HEAD INJURY ADMISSIONS AT A REFERRAL HOSPITAL IN ETHIOPIA
AbstractBackground: 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
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