Road traffic injuries in Uganda: pre-hospital care time intervals from crash scene to hospital and related factors by the Uganda Police

Abstract BackgroundRoad traffic injury-related mortality continues to increase from time to time globally, but its burden is more than three times higher in low-income countries. This discrepancy is mainly due to poor trauma care system both at the pre-hospital and in-hospital. The analysis of injury patterns and time to mortality is crucial for the development and improvement of trauma care systems. This study aimed to identify patterns of RTI , and predictors of mortality following a RTI. MethodsA prospective hospital-based follow up study was conducted among road traffic injury victims admitted to Gondar University Hospital between May 2019 and February 2020. The total follow-up time was 30 days. Injury severity was determined using revised trauma score (RTS). A Cox regression model was used to identify the time to death and predictors of mortality. Hazard ratios (HR), attributable risks (AR) and population attributable percent (PAR) were computed to estimate the effect size and public health impacts of road traffic injuries.ResultsA total of 454 victims were followed for 275,534 person-hours. There were 80 deaths with an overall incidence of 2.90 deaths per 10,000 person-hours of observation (95% CI: 2.77, 3.03). The significant predictors of time to death were being a driver (AHR=2.26; 95% CI: 1.09, 4.65, AR=14.8), accident at inter urban roads (AHR=1.98; 95% CI: 1.02, 3.82, AR=21%), hospital arrival time (AHR=0.41; 95% CI: .16, 0.63; AR= 3%), SBP on admission (AHR= 3.66; 95% CI: 2.14, 6.26; AR=57%), GCS of <8 (AHR= 7.39; 95% CI, 3.0819 17.74464;AR=75.7%), head injury with polytrauma (AHR= 2.32 (1.12774 4.79; AR=37%) and interaction of distance from hospital with pre-hospital care.ConclusionThis study demonstrated that trauma deaths follow the classical tri-modal pattern in low resource settings. Interventions on pre hospital care, and advancing the hospital trauma care system is required to reduce preventable deaths caused by road traffic injuries. We recommend further study that assess capability of primary hospitals in the area in providing primary trauma care.

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Road traffic injuries in developing countries: a comprehensive review of epidemiological studies

Tropical Medicine & International Health ◽

10.1046/j.1365-3156.1997.d01-296.x ◽

1997 ◽

Vol 2 (5) ◽

pp. 445-460 ◽

Cited By ~ 12

Author(s):

W. Odero ◽

P. Garner ◽

A. Zwi

Keyword(s):

Developing Countries ◽

Road Traffic ◽

Epidemiological Studies ◽

Comprehensive Review ◽

Road Traffic Injuries

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Trends in mortality from external causes in the Republic of Seychelles between 1989 and 2018

Scientific Reports ◽

10.1038/s41598-020-79228-8 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Anne Abio ◽

Pascal Bovet ◽

Joachim Didon ◽

Till Bärnighausen ◽

Masood Ali Shaikh ◽

...

Keyword(s):

Causes Of Death ◽

Road Traffic ◽

Marked Change ◽

Total Mortality ◽

Mortality Rates ◽

Vital Statistics ◽

African Region ◽

Road Traffic Injuries ◽

External Causes ◽

Over Time

AbstractData on injury-related mortality are scarce in the African region. Mortality from external causes in the Seychelles was assessed, where all deaths are medically certified and the population is regularly enumerated. The four fields for underlying causes of death recorded were reviewed in the national vital statistics register. The age-standardised mortality rates were estimated (per 100,000 person-years) from external causes in 1989–1998, 1999–2008, and 2009–2018. Mortality rates per 100,000 person-years from external causes were 4–5 times higher among males than females, and decreased among males over the three 10-year periods (127.5, 101.4, 97.1) but not among females (26.9, 23.1, 26.9). The contribution of external causes to total mortality did not change markedly over time (males 11.6%, females 4.3% in 1989–2018). Apart from external deaths from undetermined causes (males 14.6, females 2.4) and “other unintentional injuries” (males 14.1, females 8.0), the leading external causes of death in 2009–2018 were drowning (25.9), road traffic injuries (18.0) and suicide (10.4) among males; and road traffic injuries (4.6), drowning (3.4) and poisoning (2.6) among females. Mortality from broad categories of external causes did not change consistently over time but rates of road traffic injuries increased among males. External causes contributed approximately 1 in 10 deaths among males and 1 in 20 among females, with no marked change in cause-specific rates over time, except for road traffic injuries. These findings emphasise the need for programs and policies in various sectors to address this large, but mostly avoidable health burden.

