24 h mortality and its predictors among road traffic accident victims in a resource limited setting; a multicenter cohort study

Abstract

Introduction The incidence of road traffic accidents (RTAs) is on the rise contributing to the global burden of mortality as a major global health threat. It has been estimated that 93% of RTAs and more than 90% of the resulting deaths occur in low and middle income countries. Though death due to RTAs has been occurring at an alarming rate, there is paucity of data relating to incidence and predictors of early mortality. This study was aimed at determining the 24 h mortality and its predictors among RTA patients attending selected hospitals in western Uganda. Methods This was a prospective cohort that consecutively enrolled 211 RTA victims admitted and managed in emergency units of 6 hospitals in western Uganda. All patients who presented with a history of trauma were managed according to the advanced trauma life support protocol (ATLS). The outcome regarding death was documented at 24 h from injury. Data was analyzed using SPSS version 22 for windows. Results Majority of the participants were male (85.8%) aged 15–45 years (76.3%). The most common road user category was motorcyclists (48.8%). The 24 h mortality was 14.69%. At multivariate analysis, it was observed that a motorcyclist was 5.917 times more likely to die compared to a pedestrian (P = 0.016). It was also observed that a patient with severe injury was 15.625 times more likely to die compared to one with a moderate injury (P < 0.001). Conclusion The incidence of 24 h mortality among road traffic accident victims was high. Being motorcycle rider and severity of injury according to Kampala trauma score II predicted mortality. Motorcyclists should be reminded to be more careful while using the road. Trauma patients should be assessed for severity, and the findings used to guide management since severity predicted mortality.

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“…The introduction into expert practice and use of the methods proposed in this study are important for the criminal law qualification of criminal road accidents, which largely depends on the severity of the injuries sustained by the victim. The same can be said about the methods of determining the cause of death within 24 hours of the accident (Kamabu et al, 2023) and determining the cause of death of road traffic victims in individual cases (Rastogi et al, 2023) Automotive experts have recently also been investigating specific issues of conducting examinations in the field of their professional activity. This includes determining the speed of the vehicles before the initial contact (Serdiukov, 2018), which is important legally for establishing causal links between the actions of the road traffic participants and the harmful consequences of a car accident.…”

Інститут Використання Спеціальних Знань У Кримінальному Провадженні Як Інструмент Діяльності Представника Потерпілого Від Дтп На Стадії Досудового Розслідування

“…У сучасній вітчизняній і світовій науці велику увагу приділяють вузькопрофесійним аспектам проведення окремих видів експертиз у справах про злочини проти безпеки дорожнього руху. Зокрема, фахівці в галузі медицини порушували питання оцінювання важкості лицевої і загальної травми в дітей та підлітків, які постраждали в ДТП (Xavier et al, 2023); встановлення причини смерті жертв дорожньо-транспортної пригоди в окремих випадках (Rastogi et al, 2023); діагностування переломів обличчя та визначення тяжкості супутніх травм після аварій на мотоциклі ; причин настання смерті протягом 24 годин із моменту ДТП (Kamabu et al, 2023); статистики результатів проведення токсикологічних експертиз жертв ДТП у певних регіонах (Alvarez-Freire et al, 2023).…”