauma victims managed as in- patients at st- lukas catholic hospital in 2016.

Abstract

Back-ground:-Trauma is a common event in Ethiopia and is the primary reason for an emergency hospital visit as well as is from the most admitted patient as in- patient in orthopedic and surgical wards in Woliso St. Lukas catholic hospital. Trauma is the cause of many people life lost, disability and economic lost. So this retrospective study was to describe the pattern and management outcome of trauma at St. Lukas Catholic hospital in 2016. Methods:-A retrospective cross-sectional study was undertaken in Woliso St. Lukas catholic hospital. A total of 384 trauma victims who were admitted to the hospital were selected by systematic sampling method. The data was collected from patients medical records by trained persons with well formatted questioners and the data had been checked for its completeness entered, edited, cleaned and analyzed using SPSS version 16.0. Results;-Out of 384 studied population males accounted 301(78.4%) and females 83(21.6%) that gives male to female ratio 3.5:1. The affected peak age group was 30 to 64years old accounted 133(34.6%), followed by 15 to 29 years 126(32.8%). Victims those from urbanaccounted that 199(51.8%) &rural 185(49.2%).The commonest mechanism of injury was road traffic accident 148(38.5%), followed by homicide/violence 105(26.6%). Fracture/dislocation 197(51.3%) was the leading outcome injury followed by blunt injury93(24.8%). Extremities were the most injured region 210(54.7%) followed by head & neck 99(25.2%). Most patients 233(60.7%) stayed in the hospital for less than 1 week and the mean hospital stay 8.3 days.105(27.3%) victims had unfavorable management outcome. Head & neck injury 40% times unfavorable management outcome than multiple organ injury (AOR=0.4; 95%CI=0.17, 0.9 and blunt trauma had 7.4 time unfavorable management outcome than skin laceration/contusion. Conclusion:-The most common cause of trauma was road traffic accident and homicide/violence that can be preventable with appropriate public awareness creation and education. Economically active age group of the population was mainly vulnerable and males were more than three times affected than females; in-spite of this, it is obvious to estimate how much trauma affect economically, politically, and socially. Injuries are neglected health problem in developing countries like Ethiopia, so to overcome the problems to trauma it needs attention and the commitment of concerned body.