August 24, 2026 Thesis Open Access

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

JSON Export

{
  "files": [
    {
      "links": {
        "self": "https://nadre.ethernet.edu.et/api/files/413d85c5-eaba-421d-a47d-195c39c5eb54/Dr%20Megertu%20Gutu%20Final%20thesis%204.9.doc"
      }, 
      "checksum": "md5:87be01d1ef202c47789e645759433a9b", 
      "bucket": "413d85c5-eaba-421d-a47d-195c39c5eb54", 
      "key": "Dr Megertu Gutu Final thesis 4.9.doc", 
      "type": "doc", 
      "size": 1154048
    }
  ], 
  "owners": [
    48
  ], 
  "doi": "10.20372/nadre:25773", 
  "stats": {}, 
  "links": {
    "doi": "https://doi.org/10.20372/nadre:25773", 
    "conceptdoi": "https://doi.org/10.20372/nadre:25772", 
    "bucket": "https://nadre.ethernet.edu.et/api/files/413d85c5-eaba-421d-a47d-195c39c5eb54", 
    "conceptbadge": "https://nadre.ethernet.edu.et/badge/doi/10.20372/nadre%3A25772.svg", 
    "html": "https://nadre.ethernet.edu.et/record/25773", 
    "latest_html": "https://nadre.ethernet.edu.et/record/25773", 
    "badge": "https://nadre.ethernet.edu.et/badge/doi/10.20372/nadre%3A25773.svg", 
    "latest": "https://nadre.ethernet.edu.et/api/records/25773"
  }, 
  "conceptdoi": "10.20372/nadre:25772", 
  "created": "2026-08-24T08:19:26.593383+00:00", 
  "updated": "2026-08-24T08:19:26.682136+00:00", 
  "conceptrecid": "25772", 
  "revision": 1, 
  "id": 25773, 
  "metadata": {
    "access_right_category": "success", 
    "doi": "10.20372/nadre:25773", 
    "description": "<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>", 
    "license": {
      "id": "dli-model-use"
    }, 
    "title": "PATTERN AND FACTORS ASSOCIATED WITH TRAUMATIC BRAIN INJURY AMONG PATIENTS PRESENTING TO WALLAGA UNIVERSITY COMPREHENSIVE SPECIALIZED HOSPITAL, ETHIOPIA", 
    "relations": {
      "version": [
        {
          "count": 1, 
          "index": 0, 
          "parent": {
            "pid_type": "recid", 
            "pid_value": "25772"
          }, 
          "is_last": true, 
          "last_child": {
            "pid_type": "recid", 
            "pid_value": "25773"
          }
        }
      ]
    }, 
    "communities": [
      {
        "id": "20-25"
      }
    ], 
    "publication_date": "2026-08-24", 
    "creators": [
      {
        "name": "Dr. MEGERTU GUTU DUGUMA (MD, General surgery Resident)"
      }
    ], 
    "access_right": "open", 
    "resource_type": {
      "subtype": "thesis", 
      "type": "publication", 
      "title": "Thesis"
    }, 
    "related_identifiers": [
      {
        "scheme": "doi", 
        "identifier": "10.20372/nadre:25772", 
        "relation": "isVersionOf"
      }
    ]
  }
}