Disability and Related Factors among Road Traffic Accident Victims in Benin: Study from Five Public and Faith-Based Hospitals in Urban and Suburban Areas
Abstract:Introduction: Road traffic accidents (RTAs) are a major public health issue in developing countries, where roads tend to be built haphazardly and accidents take a heavy toll on victims-including leaving them disabled. This study seeks to identify those factors that cause RTA victims to become disabled as a result of their injuries. Methods: This retrospective community-based study looked at RTA victims treated in five public and faith-based hospitals in Benin. Disability was evaluated using the Washington Grou… Show more
“… 9 The observation made in our study differs from that of a 2018 study in Benin in which the authors noted the presence of firefighters to transport victims in 31% of cases, the presence of the police in 1% of cases, and the near absence of ambulances. 30 Also in Nigeria, ambulances were not found among the means of transporting road traffic accident victims. However, the proportion of subjects transported by the police and fire department (40.4% and 55%) was close to that in our study.…”
Section: Discussionmentioning
confidence: 99%
“…Glele-Ahanhanzo et al made a similar observation regarding the occurrence of post-traumatic disabilities. 30 This observation could be explained by the fact that the use of the fire department and ambulances was more frequent for the most serious cases. In addition, the inadequacy of the organization of the referral and ambulances made the referral time longer.…”
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.
“… 9 The observation made in our study differs from that of a 2018 study in Benin in which the authors noted the presence of firefighters to transport victims in 31% of cases, the presence of the police in 1% of cases, and the near absence of ambulances. 30 Also in Nigeria, ambulances were not found among the means of transporting road traffic accident victims. However, the proportion of subjects transported by the police and fire department (40.4% and 55%) was close to that in our study.…”
Section: Discussionmentioning
confidence: 99%
“…Glele-Ahanhanzo et al made a similar observation regarding the occurrence of post-traumatic disabilities. 30 This observation could be explained by the fact that the use of the fire department and ambulances was more frequent for the most serious cases. In addition, the inadequacy of the organization of the referral and ambulances made the referral time longer.…”
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.
“…It has the largest number of cars in the country, with a predominance of motorized 2–3 wheelers, which are the users most involved in road crashes in Benin. 29 Figure 1 Distribution of road accidents and population density per municipality in Benin, 01/01/2008–31/12/2017. …”
Section: Methodsmentioning
confidence: 99%
“…It has the largest number of cars in the country, with a predominance of motorized 2-3 wheelers, which are the users most involved in road crashes in Benin. 29…”
Purpose
The aim of this study was to determine, using geographic information system (GIS), the spatial characteristics and factors associated with injury crashes among vulnerable road users (VRUs) in Cotonou, Benin.
Patients and Methods
This study was based on road crash data collected by the police in Cotonou from 2008 to 2017. Spatial analyses were performed using density method of QGIS cartography software to identify road crash hotspot for VRUs. Logistic regression analysis was conducted using Stata 15 software. Finally, field observations were used to assess the physical characteristics of the road environment at each hotspot.
Results
From 2008 to 2017, six main crash hotspots involving VRUs were identified on the roads of Cotonou. The majority were located at intersections of main roads. These sites did not meet the standards for traffic safety for VRUs. Factors associated with injury crashes among VRUs were intersections (adjusted odds ratio (aOR) = 3.3; 95% CI: 1.8–6.1) and pavement condition (aOR = 7; 95% CI: 2.9–17.1).
Conclusion
The present study has made it possible to identify the locations on Cotonou’s road network where road safety interventions could be implemented to protect VRUs.
“…Young Africans are the most likely to be the victims of fatal road accidents. 32 Economically, the total societal cost of road traffic crashes account for 1% of GNP in low-income countries. With the increasing motorization in Africa, measures must be enforced to minimize injuries.…”
Traffic accidents are one of the world's leading deaths, with an estimated seventh death cause by 2030. Road traffic accidents have become common in all over the world. Traffic accidents result in a great loss to individual and communities. While unknown and unacknowledged pandemics such as RTC mortality are frequently overlooked globally, without help, the developing countries will face increasing challenges in the coming decades. Globally, around 1.2million are passed away with the traffic accidents on the road and 20 million are affected with the injuries. The most critical aspect of road safety is the safety of all road users. There are numerous ways to discipline a road user and improve their safety. Saudi Arabia is one of the countries with many traffic incidents worldwide. There are many studies have been documented in the Saudi Arabia with the traffic accidents. The aim of this review was to document the prevalence of traffic accidents in Saudi Arabia. The maximum number of accidents in the kingdom has been reported. However, more studies were therefore documented through the region wide. Compared to foreign figures of 8:1, Saudi Arabia has an accident/ injury ratio of 8:6. Accident to death rates in 1993 were 283:1 in the USA and in 1995 they were 32:1 in Saudi Arabia. This review concludes the incidence rates of traffic accidents is high in the Saudi Arabia.
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