Road traffic injuries in Yaoundé, Cameroon: A hospital-based pilot surveillance study

Jolion McGreevy, Kent A Stevens, Martin Ekeke Monono, Georges Alain Etoundi Mballa, Marquise Kouo Ngamby, Adnan A. Hyder, Catherine Juillard

Research output: Contribution to journalArticle

Abstract

Background: Road traffic injuries (RTIs) are a major cause of death and disability worldwide. In Cameroon, like the rest of sub-Saharan Africa, more data on RTI patterns and outcomes are needed to improve treatment and prevention. This study analyses RTIs seen in the emergency room of the busiest trauma centre in Yaoundé , Cameroon.

Methods: A prospective injury surveillance study was conducted in the emergency room of the Central Hospital of Yaoundé from April 15 to October 15, 2009. RTI patterns and relationships among demographic variables, road collision characteristics, injury severity, and outcomes were identified.

Results: A total of 1686 RTI victims were enrolled. The mean age was 31 years, and 73% were male. Eighty-eight percent of road collisions occurred on paved roads. The most common user categories were pedestrian (34%) and motorcyclist (29%). Pedestrians were more likely to be female (p <0.001), while motorcyclists were more likely to be male (p <0.001). Injuries most commonly involved the pelvis and extremities (43%). Motorcyclists were more likely than other road users to have serious injuries (RR = 1.45; 95% CI: 1.25, 1.68). RTI victims of lower economic status were more likely to die than those of higher economic status.

Discussion: Vulnerable road users represent the majority of RTI victims in this surveillance study. The burden of RTI on hospitals in Cameroon is high and likely to increase. Data on RTI victims who present to trauma centres in low- and middle-income countries are essential to improving treatment and prevention.

Original languageEnglish (US)
Pages (from-to)1687-1692
Number of pages6
JournalInjury
Volume45
Issue number11
DOIs
StatePublished - Nov 1 2014

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Cameroon
Wounds and Injuries
Trauma Centers
Hospital Emergency Service
Economics
Africa South of the Sahara
Pelvis
Cause of Death

Keywords

  • Injury
  • Low-middle lncome country
  • Motorcyclist
  • Pedestrian
  • Surveillance road traffic
  • Trauma systems

ASJC Scopus subject areas

  • Emergency Medicine
  • Orthopedics and Sports Medicine
  • Medicine(all)

Cite this

McGreevy, J., Stevens, K. A., Ekeke Monono, M., Etoundi Mballa, G. A., Kouo Ngamby, M., Hyder, A. A., & Juillard, C. (2014). Road traffic injuries in Yaoundé, Cameroon: A hospital-based pilot surveillance study. Injury, 45(11), 1687-1692. https://doi.org/10.1016/j.injury.2014.05.001

Road traffic injuries in Yaoundé, Cameroon : A hospital-based pilot surveillance study. / McGreevy, Jolion; Stevens, Kent A; Ekeke Monono, Martin; Etoundi Mballa, Georges Alain; Kouo Ngamby, Marquise; Hyder, Adnan A.; Juillard, Catherine.

In: Injury, Vol. 45, No. 11, 01.11.2014, p. 1687-1692.

