Use of prehospital, hospitalization and presence of sequelae and/or disability in road traffic injury victims in Brazil

Tobias, Gabriela Camargo; Mandacarú, Polyana Maria Pimenta; Guimarães, Rafael Alves; Neto, Otaliba Libânio Morais

doi:10.1371/journal.pone.0249895

Cited by 3 publications

(3 citation statements)

References 42 publications

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“…The quality of pre-hospital care on site can help reduce Open Journal of Epidemiology the initial severity of the injuries (whose evaluation, recall, is done in the context of the first reception and management structure) and probably the length of hospitalization. In fact, improving the quality of pre-hospital care is a relevant and potentially effective area of intervention to be considered in implementing strategies to prevent disabilities after road crashes [19].…”

Section: Discussionmentioning

confidence: 99%

Disability to Admit as a Change of Life after a Road Crash: Estimates and Related Factors in Benin for Prevention

Glèlè-Ahanhanzo¹,

Kpozéhouen²,

Daddah³

et al. 2023

OJEpi

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Background: Disability is an underestimated issue in public health, with road crashes as leading cause. In Africa, motorcyclists disproportionately bear the burden of road crash injuries, including disability. To contribute to decision-making for disability prevention, this study aims to determine the prevalence and factors associated with disability at 12 months among motorcyclists involved in road crashes in Benin. Methods: This is a prospective, cross-sectional, analytical study based on 12-month follow-up data from a cohort of road crash victims set up in five hospitals in Benin. Data were collected from November 2020 to January 2021. Sample used for this analysis size was 297 motorcyclists. Disability was assessed using the Washington Group on Disabilities Statistics question set. Logistic regression analysis was used to identify risk factors for disability in victims 12 months after the crash. Results: The prevalence of disability was 12.5% 95% CI (9.2 -16.7). Disability occurrence was associated with being over 45 years old (OR = 3.1; 95% CI = 1.5 -6.6), severity of initial injury (OR = 3.3; 95% CI = 1.5 -7.3) and hospitalisation of the victim (OR = 6.9; 95% CI = 2.0 -24). Conclusion: Age over 45 years, severity of initial injuries and hospitalisation of the victim were risk factors for the occurrence of disability among motorcyclists who were victims of road crashes in Benin. User awareness, law enforcement, holistic and early management of road crash victims could contribute to reducing the prevalence of disability among victims in Benin.

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Section: Discussionmentioning

confidence: 99%

Disability to Admit as a Change of Life after a Road Crash: Estimates and Related Factors in Benin for Prevention

Glèlè-Ahanhanzo¹,

Kpozéhouen²,

Daddah³

et al. 2023

OJEpi

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“…Research findings on RTI-induced disabilities demonstrate a high prevalence of disability among patients with RTIs in LMICs and highlight marked disparities in the experiences of injury, disability, and socioeconomic impact linked to sociodemographic, crash, and injury characteristics of patients with RTIs [10,12,[14][15][16][17][18]. Despite their burden, many LMICs lack reliable and high-quality surveillance data on RTIs [4,19].…”

Section: Introductionmentioning

confidence: 99%

Estimating the Burden of Disability From Road Traffic Injuries in 5 Low- and Middle-Income Countries: Protocol for a Prospective Observational Study