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Trends in mortality from road traffic injuries in South Korea, 1983–2017: Joinpoint regression and age-period-cohort analyses

Accident Analysis & Prevention ◽

10.1016/j.aap.2019.105325 ◽

2020 ◽

Vol 134 ◽

pp. 105325

Author(s):

Sang Jun Eun

Keyword(s):

South Korea ◽

Road Traffic ◽

Joinpoint Regression ◽

Road Traffic Injuries ◽

Cohort Analyses

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High rates of psychosocial complications after road traffic injuries

Injury ◽

10.1016/s0020-1383(97)00083-1 ◽

1997 ◽

Vol 28 (8) ◽

pp. 539-543 ◽

Cited By ~ 31

Author(s):

Anna-Lena Andersson ◽

Olle Bunketorp ◽

Peter Allebeck

Keyword(s):

Road Traffic ◽

Road Traffic Injuries ◽

Psychosocial Complications

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Some Aspects of Road Traffic Injuries

World Journal of Surgery ◽

10.1007/s00268-004-2075-x ◽

2005 ◽

Vol 29 (S1) ◽

pp. S105-S107 ◽

Cited By ~ 2

Author(s):

Zhengguo Wang

Keyword(s):

Road Traffic ◽

Road Traffic Injuries

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Pattern of major injuries after motorcycle accidents in Egypt: The Mansoura Emergency Hospital experience

Trauma ◽

10.1177/1460408616652924 ◽

2016 ◽

Vol 19 (1) ◽

pp. 39-45 ◽

Cited By ~ 2

Author(s):

El Yamani Fouda ◽

Mohamed Youssef ◽

Sameh H Emile ◽

Hossam Elfeki ◽

Waleed Thabet ◽

...

Keyword(s):

Road Traffic ◽

Head Injuries ◽

Age Groups ◽

Road Traffic Injuries ◽

Emergency Hospital ◽

Chest Injuries ◽

The Common ◽

Orthopedic Injuries ◽

Motorcycle Accidents ◽

Motorcycle Crashes

Background and aim Motorcycle accidents are one of the leading causes of road traffic injuries and mortality. The aim of this study was to determine the common patterns of major injuries associated with motorcycle accidents in patients attending Mansoura University Emergency Hospital in Egypt, and to measure the magnitude of the problem in our community. Patients and methods Patients involved in motorcycle crashes who were admitted to the hospital during August 2014 to April 2015 were retrospectively reviewed. All age groups and both genders were included. Results Two hundred patients (181 males) with a mean age of 30.7 ± 10.5 years were included with the majority of patients aged 20–40 years. Head injuries were the most frequent fatal injuries (9/61) patients; orthopedic injuries were the most common injuries, occurring in 78.5% of victims. Multisystem injuries occurred in 28% of patients. None of the motorcyclists involved in accidents wore helmets. Conclusion Motorcycle accidents are a common cause of road traffic injuries and mortalities in Egypt, occurring mainly in males aged 20–40 years. The majority of victims had an isolated trauma to single body system. Orthopedic injuries were the most common and least fatal type of injuries. The highest fatalities were among patients with chest injuries then patients with head injuries. None of the victims wore protective clothing or helmets at the time of accident.

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