Pattern of Fatal Injuries in Addis Ababa, Ethiopia: A One-year Audit

Abstract

Background: Injury continues to account for a large number of clients attending emergency department in Addis Ababa. Reliable information on causes of death is essential to the development of health policies for prevention and control. The aim of this atudy was to identify the pattern and common causes of fatal injuries

Methods: This is prospective study analyses autopsy data related to fatal injuries handled by Menilik II Hospital between July1, 2006 –June 30, 2007. (Sene 24, 1998 - Sene 23, 1999)

Results: A total of 2107 cases were analyzed. The victims were mostly male and the most vulnerable age group was found to be 15-44 years. Accidents versus homicide and accident versus suicide ratio was 1.8:1 and 5:1 respectively. Road traffic accidents were the most frequent causes of accident related death. Main means of homicide was hit by blunt or sharp object or firearm. More than 90% of victims who committed suicide use hanging or poisoning.Ninety percent of deaths occur with in 24 hours of the injury and only 105 (5%) died from the second day on wards. Eighty one percents of this patients had never received any medical care (either pre-hospital or hospital level).

Conclusion: Road traffic accidents accounted for most causes of injury related deaths. Significant proportion of patients had no access to emergency medical care. The findings strongly suggest that more aggressive, regulatory, educational, and rapid emergency treatment is necessary to address the large number of injury related death.