1887
Volume 2024, Issue 3
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Globally, road traffic accidents cause around 50 million injuries and disabilities and close to 1.35 million deaths every year. In Ethiopia, approximately five thousand deaths are estimated to occur annually due to road traffic accidents. However, there is limited data on the precise burden of the problem in Ethiopia. This study aimed to assess the magnitude of road traffic accidents and associated factors among traumatized patients who visited the emergency units of selected public hospitals in Addis Ababa, Ethiopia.

A facility-based cross-sectional study design was conducted on 381 trauma patients who visited the emergency department of three public hospitals in Addis Ababa between June 1 and July 12, 2022. The data were collected using a structured questionnaire, entered into Epi-data, and exported to SPSS for statistical analysis. A logistic regression model was used to identify factors contributing to road traffic accidents at a significant level of P < 0.05.

The majority of participants were males (73.5%), between 20 and 39 years old (65.1%), and married (45.7%). The prevalence of road traffic accidents among traumatized patients was 37.3% (95% CI: 32.5, 42.3) in public hospitals in Addis Ababa. After adjusting for potential confounders, being male [AOR (95% CI) = 2.77 (1.6, 4.8)], traveling in the afternoon [AOR (95% CI) = 0.6 (0.3, 0.9)], and alcohol-drinking before travel [AOR (95% CI) = 2.50 (1.6, 4.0)] were factors contributing to road traffic accidents.

The prevalence of road traffic accidents was very high in Addis Ababa public hospitals. Being male, traveling in the afternoon, and drinking alcohol before travel were significantly associated with an increased risk of road traffic accidents. Community awareness creation, strict traffic flow control in the morning, and alcohol breath tests will ultimately decrease road traffic accidents. In the meantime, expansion and strengthening of pre-hospital care and post-crash trauma care services.

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2024-02-26
2024-07-22
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References

