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Review
. 2019;9(Suppl):S3-S8.
doi: 10.1016/j.afjem.2019.01.013. Epub 2019 Feb 4.

The burden of road traffic injury among trauma patients in Ethiopia: A systematic review and meta-analysis

Aklilu Endalamaw  1 , Yeneabat Birhanu  2 , Animut Alebel  3 , Amare Demsie  1 , Tesfa Dejenie Habtewold  4
Affiliations
Review

The burden of road traffic injury among trauma patients in Ethiopia: A systematic review and meta-analysis

Aklilu Endalamaw et al. Afr J Emerg Med. 2019.

Abstract

Background: Road traffic injury (RTI) is one of the main reasons for trauma-related admission in Ethiopian hospitals. Nationally representative data is needed to develop and implement the public health emergency management strategy. Therefore, this study was aimed to estimate the national pooled prevalence of RTI among trauma patients in Ethiopia.

Methods: PubMed, Excerpta Medica Database (EMBASE), psycEXTRA, and Google Scholar databases were searched. Heterogeneity of studies was assessed using the I2 statistics. Publication bias was checked by using funnel plot and Egger's regression test. The DerSimonian and Laird's random-effects model was used to estimate the pooled prevalence. Subgroup analysis was conducted by age and region. The trend of RTI estimated as well.

Results: The pooled prevalence of RTI among trauma patients in Ethiopia was 31.5% (95% CI: 25.4%, 37.7%). Regional subgroup analysis showed that the pooled prevalence of RTI was 58.3% in the region of southern, nation, nationalities, and peoples (SNNPR) and 33.3% in Addis Ababa. Subgroup analysis based on patients age showed that the pooled prevalence of RTI was 51.7% in adults, 14.2% in children, and 32.6% in all age group. The time-trend analysis has shown an increasing burden of RTI in Ethiopian hospitals.

Conclusion: The burden of RTI among trauma patients was high. Therefore, strengthening road safety management throughout the country is needed to reduce RTI.

Keywords: Ethiopia; Hospitals; Road traffic injury; Trauma patients.

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Figures

Fig. 1
Fig. 1
PRISMA flow chart depicting study selection process.
Fig. 2
Fig. 2
Funnel plot to assess publication bias. The vertical line indicates the effect size whereas the diagonal line indicates precision of individual studies with 95% confidence interval.
Fig. 3
Fig. 3
Forest plot of the prevalence of RTI with its 95% confidence interval. The midpoint of each line illustrates the prevalence rate reported in each study. The diamond shows the pooled prevalence.
Fig. 4
Fig. 4
Forest plot of the prevalence of RTI with its 95% confidence interval based on region where the studies conducted. The midpoint of each line illustrates the prevalence; the horizontal line indicates the confidence interval; and the diamond shows the pooled prevalence.
Fig. 5
Fig. 5
Forest plot of the prevalence of RTI with its 95% confidence interval based on the age of the patients. The midpoint of each line illustrates the prevalence; the horizontal line indicates the confidence interval; and the diamond shows the pooled prevalence.
Fig. 6
Fig. 6
Trend of prevalence of RTI among traumatic patients from 2003 to 2017.
See this image and copyright information in PMC

References

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