Referral conditions for severe road traffic injuries and their influence on the occurrence of hospital deaths in Benin
J. Public Health Africa (Online)
;
13(2): 1-7, 2022. tables, figures
Article
Dans Anglais
| AIM
| ID: biblio-1395801
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.
Texte intégral:
Disponible
Indice:
AIM (Afrique)
Sujet Principal:
Orientation vers un spécialiste
/
Commotion de l'encéphale
Type d'étude:
Étude observationnelle
/
Facteurs de risque
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
J. Public Health Africa (Online)
Année:
2022
Type:
Article
Institution/Pays d'affiliation:
Ecole de Santé Publique, Université Libre de Bruxelles/BE
/
Ecole de Santé Publique, Université Libre de Bruxelles, Brussels/BE
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Ecole de Santé Publique, Université Libre de Bruxelles, Brussels, Belgium; Institut Régional de Santé Publique/BJ
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Ecole de Santé Publique, Université Libre de Bruxelles, Brussels, Belgium; Institut Régional de Santé Publique,/BJ
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Institut Régional de Santé Publique, Ouidah/BJ
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