Piloting a hospital-based road traffic injury surveillance system in Nairobi County, Kenya, 2018-2019.
Helmets
Kampala Trauma Score
Kenya
Motor vehicle crashes
Motorcyclists
Pedestrians
Public health surveillance
Road traffic crashes
Road traffic injury
Seat belts
Journal
Injury
ISSN: 1879-0267
Titre abrégé: Injury
Pays: Netherlands
ID NLM: 0226040
Informations de publication
Date de publication:
27 Feb 2023
27 Feb 2023
Historique:
received:
05
07
2022
revised:
14
02
2023
accepted:
25
02
2023
pmc-release:
27
08
2024
entrez:
16
3
2023
pubmed:
17
3
2023
medline:
17
3
2023
Statut:
aheadofprint
Résumé
Kenya's estimated road traffic injury (RTI) death rate is 27.8/100,000 population, which is 1.5 times the global rate. Some RTI data are collected in Kenya; however, a systematic and integrated surveillance system does not exist. Therefore, we adopted and modified the World Health Organization's injury surveillance guidelines to pilot a hospital-based RTI surveillance system in Nairobi County, Kenya. We prospectively documented all RTI cases presenting at two public trauma hospitals in Nairobi County from October 2018-April 2019. RTI cases were defined as injuries involving ≥1 moving vehicles on public roads. Demographics, injury circumstances, and outcome information were collected using standardized case report forms. The Kampala Trauma Score (KTS) was used to assess injury severity. RTI cases were characterized with descriptive statistics. Of the 1,840 RTI cases reported during the seven-month period, 73.2% were male. The median age was 29.8 years (range 1-89 years). Forty percent (n = 740) were taken to the hospital by bystanders. Median time for hospital arrival was 77 min. Pedestrians constituted 54.1% (n = 995) of cases. Of 400 motorcyclists, 48.0% lacked helmets. Similarly, 65.7% of bicyclists (23/35) lacked helmets. Among 386 motor vehicle occupants, 59.6% were not using seat belts (19.9% unknown). Seven percent of cases (n = 129) reported alcohol use (49.0% unknown), and 8.8% (n = 161) reported mobile phone use (59.7% unknown). Eleven percent of cases (n = 199) were severely injured (KTS <11), and 220 died. We demonstrated feasibility of a hospital-based RTI surveillance system in Nairobi County. Integrating information from crash scenes and hospitals can guide prevention.
Sections du résumé
BACKGROUND
BACKGROUND
Kenya's estimated road traffic injury (RTI) death rate is 27.8/100,000 population, which is 1.5 times the global rate. Some RTI data are collected in Kenya; however, a systematic and integrated surveillance system does not exist. Therefore, we adopted and modified the World Health Organization's injury surveillance guidelines to pilot a hospital-based RTI surveillance system in Nairobi County, Kenya.
METHODS
METHODS
We prospectively documented all RTI cases presenting at two public trauma hospitals in Nairobi County from October 2018-April 2019. RTI cases were defined as injuries involving ≥1 moving vehicles on public roads. Demographics, injury circumstances, and outcome information were collected using standardized case report forms. The Kampala Trauma Score (KTS) was used to assess injury severity. RTI cases were characterized with descriptive statistics.
RESULTS
RESULTS
Of the 1,840 RTI cases reported during the seven-month period, 73.2% were male. The median age was 29.8 years (range 1-89 years). Forty percent (n = 740) were taken to the hospital by bystanders. Median time for hospital arrival was 77 min. Pedestrians constituted 54.1% (n = 995) of cases. Of 400 motorcyclists, 48.0% lacked helmets. Similarly, 65.7% of bicyclists (23/35) lacked helmets. Among 386 motor vehicle occupants, 59.6% were not using seat belts (19.9% unknown). Seven percent of cases (n = 129) reported alcohol use (49.0% unknown), and 8.8% (n = 161) reported mobile phone use (59.7% unknown). Eleven percent of cases (n = 199) were severely injured (KTS <11), and 220 died.
CONCLUSION
CONCLUSIONS
We demonstrated feasibility of a hospital-based RTI surveillance system in Nairobi County. Integrating information from crash scenes and hospitals can guide prevention.
Identifiants
pubmed: 36925372
pii: S0020-1383(23)00182-1
doi: 10.1016/j.injury.2023.02.051
pmc: PMC10599333
mid: NIHMS1937407
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Intramural CDC HHS
ID : CC999999
Pays : United States
Informations de copyright
Copyright © 2023 Elsevier Ltd. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest Valerian Mwenda reports financial support was provided by Centers for Disease Control and Prevention Center for Global Health.
Références
Public Health. 2015 Oct;129(10):1406-28
pubmed: 26318617
Tanzan J Health Res. 2010 Oct;12(4):214-21
pubmed: 24409627
S Afr Med J. 2014 Jun 02;104(7):488-92
pubmed: 25214050
J Public Health Policy. 2007 Dec;28(4):432-41
pubmed: 17955008
Traffic Inj Prev. 2014;15(5):477-82
pubmed: 24215613
Prehosp Disaster Med. 2017 Feb;32(1):64-70
pubmed: 27938449
BMC Public Health. 2012 May 16;12:357
pubmed: 22591600
Prehosp Disaster Med. 2017 Dec;32(6):593-595
pubmed: 28797317
Injury. 2016 Jan;47(1):125-9
pubmed: 26256783
Chin J Traumatol. 2020 Aug;23(4):216-218
pubmed: 32680705
Traffic Inj Prev. 2017 Oct 3;18(7):767-773
pubmed: 28448753
East Mediterr Health J. 2011 Sep;17(9):647-53
pubmed: 22259914
Accid Anal Prev. 2013 Jan;50:871-8
pubmed: 22935347
Lancet Planet Health. 2019 Sep;3(9):e390-e398
pubmed: 31538624
Int J Environ Res Public Health. 2016 Feb 19;13(2):236
pubmed: 26907318
World J Surg. 2014 Aug;38(8):1905-11
pubmed: 24715042
Surgery. 2017 Dec;162(6S):S45-S53
pubmed: 28385178
PLoS One. 2016 Jan 06;11(1):e0144971
pubmed: 26735918
J Family Med Prim Care. 2020 May 31;9(5):2313-2318
pubmed: 32754494
Prehosp Emerg Care. 2019 May-Jun;23(3):389-410
pubmed: 30141702
Injury. 2014 Nov;45(11):1687-92
pubmed: 24998038
PLoS One. 2019 Jul 24;14(7):e0220179
pubmed: 31339962
Surgery. 2017 Dec;162(6S):S54-S62
pubmed: 28438334
BMC Emerg Med. 2019 Oct 11;19(1):51
pubmed: 31601171
Int J Inj Contr Saf Promot. 2011 Sep;18(3):213-7
pubmed: 21491288
Prehosp Disaster Med. 2017 Feb;32(1):14-19
pubmed: 27923422