et al. 2023

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Background Road traffic injuries (RTIs) are a leading cause of death and unintentional injuries globally. They claim 1.35 million lives and produce up to 50 million injuries each year, causing a major drain on health systems. Despite this high burden, there is a lack of robust data on the long-term consequences of RTIs, specifically the level of disability experienced by many survivors and its impact on their everyday lives. Objective This study aims to characterize RTIs, disability level, and related consequences affecting adult road traffic crash survivors in 5 low- and middle-income countries (LMICs). In addition, this study estimates the role of demographic and crash- and treatment-related factors in predicting adverse outcomes and disability as well as examining the disability level among patients with RTIs, likelihood of return to normal life, and the environmental factors that may influence these outcomes after discharge from the hospital. Methods This prospective observational study was conducted at selected hospitals in Bangladesh, Cambodia, Ethiopia, Mexico, and Zambia. The study sample included all adult patients with RTIs admitted to the hospital for at least 24 hours. Consecutive sampling was performed until the minimum required sample size of 400 was reached for each participating country. Data were collected from patients or their caregivers using a hospital-based surveillance tool administered at the participating sites as well as a telephone-based follow-up instrument administered 1, 3, and 6 months after discharge. Descriptive analysis and multivariate models will be used to estimate the contribution of a range of factors in predicting adverse outcomes, disability, and return to normal life. Results Enrollment began in June 2021 and was completed in April 2022. Follow-up data collection ended in September 2022. Data analysis is currently underway, with results expected for publication in mid-2023. Expected results include estimates of disability among patients with RTIs as well as identifying the predictors of adverse outcomes, disability, and the likelihood of return to normal life. Conclusions Research findings will help better understand the long-term burden of disability from RTIs in the 5 LMICs and the challenges facing survivors of road traffic crashes. They will be used to inform interventions aimed at improving the health care, social, physical, and policy conditions in LMICs that can facilitate recovery and rehabilitation for patients with RTIs, reduce the burden of disability, and enhance their participation in society. International Registered Report Identifier (IRRID) DERR1-10.2196/40985

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“…This con rms the growing incidence of tra c accidents in developing countries, substantially elevating PoD_limb rates(Roshanfekr et al, 2019;Khazaie et al, 2020). Such occurrences are particularly prevalent in areas with inadequate road safety education, legislative measures, and healthcare, such as urban fringes and rural regions with high limb disability incidence(Tobias et al, 2021). Furthermore, the QR coe cient of the migrant population increases PoD_limb in the 40th to 60th quantile, primarily in rural areas, corroborating ndings that high PoD_limb rates were partly attributable to industrial accidents and other injuries resulting from informal employment(Qiu et al, 2022).Regarding PoD_intellectual, QR results suggest that educational facilities reduce prevalence in the 80th and 90th quantiles, predominantly in rural areas.…”

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confidence: 97%

Identifying Urban-Rural Disparities and Dominant Determinants of Prevalence of Disabilities in Tianjin, China

Jiang

Qiu

et al. 2023

Preprint

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In the current context of aging and urbanization, the rapid increase in the prevalence of disabilities (PoDs) has become an important consideration in healthy urban planning. Previous studies have focused on the spatial prevalence of total disabilities based on large-scale survey data. However, few studies have examined different types of PoDs and the factors contributing to spatial disparities in micro-urban units at the municipal level. This study aims to fill this gap by exploring the spatial PoDs, related built environments, and socio-economic factors across Tianjin municipality in 2020. The study employed Getis-Ord GI* analysis to identify urban-rural disparities and OLS and quantile regression analyses to model the heterogeneous effects of the spatial PoDs determinants across quantiles. The results reveal that the PoDs, especially visual, hearing, and limb disabilities, in the urban centre, are significantly higher than those in rural areas, which is inconsistent with previous studies conducted in China. Urbanization rate, medical facilities, and education facilities significantly reduced total PoDs, while the elderly population, migrant population, bus route density, and road density significantly increased it. The built environments and socio-economic factors had heterogeneous impacts on different types of PoDs, which were summarized into three categories based on the dominant determinants: (1) visual and hearing disabilities were medical facility dominated; (2) intellectual and limb disabilities were urbanization, and aging dominated; and (3) mental and speech disabilities were migrant dominated. This study provides scientific advice to adapt to the expected increase in demand for disability-related medical and public health services and to expand the range of effective strategies and interventions aimed at preventing the deterioration of disability and improving disability management in the population.

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Use of prehospital, hospitalization and presence of sequelae and/or disability in road traffic injury victims in Brazil

Cited by 3 publications

References 42 publications

Disability to Admit as a Change of Life after a Road Crash: Estimates and Related Factors in Benin for Prevention

Disability to Admit as a Change of Life after a Road Crash: Estimates and Related Factors in Benin for Prevention

Estimating the Burden of Disability From Road Traffic Injuries in 5 Low- and Middle-Income Countries: Protocol for a Prospective Observational Study

Identifying Urban-Rural Disparities and Dominant Determinants of Prevalence of Disabilities in Tianjin, China

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