• Fasika Amdeslasie Gebrekirkos Mekele University, College of health Sciences, Department of Surgery
  • Mizan Kidanu
  • Anteneh Tadesse
  • Wondwosen Lerebo


Background: Head Injury is one of the most common reasons for patient  admission and death in a trauma setting. Trauma is one of the major burdens on our health system. Although there are some studies done on head injury patterns elsewhere in the country and in the world, there is no study done in Mekele. Anecdotal evidence shows that we are having a significant number of patients with head injury. Characterizing the pattern of head injury will help plan preventive measures. The objective of this study was to assess the burden of head injury admissions and operations in Ayder Referral Hospital.Methods: Record review was conducted on charts of patients admitted to the surgical ward with a diagnosis of head injury. The study was conducted in Ayder Referral Hospital Department of Surgery and included charts of patients who were seen from January, 2011 to December, 2014 using a structured questionnaire. The collected data were analyzed using SPSS version 16.Results: A total of 750 records were analyzed. The gender distribution is 598 males to 152 females, making the male to female ratio 4:1. The most commonly affected age group was from 6-25 years. A total of 422 (56.3 %) of the head injury patients came from the urban area. The causes of the head injury were fall down accident  in 41.9%, interpersonal violence in 24.8%, and road traffic accident (RTA) in 24.9 %. Of the 187 RTA cases 102 were pedestrians and 84 were vehicle occupants.Conclusion: Head injury is causing significant morbidity and mortality. The young and male are commonly affected. Interpersonal violence is a neglected cause of head injury that needs to be addressed.


Key words: head injury, road traffic accident, violence


Author Biography

Fasika Amdeslasie Gebrekirkos, Mekele University, College of health Sciences, Department of Surgery

Assistant Professor, and head of Medical Education Unit


Hyder AA, Wunderlich CA, Puvanachandra P, Gururaj G, Olive C. Kobusingye OC. The impact of traumatic brain injuries: A global perspective Neuro Rehabilitation 2007;22(5):341-53.

Coronado VG, Xu L, Basavaraju SV, McGuire LC, Wald MM, Faul MD, Guzman BR, Hemphill JD. Surveilance for Traumatic Brain Injury related Deaths United States, 1997-2007, CDC, Morbidity and Mortality Weekly Report (MMWR) May 6, 2011.

Aenderl I, Gashaw T, Siebeck M, Mutschler W. Head Injury-A Neglected Public Health Problem: A four-Month Prospective Study At Jimma University Specialized Hospital, Ethiopia. Ethiop J Health Sci. 2014; 24(1): 27–34.

Woldemichael K, Berhanu N. Magnitude And Pattern Of Injury In Jimma University Specialized Hospital, South West Ethiopia. Ethiop J Health Sci. 2011;21(3): 155–65.

Adem A, Abebe A, Abdurahman M. Pattern of surgical admissions to Tikur Anbessa Hospital, Addis Ababa, Ethiopia. East Cent Afr J Surg 2001; 6(1):31-34.

Nell V, Brown DSO. Epidemiology of traumatic brain injury in Johannesburg-II. Morbidity, mortality and etiology. Soc Sci Med 1991;33(3):289-96.

Abebe M, Munie T, Lende G, Bekele A. Pattern of Neurosurgical Procedures in Ethiopia: Experience from Two Major Neurosurgical Centres in Addis Ababa, East Cent Afr J Surg 2011;16(1):104-10.

Corrigan JD, Selassie AW, Orman JA, The epidemiology of traumatic brain injury. J Head Trauma Rehabil. 2010;25(2):72-80.

Bruns J Jr, Hauser WA. The epidemiology of traumatic brain injury: a review. Epilepsia.2003;44 Suppl 10:2-10.

Masson F, Thicoipe M, Aye P, Mokni T, Senjean P, Schmitt V, Dessalles PH, Cazaugade M, Labadens P; Aquitaine Group for Severe Brain Injuries Study. Epidemiology of severe brain injuries: a prospective population-based study. J Trauma 2001;51(3):481-9.

Kool B, Raj N, Wainiqolo I, Kafoa B, McCaig E, Ameratunga S. Hospitalised and Fatal Head Injuries in Viti Levu, Fiji: Findings from an Island-Wide Trauma Registry (TRIP 4). Neuroepidemiology 2012;38:179–85.

Wu X, Hu J, Zhuo L, Fu C, Hui G, Wang Y, Yang W, Teng L, Lu S, Xu G. Epidemiology of traumatic brain injury in eastern China, 2004: a prospective large case study. J Trauma. 2008 May;64(5):1313-9.

CDC, TBI: Get the Facts, http://www.cdc.gov/traumaticbraininjury/get_the_facts.html, Accessed on 6/25/2016.

Bener A, Rahman YS, Mitra B. Incidence and severity of head and neck injuries in victims of road traffic crashes: In an economically developed country. Int Emerg Nurs. 2009;17(1):52-9.

Baldo V, Marcolongo A, Floreani A, Majori S, Cristofolettil M, Dal Zotto A, Vazzoler G, Trivello R. Epidemiological aspect of traumatic brain injury in Northeast Italy. Eur J Epidemiol. 2003;18(11):1059-63.

Percent Distributions of TBI-related Hospitalizations by Age Group and Injury Mechanism-United States, 2006–2010, http://www.cdc.gov/traumaticbraininjury/data/dist_hosp.html, Accessed on 6/25/2016.

Thurman DJ, Alverson C, Dunn KA, Guerrero J, Sniezek JE. Traumatic brain injury in the United States: A public health perspective. J Head Trauma Rehabil. 1999 Dec;14(6):602-15.

Tagliaferri F, Compagnone C, Korsic M, Servadei F, Kraus J. A systematic review of brain injury epidemiology in Europe. Acta Neurochir (Wien). 2006;148(3):255-68.

Bener A, Omar AO, Ahmad AE, Al-Mulla FH, Abdul Rahman YS. The pattern of traumatic brain injuries: a country undergoing rapid development. Brain Inj. 2010;24(2):74-80.






Original Article