Mortality Related to Accidents Involving Two-Wheeled Motorized Vehicles at Donka National Hospital
- 1 Unit of Legal Medicine, Donka National Hospital, Conakry, Guinea
- 2 Institute of Child Nutrition and Health, Conakry, Guinea
- 3 Emergency Department, Donka National Hospital, Conakry, Guinea
- 4 Unit of Legal Medicine, Donka National Hospital, Conakry, Guinea
Abstract
Two-wheeled motorized road accidents are becoming increasingly frequent and are responsible for high mortality among a young and active population in developing countries. The objective of this study was to determine the mortality rate related to motorcycle accidents and to identify socio-demographic factors and accidental mechanisms. Methodology: This was a retrospective descriptive and analytical study involving 16,655 patients, including 312 deaths due to motorcycle accidents. The study took place from January 1, 2013 to December 31, 2017. Not all patients who died as a result of accidents involving equipment other than two motorized wheels were included in our study. The data were entered and analyzed using the Epi.info version software. For the comparison of qualitative data, we used Pearson’s khi2. Results: We recorded 312 cases of death or 1.87% out of a total of 16,655 victims. Of the deceased victims, only 112 wore a protective helmet and 200 did not. The male predominance was clear ( p < 0.0001). Fatal accidents were more frequent among 4 pm and midnight ( p < 0.0001). Conclusion: This study shows that two-wheeled motor vehicle accident mortality is a public health problem. Gender, occupation and time of occurrence of the accidents were most common factors associated with mortality. The effective establishment of an emergency medical assistance service (SAMU) in Conakry could improve the pre-hospital care of these traumatised people.
- World Health Organization (2004) World Report on Road Traffic Injury Prevention. WHO, Geneva.
- Regional Road Safety Observatory of Franche-Comté (2003) Study of the Physical, Psychological and Social Consequences of Accidents in Franche-Comté. ORSR, September, 1-4.
- Van Elslande, P., Fouquet, K., Vincensini, M., Nussbaum, F. and Roynard, M. (2008) Accidentology, Use and Representation of Two Motorized Wheels: Towards a Better Consideration of Their Diversity. Vol. 5, 1-27.
- World Health Organization (WHO) (2015) Summaries of Road Safety Situation Reports from around the World. Geneva.
- Hurt, H.H., Quellet, J.V. and Thom, D.R. (1981) Motorcycle Accident Cause Factors and Identification of Countermeasures. Volume 1: Technical Report. US Department of Transportation, National Highway Traffic Safety Administration, Washington DC.
- National Highway Traffic Safety Administration (2018) Traffic Safety Facts. Department of Transportation, Washington DC.
- National Inter-Ministerial Road Safety Observatory (2016) Road Safety in France. ONISR Balance Sheet.
- Guinean Observatory of Road Safety and Urban Mobility (2016) 1st Progress Report on Road Safety in Guinea. No. 1, 1-76.
- Bah, M.L., Sidibe, M., lamah, L., Bah, A.A., Bah, T.O. and Soumah, M.T. (2017) Motorcycle Accidents: Epidemiological Aspects and Injury Assessment at the Orthopaedic and Traumatology Department of the Ignace Deen National Hospital of the University Hospital of Conakry. Rev Int Sc. Med, 19, 57-61.
- Almeimoune, A., Mangane, M.I., Diop, T.H.M., Beye, S.A., Démbele, A.S., Koita, S., Coulibaly, M. and Diango, M.D. (2017) Epidemiological Aspects, Clinical Aspects of Road Traffic Injury (RTA) Involving Motorcycles in Bamako. RAMUR, 22, 64-67.
- Oluwadiya, K.S., Kolawole, I.K., Adegbehingbe, O.O., Olasinde, A.A., Agodirin, A. and Uwaezuokec, S.C. (2009) Motorcycle Crash Characteristics in Nigeria: Implication for Control K.S. Accident Analysis & Prevention, 41, 294-298. https://doi.org/10.1016/j.aap.2008.12.002
- Linen, M.R. and Kraus, J.F. (2009) A Review of Risk Factors and Patterns of Motorcycle Injuries. Accident Analysis & Prevention, 41, 710-722. https://doi.org/10.1016/j.aap.2009.03.010
- McGreevy, J., Stevens, K.A., Monono, M.E., et al. (2014) Road Traffic Injuries in Yaoundé, Cameroon: A Hospital-Based Pilot Surveillance Study. Injury, 45, 1687-1692. https://doi.org/10.1016/j.injury.2014.05.001