Road Safety Regulations: How Compliant are Commercial Motorcyclists in Semi-Urban Towns in Western Nigeria?

Olasinde, Anthony Ayotunde; Oluwadiya, Kehinde Sunday; Sikakulya, Franck Katembo; Muhumza, Joshua

doi:10.37284/eajhs.5.2.953

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…The large number of motorcyclists injured can be linked to the fact that motorcycles being two-wheeler have a lower stability compared to motor vehicles. The other possible reason could be because they have been reported to ignore most of the tra c rules that could keep them safe despite the low stability of the motorcycles (21). Also, casualties among pedestrians (30.8%) could be explained by the lack of segregated pedestrian road networks and the lack of community understanding about road safety.…”

Section: Discussionmentioning

confidence: 99%

24 hour mortality and its predictors among road traffic accident victims in a resource limited setting; a multicenter cohort study

Kamabu

Soria

Tumwesigye

et al. 2023

Preprint

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Introduction The incidence of road traffic accidents (RTAs) is on the rise contributing to the global burden of mortality as a major global health threat. It has been estimated that 93% of RTAs and more than 90% of the resulting deaths occur in low and middle income countries. Though death due to RTAs has been occurring at an alarming rate, there is paucity of data relating to incidence and predictors of early mortality. This study was aimed at determining the 24 hour mortality and its predictors among RTA patients attending selected hospitals in western Uganda. Methods This was a prospective cohort that consecutively enrolled 211 RTA victims admitted and managed in emergency units of 6 hospitals in western Uganda. All patients who presented with a history of trauma were managed according to the advanced trauma life support protocol (ATLS). The outcome regarding death was documented at 24 hours from injury. Data was analyzed using SPSS version 22 for windows. Results Majority of the participants were male (85.8%) aged 15–45 years (76.3%). The most common road user category was motorcyclists (48.8%). The 24 hour mortality was 14.69%. At multivariate analysis, it was observed that a motorcyclist was 5.917 times more likely to die compared to a pedestrian (P = 0.016). It was also observed that a patient with severe injury was 15.625 times more likely to die compared to one with a moderate injury (P < 0.001). Conclusion The incidence of 24 hour mortality among road traffic accident victims was high. Being motorcycle rider and severity of injury according to Kampala trauma score II predicted mortality. Motorcyclists should be reminded to be more careful while using the road. Trauma patients should be assessed for severity, and the findings used to guide management.

show abstract

Section: Discussionmentioning

confidence: 99%

24 hour mortality and its predictors among road traffic accident victims in a resource limited setting; a multicenter cohort study

Kamabu

Soria

Tumwesigye

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…The large number of motorcyclists injured can be linked to the fact that motorcycles being two-wheeler have a lower stability compared to motor vehicles. The other possible reason could be because they have been reported to ignore most of the traffic rules that could keep them safe despite the low stability of the motorcycles [ 19 ]. Also, casualties among pedestrians (30.8%) could be explained by the lack of segregated pedestrian road networks and the lack of community understanding about road safety.…”

Section: Discussionmentioning

confidence: 99%

24 h mortality and its predictors among road traffic accident victims in a resource limited setting; a multicenter cohort study

et al. 2023

View full text Add to dashboard Cite

Introduction The incidence of road traffic accidents (RTAs) is on the rise contributing to the global burden of mortality as a major global health threat. It has been estimated that 93% of RTAs and more than 90% of the resulting deaths occur in low and middle income countries. Though death due to RTAs has been occurring at an alarming rate, there is paucity of data relating to incidence and predictors of early mortality. This study was aimed at determining the 24 h mortality and its predictors among RTA patients attending selected hospitals in western Uganda. Methods This was a prospective cohort that consecutively enrolled 211 RTA victims admitted and managed in emergency units of 6 hospitals in western Uganda. All patients who presented with a history of trauma were managed according to the advanced trauma life support protocol (ATLS). The outcome regarding death was documented at 24 h from injury. Data was analyzed using SPSS version 22 for windows. Results Majority of the participants were male (85.8%) aged 15–45 years (76.3%). The most common road user category was motorcyclists (48.8%). The 24 h mortality was 14.69%. At multivariate analysis, it was observed that a motorcyclist was 5.917 times more likely to die compared to a pedestrian (P = 0.016). It was also observed that a patient with severe injury was 15.625 times more likely to die compared to one with a moderate injury (P < 0.001). Conclusion The incidence of 24 h mortality among road traffic accident victims was high. Being motorcycle rider and severity of injury according to Kampala trauma score II predicted mortality. Motorcyclists should be reminded to be more careful while using the road. Trauma patients should be assessed for severity, and the findings used to guide management since severity predicted mortality.

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Determinants of adverse management outcomes of blunt abdominal trauma patients operated at a referral hospital in southern Ethiopia: a retrospective record review

Abraha,

Gebreyes,

Wolka

et al. 2023

BMC Surg

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Background Abdominal trauma is one of the common reasons for emergency visits yet there is paucity of data about the subject in the horn of Africa. This study was aimed at determining the determinants of adverse management outcomes of blunt abdominal trauma among operated patients at Wolaita Sodo University Teaching and Referral Hospital, Ethiopia. Methods This was a three-year retrospective review conducted among 128 patient records selected using purposive sampling in which all records for the patients operated for a diagnosis of blunt abdominal trauma during the study period were included. A pretested checklist was used to extract the data relating to adverse outcomes and characteristics of the patients. A descriptive analysis followed by logistic regression was done. Results Of the 128 patients, adverse management outcomes related to blunt abdominal trauma occurred in 52%. Patients residing in rural areas (adjusted odds ratio 3.23, 95% confidence interval: 1.13–9.24) and those with tachycardia, (adjusted odds ratio = 3.25, 95% confidence interval: 1.19–8.83) or tachypnea (adjusted odds ratio 3.25, 95% confidence interval: 1.19–8.83) were more likely to have adverse management outcomes. Conclusion Adverse management outcomes are relatively high and associated with rural residence and deranged vital signs (tachycardia and tachypnea). Close monitoring targeting patients from rural residence and those presenting with tachycardia and tachypnea is recommended.

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Road Safety Regulations: How Compliant are Commercial Motorcyclists in Semi-Urban Towns in Western Nigeria?

Cited by 3 publications

References 10 publications

24 hour mortality and its predictors among road traffic accident victims in a resource limited setting; a multicenter cohort study

24 hour mortality and its predictors among road traffic accident victims in a resource limited setting; a multicenter cohort study

24 h mortality and its predictors among road traffic accident victims in a resource limited setting; a multicenter cohort study

Determinants of adverse management outcomes of blunt abdominal trauma patients operated at a referral hospital in southern Ethiopia: a retrospective record review

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