与道路交通伤患者死亡率相关的院前因素:喀麦隆创伤登记数据分析。

IF 2.3 3区 医学 Q1 EMERGENCY MEDICINE
Serge Ngekeng, Odette Kibu, Rasheedat Oke, Nahyeni Bassah, Darwin Arole Touko, Mark T Yost, Fanny Dissak-Delon, Nicholas Tendongfor, Georges Nguefack-Tsague, Alan Hubbard, Sandra I McCoy, S Ariane Christie, Alain Chichom-Mefire, Catherine Juillard
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引用次数: 0

摘要

背景:喀麦隆是受道路交通伤害影响最严重的国家之一:喀麦隆是受道路交通伤影响最严重的国家之一,估计每 10 万人的残疾调整寿命为 1443 年。关于喀麦隆院前应对道路交通伤的关键措施的报道非常有限。本研究旨在确定与喀麦隆道路交通伤死亡率相关的院前因素:我们纳入了 2022 年 6 月至 2023 年 3 月期间在喀麦隆创伤登记处登记的患者。我们从患者或其代理人处获得了有关院前因素和人口统计学数据的信息。我们研究了院前护理因素(如车祸现场护理和车祸中的交通方式)与患者最终结果的关系。我们使用卡方检验来研究选定的独立变量与死亡率之间的关系。我们建立了一个多变量逻辑回归模型,以确定RTI死亡的独立预测因素:在喀麦隆创伤登记处登记的所有创伤中,RTI 占 69.5%(n = 3203)。只有 20.7%(n = 102)的四轮汽车乘员在碰撞时系了安全带,只有 2.7%(n = 53)的摩托车骑手在碰撞时佩戴了头盔。只有 4.9%(n = 156)的患者接受了任何形式的现场护理。院内死亡率为4.3%(n = 139),与男性(AOR = 1.7,95%CI = 1.08-2.80)、骑摩托车撞车(AOR = 2.08,95%CI = 1.1-3.67)和现场护理(AOR = 0.25,95%CI = 0.04-0.80)有关:在现场接受任何类型的护理(如止血或由旁观者摆放恢复体位)都与生存率的提高有关。在喀麦隆,改善现有的非正规院前救护措施应成为当务之急。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prehospital factors associated with mortality among road traffic injury patients: analysis of Cameroon trauma registry data.

Background: Cameroon is amongst the worst affected countries by road traffic injuries with an estimated 1443 disability-adjusted life years per 100,000 population. There have been very limited reports on the crucial prehospital response to road traffic injuries in Cameroon. This study aimed to identify prehospital factors associated with RTI mortality in Cameroon.

Methods: We included patients enrolled between June 2022 and March 2023 in the Cameroon Trauma Registry. Information about prehospital factors and demographic data was obtained from patients or their proxies. We examined the association of prehospital care factors like care at the crash scene and type of transportation during crash with final patient outcome. We used Chi-squared test to investigate the association between selected independent variables and mortality. A multivariable logistic regression model was built to identify independent predictors of dying from an RTI.

Results: RTIs constituted 69.5% (n = 3203) of all injuries in the Cameroon Trauma Registry. Only 20.7% (n = 102) of 4 + wheel vehicle occupants had seatbelts on and just 2.7% (n = 53) of motorcycle riders were wearing helmets during the collision. Only 4.9% (n = 156) of patients received any form of scene care. In-hospital mortality was 4.3% (n = 139) and was associated with male sex (AOR = 1.7, 95%CI = 1.08-2.80), crashing on a motorcycle (AOR = 2.08, 95%CI = 1.1-3.67) and scene care (AOR = 0.25, 95%CI = 0.04-0.80).

Conclusions: Receiving any type of care at the scene such as bleeding control or being placed in the recovery position by bystanders is associated with improved survival. Improving on existing informal prehospital care responses should be a priority in Cameroon.

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来源期刊
BMC Emergency Medicine
BMC Emergency Medicine Medicine-Emergency Medicine
CiteScore
3.50
自引率
8.00%
发文量
178
审稿时长
29 weeks
期刊介绍: BMC Emergency Medicine is an open access, peer-reviewed journal that considers articles on all urgent and emergency aspects of medicine, in both practice and basic research. In addition, the journal covers aspects of disaster medicine and medicine in special locations, such as conflict areas and military medicine, together with articles concerning healthcare services in the emergency departments.
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