Road Traffic Injury in Lagos, Nigeria: Assessing Prehospital Care
Road Traffic Injury in Lagos, Nigeria: Assessing Prehospital Care
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DOI：
10.1017/s1049023x17006410
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发表时间：
2017-08-01
影响因子：
2.2
通讯作者：
Solagberu, Babatunde A.
中科院分区：
文献类型：
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作者：
Ibrahim, Nasiru A.;Ajani, Abdul Wahab O.;Solagberu, Babatunde A.
导言：伤害是全球总体死亡的第三大原因，四分之一是道路交通事故造成的。这些死亡大多发生在到达医院之前，可以通过及时有效的院前护理来减少。本研究的目的是突出道路交通伤害（RTI）的负担，在拉各斯，尼日利亚和评估的有效性，院前护理，特别是拉各斯国家救护车服务的作用（LASAMBUS）在提供初步护理和运送伤者到医院。方法：一个为期三年，对在拉各斯州立大学教学医院（LASUTH）外科急诊室（SER）就诊的道路交通受伤患者进行回顾性分析，Ikeja，尼日利亚，从2012年1月1日至2014年12月31日进行。从机构创伤登记处提取的参数包括生物数据、受伤日期和时间、抵达SER的日期和时间、宿主状态、涉及的车辆类型和受伤区域。还记录了患者如何来到医院和SER结果的信息。结果采用社会科学统计软件包（SPSS; IBM Corporation;阿尔蒙克，纽约美国）第16版进行分析。其中，16,024例（68.1%）有创伤。道路交通事故造成5，629例（35.0%）创伤病例。乘客占受伤人数的42.0%，其次是行人（34.0%）。四轮车是最常见的车辆类型（54.0%），其次是摩托车（30.0%）。主要受累部位为头颈部（40.0%）和下肢（29.0%）。不到四分之一（24.0%）的人在一小时内到急诊室就诊，而三分之一的人在受伤后一到六小时内到达。亲戚带来了55.4%，其次是旁观者（21.4%）。只有2.3%的患者接受了正式的院前护理，并由LASAMBUS送往医院。他们的到达时间也大大缩短。109例（1.9%）在急诊室死亡，而235具尸体被带到dead.Conclusion：不到百分之三的道路交通事故的受害者有正式的院前急救和较短的到达医院的时间。拉各斯目前的院前急救设施不足，需要改进。对将大多数伤者送往医院的非专业急救人员进行基本急救培训，可能会改善拉各斯的院前护理。
Introduction: Injuries are the third most important cause of overall deaths globally with one-quarter resulting from road traffic crashes. Majority of these deaths occur before arrival in the hospital and can be reduced with prompt and efficient prehospital care. The aim of this study was to highlight the burden of road traffic injury (RTI) in Lagos, Nigeria and assess the effectiveness of prehospital care, especially the role of Lagos State Ambulance Service (LASAMBUS) in providing initial care and transportation of the injured to the hospital.Methods: A three-year, retrospective review of road traffic injured patients seen at the Surgical Emergency Room (SER) of the Lagos State University Teaching Hospital (LASUTH), Ikeja, Nigeria, from January 1, 2012 to December 31, 2014 was conducted. Parameters extracted from the Institution Trauma Registry included bio-data, date and time of injury, date and time of arrival in SER, host status, type of vehicle involved, and region(s) injured. Information on how patients came to the hospital and outcome in SER also were recorded. Results were analyzed using Statistical Package for Social Sciences (SPSS; IBM Corporation; Armonk, New York USA) version 16.Results: A total of 23,537 patients were seen during the study period. Among them, 16,024 (68.1%) had trauma. Road traffic crashes were responsible in 5,629 (35.0%) of trauma cases. Passengers constituted 42.0% of the injured, followed by pedestrians (34.0%). Four wheelers were the most frequent vehicle type involved (54.0%), followed by motor cycles (30.0%). Regions mainly affected were head and neck (40.0%) and lower limb (29.0%). Less than one-quarter (24.0%) presented to the emergency room within an hour, while one-third arrived between one and six hours following injury. Relatives brought 55.4%, followed by bystanders (21.4%). Only 2.3% had formal prehospital care and were brought to the hospital by LASAMBUS. They also had significantly shorter arrival time. One hundred and nine patients (1.9%) died in the emergency room while 235 bodies were brought in dead.Conclusion: Less than three percent among the victims of road crashes had formal prehospital care and shorter hospital arrival time. Current facilities for emergency prehospital care in Lagos are inadequate and require improvement. Training lay first-responders, who bring the majority of the injured to hospital, in basic first-aid may improve prehospital care in Lagos.