  1. Global status report on road safety 2018 [Internet]. World Health Organization; [cited 2023 Jan 1]. Available from: https://www.who.int/publications/i/item/9789241565684
    [Google Scholar]
  2. Demisse A, Shore H, Ayana GM, Negash B, Raru TB, Merga BT, et al. Magnitude of death and associated factors among road traffic injury victims admitted to emergency outpatient departments of public and private hospitals at Adama Town, East Shewa Zone, Ethiopia. SAGE Open Med. 2021 Nov 23; 9::20503121211060203. doi: 10.1177/20503121211060203.
    [Google Scholar]
  3. Deme D. Review on factors causes road traffic accident in Africa. J Civ Eng Res Technol. 2019; 1:(1):103.
    [Google Scholar]
  4. Ishrat R. Global status report on road safety 2018: summary [Internet]. World Health Organization, 2018. Available from: http://apps.who.int/bookorders
    [Google Scholar]
  5. Global action plan on physical activity 2018–2030: More active people for a healthier world [Internet]. World Health Organization; [cited 2023 Jan 15]. Available from: https://www.who.int/publications/i/item/9789241514187
    [Google Scholar]
  6. Delamou A, Kourouma K, Camara BS, Kolie D, Grovogui FM, El Ayadi AM, et al. Motorcycle Accidents and Their Outcomes amongst Victims Admitted to Health Facilities in Guinea: A Cross-Sectional Study. Adv Prev Med. 2020 Jun 22; 2020::1506148. doi: 10.1155/2020/1506148.
    [Google Scholar]
  7. Road safety [Internet]. World Health Organization; [cited 2023 Jan 15]. Available from: https://www.who.int/health-topics/road-safety#tab=tab_1
    [Google Scholar]
  8. Mohtasham-Amiri Z, Dastgiri S, Davoudi-Kiakalyeh A, Imani A, Mollarahimi K. An Epidemiological Study of Road Traffic Accidents in Guilan Province, Northern Iran in 2012. Bull Emerg Trauma. 2016 Oct; 4:(4):230-235.
    [Google Scholar]
  9. Mekonnen TH, Tesfaye YA, Moges HG, Gebremedin RB. Factors associated with risky driving behaviors for road traffic crashes among professional car drivers in Bahirdar city, northwest Ethiopia, 2016: a cross-sectional study. Environ Health Prev Med. 2019 Mar 9; 24:(1):17. doi: 10.1186/s12199-019-0772-1.
    [Google Scholar]
  10. Oltaye Z, Geja E, Tadele A. Prevalence of Motorcycle Accidents and Its Associated Factors Among Road Traffic Accident Patients in Hawassa University Comprehensive Specialized Hospital, 2019. Open Access Emerg Med. 2021 Jun 8; 13::213-220. doi: 10.2147/OAEM.S291510.
    [Google Scholar]
  11. Seid M, Azazh A, Enquselassie F, Yisma E. Injury characteristics and outcome of road traffic accident among victims at Adult Emergency Department of Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia: a prospective hospital based study. BMC Emerg Med. 2015 May 20; 15::10. doi: 10.1186/s12873-015-0035-4.
    [Google Scholar]
  12. Bashah DT, Dachew BA, Tiruneh BT. Prevalence of injury and associated factors among patients visiting the Emergency Departments of Amhara Regional State Referral Hospitals, Ethiopia: a cross-sectional study. BMC Emerg Med. 2015 Aug 25; 15::20. doi: 10.1186/s12873-015-0044-3.
    [Google Scholar]
  13. Geleta D, Adem H, Kumsa F, Demena M, Gobena TJEAJoH, Sciences B. Road traffic accidents fatality and associated factors in Southwest Shoa, central Ethiopia. East African Journal of Health and Biomedical Sciences. 2020; 4:(1):35-46.
    [Google Scholar]
  14. Seife H, Teffera EJE, Surgery CAJo. Epidemiology of road traffic accidents-A prospective study at a tertiary university hospital in Addis Ababa Ethiopia. East and Central African Journal of Surgery. 2015; 20:(1):3-9.
    [Google Scholar]
  15. Woyessa AH, Heyi WD, Ture NH, Moti BK. Patterns of road traffic accident, nature of related injuries, and post-crash outcome determinants in western Ethiopia - a hospital based study. Afr J Emerg Med. 2021 Mar; 11:(1):123-131. doi: 10.1016/j.afjem.2020.09.008.
    [Google Scholar]
  16. Global status report on road safety 2018: Summary [Internet]. World Health Organization; [cited 2023 Jan 15]. Available from: https://www.who.int/publications/i/item/WHO-NMH-NVI-18.20
    [Google Scholar]
  17. Tadege M. Determinants of fatal car accident risk in Finote Selam town, Northwest Ethiopia. BMC Public Health. 2020 May 6; 20:(1):624. doi: 10.1186/s12889-020-08760-z.
    [Google Scholar]
  18. Aliyu AS, Umar NY, Sani FA, Mohammed H. Epidemiological Study on the Preva-lence of Road Traffic Accident and Associated Risk Factors among Drivers in Bauchi State, Nigeria. American Journal of Surgery and Clinical Case Reports. 2021; 3:(8):1-8.
    [Google Scholar]
  19. Honelgn A, Wuletaw TJP-CM. Road traffic accident and associated factors among traumatized patients at the emergency department of University of Gondar Comprehensive Teaching and Referral Hospital. PAMJ Clinical Medicine. 2020; 4:(9). doi:10.11604/pamj-cm.2020.4.9.24507.
    [Google Scholar]
  20. Ngari PM. Prevalence and Factors Associated with Commercial Motorcycle Accidents in Embu County, Kenya [thesis]. COHES Digital Repository; 2020.
    [Google Scholar]
