Background <p>According to the World Health Organization (WHO), there were 1.19 million road traffic accident (RTA)-related deaths in 2021, with a significantly higher death rate in developing countries than in developed countries.</p> Objective <p>To assess the distribution of causes of death and associated organ injuries in RTA-related fatalities.</p> Methods <p>This retrospective cross-sectional study was conducted at the Department of Forensic Medicine and Toxicology of Saint Paul’s Hospital Millennium Medical College (SPHMMC), Addis Ababa, Ethiopia. This study included 207 autopsies of RTA-related deaths.</p> Results <p>Among the 198 victims, 70.7 percent were males and 29.3 percent were females, with a mean age of 36.65 (years). The leading causes of death were craniocerebral injury (36.9%) and polytrauma (14.6%). The majority (49%) died in the prehospital setting, 37.9% at the hospital, and 5.6% at home. Pedestrians were the most affected (71%), followed by passengers (16%). Urban areas had a higher incidence of accidents (58.1%). All victims had soft tissue injuries, with 75.3% sustaining head injuries, 58.6% sustaining musculoskeletal injuries, and 51% sustaining thoracic injuries.</p> Conclusion <p>Addressing RTA-related deaths requires a multifaceted approach involving various stakeholders. Building a prehospital emergency service, providing first aid training, and continuous professional development training to health professionals are also important.</p>

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Distribution of causes of death and associated organ injuries in road traffic accident-related fatalities: a postmortem study in Addis Ababa, Ethiopia

  • Gashaw Sete,
  • Selam Temesgen Alemu

摘要

Background

According to the World Health Organization (WHO), there were 1.19 million road traffic accident (RTA)-related deaths in 2021, with a significantly higher death rate in developing countries than in developed countries.

Objective

To assess the distribution of causes of death and associated organ injuries in RTA-related fatalities.

Methods

This retrospective cross-sectional study was conducted at the Department of Forensic Medicine and Toxicology of Saint Paul’s Hospital Millennium Medical College (SPHMMC), Addis Ababa, Ethiopia. This study included 207 autopsies of RTA-related deaths.

Results

Among the 198 victims, 70.7 percent were males and 29.3 percent were females, with a mean age of 36.65 (years). The leading causes of death were craniocerebral injury (36.9%) and polytrauma (14.6%). The majority (49%) died in the prehospital setting, 37.9% at the hospital, and 5.6% at home. Pedestrians were the most affected (71%), followed by passengers (16%). Urban areas had a higher incidence of accidents (58.1%). All victims had soft tissue injuries, with 75.3% sustaining head injuries, 58.6% sustaining musculoskeletal injuries, and 51% sustaining thoracic injuries.

Conclusion

Addressing RTA-related deaths requires a multifaceted approach involving various stakeholders. Building a prehospital emergency service, providing first aid training, and continuous professional development training to health professionals are also important.