Original Research

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

Bella Hounkpe Dos Santos, Yolaine Glele Ahanhanzo, Alphonse Kpozehouen, Donatien Daddah, Edgard-Marius Ouendo, Yves Coppieters, Alain Leveque
Journal of Public Health in Africa | Vol 13, No 2 | a491 | DOI: https://doi.org/10.4081/jphia.2022.2138 | © 2024 Bella Hounkpe Dos Santos, Yolaine Glele Ahanhanzo, Alphonse Kpozehouen, Donatien Daddah, Edgard-Marius Ouendo, Yves Coppieters, Alain Leveque | This work is licensed under CC Attribution 4.0
Submitted: 12 April 2024 | Published: 26 July 2022

About the author(s)

Bella Hounkpe Dos Santos, Ecole de Santé Publique, Université Libre de Bruxelles, Brussels, Belgium; and, Institut Régional de Santé Publique, Ouidah, Benin
Yolaine Glele Ahanhanzo, Institut Régional de Santé Publique, Ouidah, Benin
Alphonse Kpozehouen, Institut Régional de Santé Publique, Ouidah, Benin
Donatien Daddah, Ecole de Santé Publique, Université Libre de Bruxelles, Brussels, Belgium; and, Institut Régional de Santé Publique, Ouidah, Benin
Edgard-Marius Ouendo, Institut Régional de Santé Publique, Ouidah, Benin
Yves Coppieters, Ecole de Santé Publique, Université Libre de Bruxelles, Brussels, Belgium
Alain Leveque, Ecole de Santé Publique, Université Libre de Bruxelles, Brussels, Belgium

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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.


Keywords

Referral; road accident; severe trauma; Benin

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Crossref Citations

1. Determinants of fatigue while driving among two-wheeled vehicle drivers: Exploratory approach from secondary analysis based on hospital data, Benin
Yolaine Glele Ahanhanzo, Alphonse Kpozehouen, Lamidhi Salami, Nicolas Gaffan, Bella Hounkpe Dos Santos, Alain Levêque
Journal of Public Health in Africa  year: 2024  
doi: 10.4081/jphia.2023.2601