关键词: Motorcycle case-control head injury risk factors survivors

Mesh : Humans Male Motorcycles Case-Control Studies Accidents, Traffic Prospective Studies Ghana / epidemiology Craniocerebral Trauma / epidemiology Head Protective Devices

来  源:   DOI:10.11604/pamj.2022.43.73.35900   PDF(Pubmed)

Abstract:
UNASSIGNED: the increasing use of motorcycles in northern Ghana is associated with a high incidence of motorcycle crashes and resultant head injuries. This study sought to determine factors associated with head injuries among survivors of motorcycle crashes in northern Ghana.
UNASSIGNED: a prospective unmatched case-control study was conducted at the Tamale Teaching Hospital (TTH). A total of 326 cases (victims who suffered a head injury with or without other injuries) and 294 controls (persons who suffered various injuries except for head injury) from motorcycle crashes were consecutively sampled at TTH from December 15, 2019, to May 15, 2020. A semi-structured questionnaire was used to interview patients in addition to medical records review. Factors associated with head injury were examined using multivariable logistic regression at p<0.05 and a 95% confidence interval.
UNASSIGNED: the prevalence of head injury was 53.03% among of 660 survivors of motorcycle crashes. The majority of the patients were young males aged 15-44 years. The rate of helmet use was lower in cases (12.88%) than in controls (57.82%) (p<0.001). Factors associated with head injury were not wearing helmet (AOR= 9.80, 95% CI: 6.22, 15.43), male (AOR=1.75, 95% CI: 1.07, 2.85), student (AOR=0.38, 95% CI: 0.16, 0.91), and alcohol use within 24 hours (AOR=0.17, 95% CI: 0.04, 0.70).
UNASSIGNED: non-use of helmet and male gender significantly increased the risk of head injury risk in this study. Alcohol use and being a student were associated with lower odds of head injuries. Motorcycle safety efforts in the study area should emphasize helmet promotion.
摘要:
UNASSIGNED:在加纳北部,摩托车的使用越来越多,导致摩托车撞车和头部受伤的发生率很高。这项研究旨在确定加纳北部摩托车撞车幸存者中与头部受伤相关的因素。
UNASSIGNED:在Tamale教学医院(TTH)进行了一项前瞻性的无匹配病例对照研究。从2019年12月15日至2020年5月15日,在TTH连续采样了326例(头部受伤或没有其他伤害的受害者)和294例(除头部受伤以外的各种伤害的人)。除了病历审查外,还使用半结构化问卷对患者进行访谈。使用多变量逻辑回归以p<0.05和95%置信区间检查与头部损伤相关的因素。
UNASSIGNED:在660名摩托车撞车幸存者中,头部受伤的患病率为53.03%。大多数患者是15-44岁的年轻男性。病例的头盔使用率(12.88%)低于对照组(57.82%)(p<0.001)。与头部损伤相关的因素是未戴头盔(AOR=9.80,95%CI:6.22,15.43),男性(AOR=1.75,95%CI:1.07,2.85),学生(AOR=0.38,95%CI:0.16,0.91),24小时内饮酒(AOR=0.17,95%CI:0.04,0.70)。
UNASSIGNED:在这项研究中,不使用头盔和男性性别显着增加了头部受伤风险的风险。饮酒和成为学生与头部受伤的几率较低有关。研究区域的摩托车安全工作应强调头盔的推广。
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