August 24, 2026 Thesis Open Access

Dr. MEGERTU GUTU DUGUMA (MD, General surgery Resident)

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{
  "DOI": "10.20372/nadre:25773", 
  "author": [
    {
      "family": "Dr. MEGERTU GUTU DUGUMA (MD, General surgery Resident)"
    }
  ], 
  "issued": {
    "date-parts": [
      [
        2026, 
        8, 
        24
      ]
    ]
  }, 
  "abstract": "<p><strong>ABSTRACT</strong></p>\n\n<p><strong>Background:</strong>&nbsp;Traumatic brain injury (TBI) is a major cause of morbidity and mortality worldwide, with a high burden in low- and middle-income countries. In Ethiopia, TBI accounts for a significant proportion of trauma-related admissions. However, there is limited evidence on pattern of TBI at Wallaga University Comprehensive Specialized Hospital.</p>\n\n<p><strong>Objective:</strong>&nbsp;To assess the patterns and factors associated with TBI among patients presenting to Wallaga University Comprehensive</p>\n\n<p><strong>Methods:</strong>&nbsp;A retrospective cross-sectional study was conducted. Medical records of patients presenting with TBI between January 1 and December 31, 2025, were reviewed. A systematic random sampling technique selected 110 patients. Data were collected using a structured checklist. Data analyzed by SPSS version 27. Due to few severe TBI events (n = 11), Firth&#39;s penalized logistic regression was used for multivariable analysis.</p>\n\n<p><strong>Results:</strong>&nbsp;Of 120 patient charts reviewed, 110 (91.7%) were included. Most patients were male (80.0%), mean age 28.9 years. Road traffic accidents were the leading mechanism (53.6%), followed by assault (32.7%) and falls (13.6%). Moderate TBI was most common (79.1%), with severe TBI accounting for 10.0%. Pupillary abnormality was significantly associated with severe TBI: one reactive pupil (AOR = 6.67, 95% CI: 1.32-64.71, p = 0.020) and both pupils non-reactive (AOR = 121.81, 95% CI: 4.36-22416.36, p = 0.006). Hypoxia was also significant (AOR = 0.09, 95% CI: 0.01-0.58, p = 0.013).</p>\n\n<p><strong>Conclusions:</strong>&nbsp;TBI at Wallaga University Comprehensive Specialized Hospital predominantly affects young adult males, with road traffic accidents being the leading cause. Pupillary abnormality is a strong predictor of severe TBI. Road safety and violence prevention programs should be prioritized.</p>\n\n<p><strong>Keywords:</strong>&nbsp;Traumatic brain injury; Patterns; Associated factors; Glasgow Coma Scale; Ethiopia</p>", 
  "title": "PATTERN AND FACTORS ASSOCIATED WITH TRAUMATIC BRAIN INJURY AMONG PATIENTS PRESENTING TO WALLAGA UNIVERSITY COMPREHENSIVE SPECIALIZED HOSPITAL, ETHIOPIA", 
  "type": "thesis", 
  "id": "25773"
}