Prehospital factors associated with mortality among road traffic injury patients: analysis of Cameroon trauma registry data
Abstract Background Cameroon is amongst the worst affected countries by road traffic injuries with an estimated 1443 disability-adjusted life years per 100,000 population. There have been very limited reports on the crucial prehospital response to road traffic injuries in Cameroon. This study aimed...
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BMC
2024-10-01
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| Series: | BMC Emergency Medicine |
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| Online Access: | https://doi.org/10.1186/s12873-024-01113-8 |
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| author | Serge Ngekeng Odette Kibu Rasheedat Oke Nahyeni Bassah Darwin Arole Touko Mark T. Yost Fanny Dissak-Delon Nicholas Tendongfor Georges Nguefack-Tsague Alan Hubbard Sandra I. McCoy S. Ariane Christie Alain Chichom-Mefire Catherine Juillard |
| author_facet | Serge Ngekeng Odette Kibu Rasheedat Oke Nahyeni Bassah Darwin Arole Touko Mark T. Yost Fanny Dissak-Delon Nicholas Tendongfor Georges Nguefack-Tsague Alan Hubbard Sandra I. McCoy S. Ariane Christie Alain Chichom-Mefire Catherine Juillard |
| author_sort | Serge Ngekeng |
| collection | DOAJ |
| description | Abstract Background Cameroon is amongst the worst affected countries by road traffic injuries with an estimated 1443 disability-adjusted life years per 100,000 population. There have been very limited reports on the crucial prehospital response to road traffic injuries in Cameroon. This study aimed to identify prehospital factors associated with RTI mortality in Cameroon. Methods We included patients enrolled between June 2022 and March 2023 in the Cameroon Trauma Registry. Information about prehospital factors and demographic data was obtained from patients or their proxies. We examined the association of prehospital care factors like care at the crash scene and type of transportation during crash with final patient outcome. We used Chi-squared test to investigate the association between selected independent variables and mortality. A multivariable logistic regression model was built to identify independent predictors of dying from an RTI. Results RTIs constituted 69.5% (n = 3203) of all injuries in the Cameroon Trauma Registry. Only 20.7% (n = 102) of 4 + wheel vehicle occupants had seatbelts on and just 2.7% (n = 53) of motorcycle riders were wearing helmets during the collision. Only 4.9% (n = 156) of patients received any form of scene care. In-hospital mortality was 4.3% (n = 139) and was associated with male sex (AOR = 1.7, 95%CI = 1.08–2.80), crashing on a motorcycle (AOR = 2.08, 95%CI = 1.1–3.67) and scene care (AOR = 0.25, 95%CI = 0.04–0.80). Conclusions Receiving any type of care at the scene such as bleeding control or being placed in the recovery position by bystanders is associated with improved survival. Improving on existing informal prehospital care responses should be a priority in Cameroon. |
| format | Article |
| id | doaj-art-1f1926cd347b49558f3ac74dbe49d007 |
| institution | OA Journals |
| issn | 1471-227X |
| language | English |
| publishDate | 2024-10-01 |
| publisher | BMC |
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| series | BMC Emergency Medicine |
| spelling | doaj-art-1f1926cd347b49558f3ac74dbe49d0072025-08-20T02:17:36ZengBMCBMC Emergency Medicine1471-227X2024-10-012411710.1186/s12873-024-01113-8Prehospital factors associated with mortality among road traffic injury patients: analysis of Cameroon trauma registry dataSerge Ngekeng0Odette Kibu1Rasheedat Oke2Nahyeni Bassah3Darwin Arole Touko4Mark T. Yost5Fanny Dissak-Delon6Nicholas Tendongfor7Georges Nguefack-Tsague8Alan Hubbard9Sandra I. McCoy10S. Ariane Christie11Alain Chichom-Mefire12Catherine Juillard13Sustainable Trauma, Research, Education and Mentorship (STREaM) project, Faculty of Health Sciences, University of BueaData Science Center for the Study of Surgery, Injury, and Equity in Africa (D-SINE-Africa), University of BueaProgram for the Advancement of Surgical Equity (PASE), Department of Surgery, University of California Los AngelesSustainable Trauma, Research, Education and Mentorship (STREaM) project, Faculty of Health Sciences, University of