NDLI: Magnitude of mortality and associated factors among road traffic accident victim children admitted in East and West Gojjam Zone specialized public hospitals Northwest, Ethiopia

Content Provider	Springer Nature : BioMed Central
Author	Taye, Amanuel Ayalew, Tilksew Zeleke, Balew Bante, Agegnehu Endale, Addisu
Abstract	Background A road traffic accident is a collision between vehicles, between pedestrians and vehicles, between vehicles and animals, or between fixed obstacles and vehicles that leads to fatal human injury and premature death. Children are highly vulnerable to road traffic accident death. Yet, evidence is scarce concerning it in this study area. This study aimed to determine the magnitude of mortality and associated factors among road traffic accident victim children. Methods An institution-based cross-sectional study was conducted among 391 victimized children using simple random sampling techniques from March 1st, 2021, to April 30th, 2021. The sample size was calculated using a single population proportion formula, and the data were collected retrospectively using a structured checklist. The data were checked for completeness and consistency, coded, entered into EPI Data version 3.1, and then transferred to STATA version 14 statistical software for analysis. Bivariate and multivariable binary logistic regression analyses were conducted to identify the association between dependent and independent variables. An adjusted odds ratio with a 95% CI was used to measure the strength of the association, and a P-value ≤ 0.05 was considered statistically significant. Result The overall mortality was 10.7% (95% CI: 8- 14). Patients’ age within 1- 4 years (AOR (95%CI: 7(2.0–24.6)), urgent need of blood transfusion (AOR (95%CI: 3.2(1.03–9.8)), Glasgow coma scale < 8 (AOR (95%CI: 6.7(2.1–20.8)), surgery done (AOR (95%CI: 4.7(1.6–14.1)), and length of stay < 5 days (AOR (95%CI: 4.7(1.6–13.3)) were significantly associated with mortality of road traffic accident victim children. Conclusion The overall mortality was high compared with other countries’ findings. Being young, in urgent need of blood transfusion, Glasgow coma scale < 8, undergoing surgery, and short length of stay were significantly associated with mortality of road traffic accident victim children. This study recommended prioritizing young children and timely blood transfusions for emergency cases.
Related Links	https://bmcpediatr.biomedcentral.com/counter/pdf/10.1186/s12887-024-05314-9.pdf
Ending Page	10
Page Count	10
Starting Page	1
File Format	HTM / HTML
ISSN	14712431
DOI	10.1186/s12887-024-05314-9
Journal	BMC Pediatrics
Issue Number	1
Volume Number	25
Language	English
Publisher	BioMed Central
Publisher Date	2025-02-25
Access Restriction	Open
Subject Keyword	Pediatrics Internal Medicine Mortality Road traffic accident Children Ethiopia
Content Type	Text
Resource Type	Article
Subject	Pediatrics, Perinatology and Child Health
Journal Impact Factor	2/2023
5-Year Journal Impact Factor	2.4/2023

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