  21. Gebresenbet RF, Aliyu AD. Injury severity level and associated factors among road traffic accident victims attending emergency department of Tirunesh Beijing Hospital, Addis Ababa, Ethiopia: A cross sectional hospital-based study. PLoS One. 2019 Sep 26; 14:(9):e0222793. doi: 10.1371/journal.pone.0222793.
    [Google Scholar]
  22. Tiruneh BT, Dachew BA, Bifftu BB. Incidence of Road Traffic Injury and Associated Factors among Patients Visiting the Emergency Department of Tikur Anbessa Specialized Teaching Hospital, Addis Ababa, Ethiopia. Emerg Med Int. 2014; 2014::439818. doi: 10.1155/2014/439818.
    [Google Scholar]
  23. Baru A, Azazh A, Beza L. Injury severity levels and associated factors among road traffic collision victims referred to emergency departments of selected public hospitals in Addis Ababa, Ethiopia: the study based on the Haddon matrix. BMC Emerg Med. 2019 Jan 3; 19:(1):2. doi: 10.1186/s12873-018-0206-1.
    [Google Scholar]
  24. Injury surveillance guidelines [Internet]. World Health Organization; 2001 [cited 2023 Feb 15]. Available from: https://www.who.int/publications/i/item/9241591331
    [Google Scholar]
  25. Mathew G, Agha R, Albrecht J, Goel P, Mukherjee I, Pai P, et al. STROCSS 2021: Strengthening the reporting of cohort, cross-sectional and case-control studies in surgery. Int J Surg. 2021 Dec; 96::106165. doi: 10.1016/j.ijsu.2021.106165.
    [Google Scholar]
  26. Browse the registry [Internet]. [cited 2023 Feb 15]. Available from: https://www.researchregistry.com/browse-the-registry#home/
  27. Konlan KD, Doat AR, Mohammed I, Amoah RM, Saah JA, Konlan KD, et al. Prevalence and Pattern of Road Traffic Accidents among Commercial Motorcyclists in the Central Tongu District, Ghana. ScientificWorldJournal. 2020 Jun 1; 2020::9493718. doi: 10.1155/2020/9493718.
    [Google Scholar]
  28. Asefa NG, Ingale L, Shumey A, Yang H. Prevalence and factors associated with road traffic crash among taxi drivers in Mekelle town, northern Ethiopia, 2014: a cross sectional study. PLoS One. 2015 Mar 17; 10:(3):e0118675. doi: 10.1371/journal.pone.0118675.
    [Google Scholar]
  29. Duko B, Tadesse F, Oltaye Z. Patterns of road traffic injury and potential consequences among patients visiting Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia. BMC Res Notes. 2019 Mar 29; 12:(1):186. doi: 10.1186/s13104-019-4192-5.
    [Google Scholar]
  30. Misker D, Tunje A, Mengistu A, Abera F, Yalelet M, Gebrie MJIJPHS. Magnitude and factors associated with road traffic accident among traumatized patients in Arba Minch General hospital, 2017. Int J Pub Health Safe. 2017; 2:(3):127.
    [Google Scholar]
  31. Cullen P, Möller H, Woodward M, Senserrick T, Boufous S, Rogers K, et al. Are there sex differences in crash and crash-related injury between men and women? A 13-year cohort study of young drivers in Australia. SSM Popul Health. 2021 May 12; 14::100816. doi: 10.1016/j.ssmph.2021.100816.
    [Google Scholar]
  32. Singh A, Bhardwaj A, Pathak R, Ahluwalia SJIJoCH. An epidemiological study of road traffic accident cases at a tertiary care hospital in rural Haryana. Indian Journal of Community Health. 2011; 23:(2):53-5.
    [Google Scholar]
  33. Farooqui JM, Chavan KD, Bangal RS, Syed MM, Thacker PJ, Alam S, et al. Pattern of injury in fatal road traffic accidents in a rural area of western Maharashtra, India. Australas Med J. 2013 Sep 30; 6:(9):476-82. doi: 10.4066/AMJ.2013.1839.
    [Google Scholar]
  34. Bayan P, Bhawalkar JS, Jadhav SL, Banerjee A. Profile of non-fatal injuries due to road traffic accidents from a industrial town in India. Int J Crit Illn Inj Sci. 2013 Jan; 3:(1):8-11. doi: 10.4103/2229-5151.109409.
    [Google Scholar]
  35. Bogstrand ST, Gjerde H, Normann PT, Rossow I, Ekeberg Ø. Alcohol, psychoactive substances and non-fatal road traffic accidents--a case-control study. BMC Public Health. 2012 Sep 3; 12::734. doi: 10.1186/1471-2458-12-734.
    [Google Scholar]
  36. Esmaeilnejad-Ganji SM, Karimi Nasab MHJIJoMI. Risk factors for fatal traffic accidents: A narrative review. Int J Med Invest. 2019; 8:(1):1-9.
    [Google Scholar]
  37. Al-Abdallat IM, Al Ali R, Hudaib AA, Salameh GA, Salameh RJ, Idhair AK. The prevalence of alcohol and psychotropic drugs in fatalities of road-traffic accidents in Jordan during 2008-2014. J Forensic Leg Med. 2016 Apr; 39::130-4. doi: 10.1016/j.jflm.2016.01.018.
    [Google Scholar]
  38. Gicquel L, Ordonneau P, Blot E, Toillon C, Ingrand P, Romo L. Description of Various Factors Contributing to Traffic Accidents in Youth and Measures Proposed to Alleviate Recurrence. Front Psychiatry. 2017 Jun 1; 8::94. doi: 10.3389/fpsyt.2017.00094.
    [Google Scholar]
  39. Papalimperi AH, Athanaselis SA, Mina AD, Papoutsis II, Spiliopoulou CA, Papadodima SA. Incidence of fatalities of road traffic accidents associated with alcohol consumption and the use of psychoactive drugs: A 7-year survey (2011-2017). Exp Ther Med. 2019 Sep; 18:(3):2299-2306. doi: 10.3892/etm.2019.7787.
    [Google Scholar]
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