BueaData Science Center for the Study of Surgery, Injury, and Equity in Africa (D-SINE-Africa), University of BueaProgram for the Advancement of Surgical Equity (PASE), Department of Surgery, University of California Los AngelesUniversity of BamendaSustainable Trauma, Research, Education and Mentorship (STREaM) project, Faculty of Health Sciences, University of BueaSustainable Trauma, Research, Education and Mentorship (STREaM) project, Faculty of Health Sciences, University of BueaDivision of Epidemiology, School of Public Health, University of California BerkeleyDivision of Epidemiology, School of Public Health, University of California BerkeleyProgram for the Advancement of Surgical Equity (PASE), Department of Surgery, University of California Los AngelesSustainable Trauma, Research, Education and Mentorship (STREaM) project, Faculty of Health Sciences, University of BueaProgram for the Advancement of Surgical Equity (PASE), Department of Surgery, University of California Los AngelesAbstract Background Cameroon is amongst the worst affected countries by road traffic injuries with an estimated 1443 disability-adjusted life years per 100,000 population. There have been very limited reports on the crucial prehospital response to road traffic injuries in Cameroon. This study aimed to identify prehospital factors associated with RTI mortality in Cameroon. Methods We included patients enrolled between June 2022 and March 2023 in the Cameroon Trauma Registry. Information about prehospital factors and demographic data was obtained from patients or their proxies. We examined the association of prehospital care factors like care at the crash scene and type of transportation during crash with final patient outcome. We used Chi-squared test to investigate the association between selected independent variables and mortality. A multivariable logistic regression model was built to identify independent predictors of dying from an RTI. Results RTIs constituted 69.5% (n = 3203) of all injuries in the Cameroon Trauma Registry. Only 20.7% (n = 102) of 4 + wheel vehicle occupants had seatbelts on and just 2.7% (n = 53) of motorcycle riders were wearing helmets during the collision. Only 4.9% (n = 156) of patients received any form of scene care. In-hospital mortality was 4.3% (n = 139) and was associated with male sex (AOR = 1.7, 95%CI = 1.08–2.80), crashing on a motorcycle (AOR = 2.08, 95%CI = 1.1–3.67) and scene care (AOR = 0.25, 95%CI = 0.04–0.80). Conclusions Receiving any type of care at the scene such as bleeding control or being placed in the recovery position by bystanders is associated with improved survival. Improving on existing informal prehospital care responses should be a priority in Cameroon.https://doi.org/10.1186/s12873-024-01113-8RTIPrehospital careEmergency responseTraumaDisposition |
| spellingShingle | Serge Ngekeng Odette Kibu Rasheedat Oke Nahyeni Bassah Darwin Arole Touko Mark T. Yost Fanny Dissak-Delon Nicholas Tendongfor Georges Nguefack-Tsague Alan Hubbard Sandra I. McCoy S. Ariane Christie Alain Chichom-Mefire Catherine Juillard Prehospital factors associated with mortality among road traffic injury patients: analysis of Cameroon trauma registry data BMC Emergency Medicine RTI Prehospital care Emergency response Trauma Disposition |
| title | Prehospital factors associated with mortality among road traffic injury patients: analysis of Cameroon trauma registry data |
| title_full | Prehospital factors associated with mortality among road traffic injury patients: analysis of Cameroon trauma registry data |
| title_fullStr | Prehospital factors associated with mortality among road traffic injury patients: analysis of Cameroon trauma registry data |
| title_full_unstemmed | Prehospital factors associated with mortality among road traffic injury patients: analysis of Cameroon trauma registry data |
| title_short | Prehospital factors associated with mortality among road traffic injury patients: analysis of Cameroon trauma registry data |
| title_sort | prehospital factors associated with mortality among road traffic injury patients analysis of cameroon trauma registry data |
| topic | RTI Prehospital care Emergency response Trauma Disposition |
| url | https://doi.org/10.1186/s12873-024-01113-8 |
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