Abstract
Road traffic accidents are the leading cause of death by trauma. Delays in in first aid due, inter alia, to the long time to transfer traffic accident victims to hospital and the lack of pre-hospital emergency care, contribute to the increase in hospital mortality. This study aims to analyse the referral conditions for severe road traffic injuries and to assess their effect on the occurrence of hospital deaths in Benin. This is an analytical prospective cohort study conducted in road accident victims with a severe injury. Four groups of factors were studied: referral conditions, sociodemographic and victim-specific characteristics, factors related to the accident environment, and factors related to health services. A top-down binary stepwise logistic regression was the basis for the analyses. Nine point eight percent of severe trauma patients died after hospital admission (7.0-13.5). Associated factors were referral time greater than 1 hour (RR=5.7 [1.5-20.9]), transport to hospital by ambulance (RR=4.8 [1.3-17.3]) and by the police or fire department (RR=7.4 [1.8- 29.7]), not wearing protective equipment (RR=4.5 [1.4-15.0]), head injuries (RR=34.8 [8.7-139.6]), and no upper extremity injuries (RR=20.1 [2.3-177.1]). To reduce the risk of hospital death in severe road traffic injuries, it is important to ensure rapid and medicalized referral of severe trauma patients in Benin.
Subject
Public Health, Environmental and Occupational Health
Reference35 articles.
1. Sawe HR, Wallis LA, Weber EJ, et al. The burden of trauma in Tanzania: Analysis of prospective trauma registry data at regional hospitals in Tanzania. Injury. 2020;51:2938-45.
2. Adam S, Sama DH, Mouzou T, et al. Emergency admissions in sub Saharan Africa: example of the surgical emergency admissions unit at the Sylvanus Olympio Teaching Hospital of Lome, Togo. Medecine et sante tropicales. 2018;28:327-30.
3. Babalola OR, Oluwadiya K, Vrgoč G, et al. Pattern of emergency room mortality among road traffic crash victims. Injury. 2015;46:S21-S3.
4. Ugare GU, Ndifon W, Bassey IA, et al. Epidemiology of death in the emergency department of a tertiary health centre south-south of Nigeria. African health sciences. 2012;12:530-7.
5. Kourouma K, Delamou A, Lamah L, et al. Frequency, characteristics and hospital outcomes of road traffic accidents and their victims in Guinea: a three-year retrospective study from 2015 to 2017. BMC public health. 2019;19:1022.
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献