Pattern of emergency room mortality among road traffic crash victims

Babalola, Oladimeji Ranti; Oluwadiya, Kehinde Sunday; Vrgoč, Goran; Akpati, Ugochukwu; Sindik, Joško; Čoklo, Miran; Marinović, Marin; Bakota, Bore

doi:10.1016/j.injury.2015.10.065

Cited by 6 publications

(4 citation statements)

References 11 publications

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“…Similar results were found in studies conducted in Ghana by Der et al [27] and in Vietnam by Ngo et al [21]. Moreover, this finding is in agreement with the results of several studies [28,29]. This might be due to more frequent driving, having driving risk behaviors, and more exposure to driving occupations.…”

Section: Discussionsupporting

confidence: 92%

Patient and injury characteristics associated with road traffic mortality in general hospitals in southern Thailand

et al. 2019

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Background Road traffic injuries are a major public health burden in developing countries. Thailand has the highest fatality rate from road traffic injuries in southeast Asia so that prevention of unintentional injuries is important. Objective To identify patient and injury characteristics associated with road traffic mortality in the southern provinces of Thailand. Methods Data on a total of 78,862 road traffic injuries recorded by the general hospitals in 5 southern provinces of Thailand, during 2008–2013, were obtained from the Office of Disease Prevention and Control. Chi-squared test was used to determine the association between patient/injury characteristics and road traffic mortality, and logistic regression was used to identify the strength of associations. Results In this study, road traffic mortality was found to be 1.8% of all injuries. Most of the deaths occurred in males (61.7%), who were aged 25–44 years (35.8%), being drivers (68.6%), using motorcycle (78.4%), and not wearing a helmet (61.0%). Road traffic mortality was higher among males, older age people, those who were not wearing a helmet or not fastening a seat belt, pedestrians and when people crashed with or by motor car, with wound being penetrating or blunt with penetrating, and when they were having head or neck, chest, or abdominal or pelvic cavity injuries. Conclusion Policies and measures for reducing road traffic mortality should focus on males and older aged persons, use of safety devices, and occurrence of multiple injuries.

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Section: Discussionsupporting

confidence: 92%

Patient and injury characteristics associated with road traffic mortality in general hospitals in southern Thailand

et al. 2019

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“…On the contrary, this study showed that blunt injuries to the chest and abdomen and cranial fossae fractures were not common in the Metro Manila study (Babalola et al, 2015, p.S21). 35 In another study, more than one-third of the patients had injuries in their extremities, and a quarter of the patients had injuries in their facial region. Among victims of a lead vehicle stop crash, patients most frequently acquired injuries in the thorax, lower and upper extremities.…”

Section: Road Crash Injuriesmentioning

confidence: 93%

Epidemiologic Profile of Vehicular Accident Patients in the Largest Hospital in the Philippines Covering Ten Years

Herbosa

2021

Acta Med Philipp

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Introduction. Globally, the number of people who die from road crashes continues to rise, reaching a high of 1.35 million in 2016. Due to this continued increase in fatalities and injuries within the road transport system, especially in low- and middle-income countries, 2011 to 2020 was declared by the United Nations General Assembly in 2010 as the Decade of Action for Road Safety. Objectives. This study looked into the epidemiology of road crashes and injuries in Metro Manila over ten years, from 2008-2017, from data gathered at the Department of Surgery of the Philippine General Hospital (PGH). Method. A retrospective review of patients’ clinical records was conducted to describe the epidemiology of road crash cases in the Trauma Division, Department of Surgery of the PGH. Clinical records of the road crash patients admitted to the division over the ten years, January 1, 2008, to December 31, 2017, were extracted from the Integrated Surgical Information System (ISIS). Results. A total of 422 patients were admitted to the PGH Department of Surgery and recorded in the ISIS database, from 2008 to 2017, who suffered from road crashes in Metro Manila. Most of these patients (80.8%) were male. The mean age of patients was 32.4 years. The highest number of admissions (27.5%) and road crash deaths (6.9%) were in 2016; the highest number was from the city of Manila (26.7%), and most happened at nighttime (61.8%) between 6:00 PM and 5:59 AM. Throughout the years, motorcycle (52.8%) was the vehicle type involved. Among patients with helmet use information, 65.4% were not wearing helmets, 91.2% had a history of alcohol intake. The majority incurred multiple injuries (82.7%), with the external region (53.8%) as the most common. Patients who sustained injuries to their head and neck region were five times more likely to die and six times more likely to have an unchanged patient outcome than those who did not have these injuries. Patients who had a GCS of 8 and below or those who had severe brain injuries were eight times more likely to die and six times more likely to have an unchanged patient outcome. Conclusion. This study looked into the epidemiology of road crash cases admitted to the Surgery Department of the PGH. Road crash injuries and deaths remain a growing concern among the citizens of Metro Manila. It is hoped that the results of this study will provide policymakers with an objective and data-driven perspective on road crashes.

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“…Road traffic accidents are the leading cause of trauma seen in hospitals in several African countries. 1,2 They are the leading cause of death by trauma, 3,4 but their inhospital mortality varies from country to country, ranging from 0.6% to 17.5%. 2,[5][6][7][8][9] In Benin, these accidents represent about one third of all traumas.…”

Section: Introductionmentioning

confidence: 99%

“… 14 , 15 Delays in first aid, due to prolonged delays in transferring patients to hospital or lack of pre-hospital emergency care, have contributed to the increase in-hospital mortality . 3 , 4 , 16-18 Several other factors contribute to in-hospital trauma deaths including trauma severity score, 3 , 9 , 18 , 19 low systolic blood pressure on admission, 8 , 9 Glasgow Coma Scale, 8 , 9 , 20 head injuries, 21 intracerebral haemorrhage, 20 presence of multiple trauma injuries 18 and patient age. 8 , 9 , 18 , 20 Non-use of safety equipment, such as helmets, seat belts and airbags, 16 , 18 , 22 , 23 speeding, 24 driving under the influence of alcohol or any psychoactive substance, 21 , 25 , 26 means of travel used, and position in the car were found to be factors associated with severity and mortality in trauma patients.…”

Section: Introductionmentioning

confidence: 99%

Referral conditions for severe road traffic injuries and their influence on the occurrence of hospital deaths in Benin

Santos

Ahanhanzo

Kpozéhouen

et al. 2022

J. Public Health Afr.

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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.

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Pattern of emergency room mortality among road traffic crash victims

Cited by 6 publications

References 11 publications

Patient and injury characteristics associated with road traffic mortality in general hospitals in southern Thailand

Patient and injury characteristics associated with road traffic mortality in general hospitals in southern Thailand

Epidemiologic Profile of Vehicular Accident Patients in the Largest Hospital in the Philippines Covering Ten Years

Referral conditions for severe road traffic injuries and their influence on the occurrence of hospital deaths in Benin

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