Time to Recovery and Determinants of Trauma Among Patients Admitted to Lemlem Karl Hospital Maichew, Southern Tigray, Ehiopia: A Retrospective Cohort Study
Reda Haddish Berhe, Getachew Redae, Yasin Jemal Yasin, Abdukadir Nigus Mohammed
Abstract
Background: Ethiopia is one of the worst countries in the world where trauma especially traffic accident kills a large number of road users every year. In Ethiopia, the magnitude and survival time to recovery of trauma was not well understood. This study intended to examine time to recovery from trauma and predictors among inpatients in Lemlem Karl Hospital, Maichew, Southern Tigray, Ethiopia, 2017. Methods: A retrospective cohort study was conducted by reviewing records of traumatic patients who were admitted to inpatient surgical ward from January 2013 to December 2017 in Lemlem Karl general hospital Maichew town, Tigray, Ethiopia. A total of 327 study participants were selected using simple random sampling. Kaplan-Meier survival plots were used to calculate the crude effect on trauma, survival probabilities and compared using the log-rank test. Cox proportional hazard regression model was used to identify predictors of hospital length of stay. A total of 93.8% of patients were recovered during the follow-up period with a median time of 4 days. Hence, those who had Complications were about 85% times less likely to develop complications than those who had no complications (HR=0.15; CI 0.09-0.24). In addition to those who get treatment before admission to the ward had 3 times more likely to recover than those patients who didn’t get treatment before admission (HR=3.29; CI: 1.82- 5.95). Therefore, Severity of trauma, number of traumatic organs and treatment given before admission were found significant predictors of time to recovery from trauma. This study provides greater insight of benefits by develop countermeasures that could reduce the number and severity of trauma length of stay.