Emergency admissions in sub Saharan Africa: example of the surgical emergency admissions unit at the Sylvanus Olympio Teaching Hospital of Lomé, Togo

Adam, Sidsel Bjørgo; Samà, Domenico; Mouzou, T; Akakpovi, A.; Tomta, K; Bellier, M.

doi:10.1684/mst.2018.0807

Cited by 1 publication

(2 citation statements)

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“…Road traffic accidents are the leading cause of trauma seen in hospitals in several African countries. 1,2 They are the leading cause of death by trauma, 3,4 but their inhospital mortality varies from country to country, ranging from 0.6% to 17.5%. 2,[5][6][7][8][9] In Benin, these accidents represent about one third of all traumas.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 They are the leading cause of death by trauma, 3,4 but their inhospital mortality varies from country to country, ranging from 0.6% to 17.5%. 2,[5][6][7][8][9] In Benin, these accidents represent about one third of all traumas. 10 In low-income countries, the organization of referral and pre-hospital care is still insufficient, which means that very few trauma patients transported to emergency departments receive pre-hospital care.…”

Section: Introductionmentioning

confidence: 99%

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

Santos

Ahanhanzo

Kpozéhouen

et al. 2022

J. Public Health Afr.

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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.

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