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

Journal of Public Health in Africa

 
 
Field Value
 
Title Referral conditions for severe road traffic injuries and their influence on the occurrence of hospital deaths in Benin
 
Creator Hounkpe Dos Santos, Bella Glele Ahanhanzo, Yolaine Kpozehouen, Alphonse Daddah, Donatien Ouendo, Edgard-Marius Coppieters, Yves Leveque, Alain
 
Subject — Referral; road accident; severe trauma; Benin
Description 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.
 
Publisher AOSIS
 
Contributor
Date 2022-07-26
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format application/pdf
Identifier 10.4081/jphia.2022.2138
 
Source Journal of Public Health in Africa; Vol 13, No 2 (2022); 7 2038-9930 2038-9922
 
Language eng
 
Relation
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https://publichealthinafrica.org/index.php/jphia/article/view/491/524
 
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Rights Copyright (c) 2024 Bella Hounkpe Dos Santos, Yolaine Glele Ahanhanzo, Alphonse Kpozehouen, Donatien Daddah, Edgard-Marius Ouendo, Yves Coppieters, Alain Leveque https://creativecommons.org/licenses/by/4.0
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