Research output: Contribution to journalArticle

McGreevy, J, Stevens, KA, Ekeke Monono, M, Etoundi Mballa, GA, Kouo Ngamby, M, Hyder, AA & Juillard, C 2014, 'Road traffic injuries in Yaoundé, Cameroon: A hospital-based pilot surveillance study', Injury, vol. 45, no. 11, pp. 1687-1692. https://doi.org/10.1016/j.injury.2014.05.001
McGreevy J, Stevens KA, Ekeke Monono M, Etoundi Mballa GA, Kouo Ngamby M, Hyder AA et al. Road traffic injuries in Yaoundé, Cameroon: A hospital-based pilot surveillance study. Injury. 2014 Nov 1;45(11):1687-1692. https://doi.org/10.1016/j.injury.2014.05.001
McGreevy, Jolion ; Stevens, Kent A ; Ekeke Monono, Martin ; Etoundi Mballa, Georges Alain ; Kouo Ngamby, Marquise ; Hyder, Adnan A. ; Juillard, Catherine. / Road traffic injuries in Yaoundé, Cameroon : A hospital-based pilot surveillance study. In: Injury. 2014 ; Vol. 45, No. 11. pp. 1687-1692.
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abstract = "Background: Road traffic injuries (RTIs) are a major cause of death and disability worldwide. In Cameroon, like the rest of sub-Saharan Africa, more data on RTI patterns and outcomes are needed to improve treatment and prevention. This study analyses RTIs seen in the emergency room of the busiest trauma centre in Yaound{\'e} , Cameroon.Methods: A prospective injury surveillance study was conducted in the emergency room of the Central Hospital of Yaound{\'e} from April 15 to October 15, 2009. RTI patterns and relationships among demographic variables, road collision characteristics, injury severity, and outcomes were identified.Results: A total of 1686 RTI victims were enrolled. The mean age was 31 years, and 73{\%} were male. Eighty-eight percent of road collisions occurred on paved roads. The most common user categories were pedestrian (34{\%}) and motorcyclist (29{\%}). Pedestrians were more likely to be female (p <0.001), while motorcyclists were more likely to be male (p <0.001). Injuries most commonly involved the pelvis and extremities (43{\%}). Motorcyclists were more likely than other road users to have serious injuries (RR = 1.45; 95{\%} CI: 1.25, 1.68). RTI victims of lower economic status were more likely to die than those of higher economic status.Discussion: Vulnerable road users represent the majority of RTI victims in this surveillance study. The burden of RTI on hospitals in Cameroon is high and likely to increase. Data on RTI victims who present to trauma centres in low- and middle-income countries are essential to improving treatment and prevention.",
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AU - Kouo Ngamby, Marquise

AU - Hyder, Adnan A.

AU - Juillard, Catherine

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N2 - Background: Road traffic injuries (RTIs) are a major cause of death and disability worldwide. In Cameroon, like the rest of sub-Saharan Africa, more data on RTI patterns and outcomes are needed to improve treatment and prevention. This study analyses RTIs seen in the emergency room of the busiest trauma centre in Yaoundé , Cameroon.Methods: A prospective injury surveillance study was conducted in the emergency room of the Central Hospital of Yaoundé from April 15 to October 15, 2009. RTI patterns and relationships among demographic variables, road collision characteristics, injury severity, and outcomes were identified.Results: A total of 1686 RTI victims were enrolled. The mean age was 31 years, and 73% were male. Eighty-eight percent of road collisions occurred on paved roads. The most common user categories were pedestrian (34%) and motorcyclist (29%). Pedestrians were more likely to be female (p <0.001), while motorcyclists were more likely to be male (p <0.001). Injuries most commonly involved the pelvis and extremities (43%). Motorcyclists were more likely than other road users to have serious injuries (RR = 1.45; 95% CI: 1.25, 1.68). RTI victims of lower economic status were more likely to die than those of higher economic status.Discussion: Vulnerable road users represent the majority of RTI victims in this surveillance study. The burden of RTI on hospitals in Cameroon is high and likely to increase. Data on RTI victims who present to trauma centres in low- and middle-income countries are essential to improving treatment and prevention.

AB - Background: Road traffic injuries (RTIs) are a major cause of death and disability worldwide. In Cameroon, like the rest of sub-Saharan Africa, more data on RTI patterns and outcomes are needed to improve treatment and prevention. This study analyses RTIs seen in the emergency room of the busiest trauma centre in Yaoundé , Cameroon.Methods: A prospective injury surveillance study was conducted in the emergency room of the Central Hospital of Yaoundé from April 15 to October 15, 2009. RTI patterns and relationships among demographic variables, road collision characteristics, injury severity, and outcomes were identified.Results: A total of 1686 RTI victims were enrolled. The mean age was 31 years, and 73% were male. Eighty-eight percent of road collisions occurred on paved roads. The most common user categories were pedestrian (34%) and motorcyclist (29%). Pedestrians were more likely to be female (p <0.001), while motorcyclists were more likely to be male (p <0.001). Injuries most commonly involved the pelvis and extremities (43%). Motorcyclists were more likely than other road users to have serious injuries (RR = 1.45; 95% CI: 1.25, 1.68). RTI victims of lower economic status were more likely to die than those of higher economic status.Discussion: Vulnerable road users represent the majority of RTI victims in this surveillance study. The burden of RTI on hospitals in Cameroon is high and likely to increase. Data on RTI victims who present to trauma centres in low- and middle-income countries are essential to improving treatment and prevention.

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