A RETROSPECTIVE ASSESSMENT OF MAGNITUDE OF ROAD TRAFFIC ACCIDENT ADMISSIONS AND FACTORS ASSOCIATED TREATMENT OUT COME AMONG TRAUMATIZED PATENTS IN SURGICAL AND ORTHOPEDIC WARDS IN GELEMSO GENERAL HOSPITAL, OROMIA REGIONAL STATE, ETHIOPIA

Abstract

Background; Road transportation provides benefits both to nations and to individuals by facilitating the movement of goods and people. It enables increased access for daily living and programs on the country at large. But these increased in access and number of transportation pose a great challenge in the individuals daily activity ranging from minor injury to death and the nation also suffers from lose of productive citizens and economic shift to preventable health activities. Road traffic accidents are a major public health problem in Gelemso general hospital, accounting for 247 (66.6%) of all trauma victims and the result of 24 (9.4%) deaths and 22 (8.9%) disability. Although Road Traffic Accidents has high rate of occurrence resulting in high mortality and morbidity in area, there are less studies done on similar issue in different set ups, but nothing is done in Gelemso General Hospital. Objective; to assess the Magnitude of road traffic accident admissions and factors associated treatment out come in surgical and orthopedic wards in Gelemso General Hospital, Oromia Regional state, Ethiopia, from May 1, 2015 to June 31, 2018 and the data were collected from Jun 20 – Jun 26, 2018. Methodology; Hospital based Retrospective cross sectional study were conducted by using secondary data from different registration books, patient cards and other relevant charts of patients admitted with road traffic accident from May 1, 2015 to jun3 1, 2018. A total of 369 sample sizes were investigating during this study. Collected data were later been entered and analyzed using statistical software package (SPSS ver. 20).Variables with p-value < 0.3 in binary logistic regression analysis was considered to be entered into multivariate logistic regression. Statistical significance was based on a p-value of < 0.05 with a confidence interval of 95 %. Frequency distribution, proportion and other statistical methods and techniques were used to describe and explain results. Finally tables, charts, graphs and other methods like percentile were used to present and appraise results. Result; a total of 369 trauma patient cards was retrieved; from this 247 (66.9%) patens were Road Traffic Accident victim. The majority age group which involved in RTA was from 20-29 and there was male preponderance. Road Traffic Accident results 24 (9.4%) of death and 22 (8.9%) disability. Conclusion & Recommendation; Road traffic accident is an important public health problem accounting for a substantial proportion of all trauma admissions at Gelemso General Hospital. The mean age of the victims was 25.5. The highest numbers of victims (36.8%) were aged between 20- 29 years. Urgent preventive measures targeting at reducing the occurrence of Road Traffic Accidents is necessary to reduce the problem in this region