Road traffic injury in sub-Saharan African countries: A systematic review and summary of observational studies

Vissoci, João Ricardo Nickenig; Shogilev, Daniel J.; Krebs, Elizabeth; Andrade, Luciano de; Vieira, Igor Fiorese; Toomey, Nicole; Batilana, Adelia Portero; Haglund, Michael M.; Staton, Catherine A.

doi:10.1080/15389588.2017.1314470

Cited by 36 publications

(32 citation statements)

References 78 publications

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“…This study revealed that the pooled prevalence of RTI among trauma patients in Ethiopian hospitals was 31.5%. This finding was comparable with a prevalence report in sub-Saharan Africa (32%) [9] and low- and middle-income countries (13% to 31%) [14] . Although low-income countries have nearly half of the world's vehicles, the majority of vehicles accident had been occurred in these countries [37] and the burden of RTI in the hospitals become still higher than the developed world.…”

Section: Discussionsupporting

confidence: 90%

“…Based on 2000–2020 WHO projection, road traffic-related deaths expected to increase by 80% in low- and middle-income countries [8] . The estimated prevalence of RTI among trauma patients in sub-Sahara Africa was 32% [9] . RTI is a hidden epidemic causes of morbidity and mortality in developing countries [10] where by more than 90% of death are related with road traffic accidents [11] .…”

Section: Introductionmentioning

confidence: 99%

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The burden of road traffic injury among trauma patients in Ethiopia: A systematic review and meta-analysis

Endalamaw

Birhanu

Alebel

et al. 2019

African Journal of Emergency Medicine

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Background Road traffic injury (RTI) is one of the main reasons for trauma-related admission in Ethiopian hospitals. Nationally representative data is needed to develop and implement the public health emergency management strategy. Therefore, this study was aimed to estimate the national pooled prevalence of RTI among trauma patients in Ethiopia. Methods PubMed, Excerpta Medica Database (EMBASE), psycEXTRA, and Google Scholar databases were searched. Heterogeneity of studies was assessed using the I 2 statistics. Publication bias was checked by using funnel plot and Egger’s regression test. The DerSimonian and Laird's random-effects model was used to estimate the pooled prevalence. Subgroup analysis was conducted by age and region. The trend of RTI estimated as well. Results The pooled prevalence of RTI among trauma patients in Ethiopia was 31.5% (95% CI: 25.4%, 37.7%). Regional subgroup analysis showed that the pooled prevalence of RTI was 58.3% in the region of southern, nation, nationalities, and peoples (SNNPR) and 33.3% in Addis Ababa. Subgroup analysis based on patients age showed that the pooled prevalence of RTI was 51.7% in adults, 14.2% in children, and 32.6% in all age group. The time-trend analysis has shown an increasing burden of RTI in Ethiopian hospitals. Conclusion The burden of RTI among trauma patients was high. Therefore, strengthening road safety management throughout the country is needed to reduce RTI.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

The burden of road traffic injury among trauma patients in Ethiopia: A systematic review and meta-analysis

Endalamaw

Birhanu

Alebel

et al. 2019

African Journal of Emergency Medicine

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“…These have mostly included legislative regulations, educational interventions, law enforcement, infrastructural reform, and community-based prevention programs [ 21 ]. At the same time, a growing number of sub-Saharan African trauma registries have aimed to provide clinicians, researchers, and administrators clearer data regarding local burden of traumatic illness [ 18 , 22 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

Ambulance use is not associated with patient acuity after road traffic collisions: a cross-sectional study from Addis Ababa, Ethiopia

et al. 2018

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BackgroundAfrica accounts for one sixth of global road traffic deaths—most in the pre-hospital setting. Ambulance transport is expensive relative to other modes of pre-hospital transport, but has advantages in time-sensitive, high-acuity scenarios. Many countries, including Ethiopia, are expanding ambulance fleets, but clinical characteristics of patients using ambulances remain ill-defined.MethodsThis is a cross-sectional study of 662 road traffic collisions (RTC) patients arriving to a single trauma referral center in Addis Ababa, Ethiopia, over 7 months. Emergency Department triage records were used to abstract clinical and arrival characteristics, including acuity. The outcome of interest was ambulance arrival. Secondary outcomes of interest were inter-facility referral and referral communication. Descriptive and multivariable statistics were computed to identify factors independently associated with outcomes.ResultsOver half of patients arrived with either high (13.1%) or moderate (42.2%) acuity. Over half (59.0%) arrived by ambulance, and nearly two thirds (65.9%) were referred. Among referred patients, inter-facility communication was poor (57.7%). Patients with high acuity were most likely to be referred (aOR 2.20, 95%CI 1.16–4.17), but were not more likely to receive ambulance transport (aOR 1.56, 95%CI 0.86–2.84) or inter-facility referral communication (aOR 0.98, 95%CI 0.49–1.94) than those with low acuity. Nearly half (40.2%) of all patients were referred by ambulance despite having low acuity.ConclusionsDespite ambulance expansion in Addis Ababa, ambulance use among RTC patients remains heavily concentrated among those with low-acuity. Inter-facility referral appears a primary contributor to low-acuity ambulance use. In other contexts, similar routine ambulance monitoring may help identify low-value utilization. Regional guidelines may help direct ambulance use where most valuable, and warrant further evaluation.Electronic supplementary materialThe online version of this article (10.1186/s12873-018-0158-5) contains supplementary material, which is available to authorized users.

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“…Other forms of NCDs such as injuries are responsible for a significant proportion of DALYS. Injuries resulting from road accidents (motor vehicles and motor bikes) have increasingly taken a growing toll on human health [33]. Mental disorders, including depression and anxiety, or severe forms like psychosis, schizophrenia and bipolar, as well as alcohol and substance dependence are common.…”

Section: Burden and Trends Of Ncds In Africamentioning

confidence: 99%

Non-Communicable Diseases and Urbanization in African Cities: A Narrative Review

Juma¹,

Juma²,

Shumba³

et al. 2020

Public Health in Developing Countries - Challenges and Opportunities

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Rapid urbanization in Africa has been linked to the growing burden of noncommunicable diseases (NCDs). Urbanization processes have amplified lifestyle risk factors for NCDs (including unhealthy diets, tobacco use, harmful alcohol intake, and physical inactivity), especially among individuals of low and middle social economic status. Nevertheless, African countries are not keeping pace with the ever increasing need for population-level interventions such as health promotion through education, screening, diagnosis, and treatment, as well as structural measures such as policies and legislation to prevent and control the upstream factors driving the NCD epidemic. This chapter highlights the NCD burden in urban Africa, along with the social determinants and existing interventions against NCDs. The chapter concludes by offering insights into policy and legislative opportunities and recommends stronger efforts to apply multisectoral and intersectoral approaches in policy formulation, implementation, and monitoring at multiple levels to address the NCD epidemic in African cities.

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Road traffic injury in sub-Saharan African countries: A systematic review and summary of observational studies

Cited by 36 publications

References 78 publications

The burden of road traffic injury among trauma patients in Ethiopia: A systematic review and meta-analysis

The burden of road traffic injury among trauma patients in Ethiopia: A systematic review and meta-analysis

Ambulance use is not associated with patient acuity after road traffic collisions: a cross-sectional study from Addis Ababa, Ethiopia

Non-Communicable Diseases and Urbanization in African Cities: A Narrative Review

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