João Ricardo N Vissoci1,2, Daniel J Shogilev1, Elizabeth Krebs3, Luciano de Andrade4, Igor Fiorese Vieira5, Nicole Toomey6, Adelia Portero Batilana7, Michael Haglund2,6,8, Catherine A Staton1,2,6. 1. a Division of Emergency Medicine, Department of Surgery , Duke University , Durham , North Carolina. 2. b Division of Neurosurgery and Neurology, Department of Neurosurgery , Duke University , Durham , North Carolina. 3. c Department of Emergency Medicine , University of Pennsylvania , Philadelphia , Pennsylvania. 4. d State University of Maringá , Maringá , Brazil. 5. e UniCesumar , Maringa , Brazil. 6. f Duke Global Health Institute , Duke University , Durham , North Carolina. 7. g IC-FUC , Porto Alegre , Brazil. 8. h Duke School of Medicine , Duke University , Durham , North Carolina.
Abstract
OBJECTIVE: The aim of this study is to evaluate, through a systematic review of hospital-based studies, the proportion of road traffic injuries and fatalities in sub-Saharan Africa (SSA). METHODS: In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Meta-analysis of Observational Studies in Epidemiology guidelines, we searched the following electronic databases: PubMed, Embase, Africa-Wide Information, Global Health, and Web of Science. Articles were eligible if they measured proportion of road traffic injuries (RTIs) in SSA by using hospital-based studies. In addition, a reference and citation analysis was conducted as well as a data quality assessment. RESULTS: Up to 2015, there were a total of 83 hospital-based epidemiologic studies, including 310,660 trauma patients and 99,751 RTI cases, in 13 SSA countries. The median proportion of RTIs among trauma patients was 32% (4 to 91%), of which the median proportion of death for the included articles was 5% (0.3 to 41%). CONCLUSION: The number of studies evaluating RTI proportions and fatalities in SSA countries is increasing but without the exponential rise expected from World Health Organization calls for research during the Decade of Action for Road Traffic Injuries. Further research infrastructure including standardization of taxonomy, definitions, and data reporting measures, as well as funding, would allow for improved cross-country comparisons.
OBJECTIVE: The aim of this study is to evaluate, through a systematic review of hospital-based studies, the proportion of road traffic injuries and fatalities in sub-Saharan Africa (SSA). METHODS: In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Meta-analysis of Observational Studies in Epidemiology guidelines, we searched the following electronic databases: PubMed, Embase, Africa-Wide Information, Global Health, and Web of Science. Articles were eligible if they measured proportion of road traffic injuries (RTIs) in SSA by using hospital-based studies. In addition, a reference and citation analysis was conducted as well as a data quality assessment. RESULTS: Up to 2015, there were a total of 83 hospital-based epidemiologic studies, including 310,660 traumapatients and 99,751 RTI cases, in 13 SSA countries. The median proportion of RTIs among traumapatients was 32% (4 to 91%), of which the median proportion of death for the included articles was 5% (0.3 to 41%). CONCLUSION: The number of studies evaluating RTI proportions and fatalities in SSA countries is increasing but without the exponential rise expected from World Health Organization calls for research during the Decade of Action for Road Traffic Injuries. Further research infrastructure including standardization of taxonomy, definitions, and data reporting measures, as well as funding, would allow for improved cross-country comparisons.
Entities:
Keywords:
Proportion; road traffic injury; sub-Saharan Africa
Authors: Joao Ricardo Nickenig Vissoci; Elizabeth Krebs; Brian Meier; Igor Fiorese Vieira; Luciano de Andrade; Fidele Byiringiro; Stephen Rulisa; Catherine A Staton Journal: Int J Inj Contr Saf Promot Date: 2020-03-05
Authors: Naz Karim; Lise Mumporeze; Vizir J P Nsengimana; Ashley Gray; Alexis Kearney; Adam R Aluisio; Zeta Mutabazi; Janette Baird; Camille M Clancy; Derek Lubetkin; Jean Eric Uwitonze; Jeanne D'Arc Nyinawankusi; Menelas Nkeshimana; Jean Claude Byiringiro; Adam C Levine Journal: West J Emerg Med Date: 2021-11-05