Morbidity and mortality pattern among commercial motorcyclists in Osogbo Metropolis in South Western Nigeria

Yıl 2012, Cilt: 2 Sayı: 1, - , 01.03.2012

James Olusegun Bamidele Wasiu Olalekan Adebimpe Oluwatosin Adediran Adeoye

Öz

Introduction: Motorcycle accidents occur frequently in this part of the world as a result of interface between the agent, the host and its environment resulting in fatal consequences. The objective of this study is to assess mortality and morbidity pattern accrued to road traffic accidents from commercial motorcycles in Osogbo metropolis in south western Nigeria. Methods: This is a retrospective, analytical study of morbidity and mortality pattern among commercial motorcycle riders managed at Ladoke Akintola University of Technology Teaching Hospital in Osogbo in southwestern Nigeria. Case notes of one hundred and eleven commercial motorcyclists who had road traffic accident between May 2002 and April 2005 were reviewed for mortality and morbidity related data. These secondary data was analyzed using the EPI Info software. Results: Mean age of the commercial motorcyclists was 33.3(+1.4) years and all were males. Fifty-six (50.4%) were married, 48(43.2%) had below secondary level education while 42(37.8%) were strictly commercial and professional motorcyclists. A total of 12 (10.8%) of victims eventually died while 99 (89.2%) remained alive. Among survivors, 32 (32.4%) were deformed while 67 (67.6%) were not. Pattern of injuries sustained by victims include limb fracture 63(56.8%); head injury 48 (43.2%), bruises 48 (43.2%), loss of consciousness 36(32.4), limb dislocations in 5(4.5%) while 3(2.7%) sustained spinal cord injuries. Conclusions: Morbidities and mortalities associated with motorcycle road traffic accidents are common. There is a need for all concerned stakeholders to take adequate steps towards reduction and prevention of occurrences or mortality and morbidity among this group.

Anahtar Kelimeler

Road traffic accidents and injuries, commercial motorcyclist, safety practices

Güney Batı Nijerya\'da Osobongo şehrinde ticari motosikletlerin karıştığı trafik kazalarının mortalite ve morbidite paternleri

Öz

Giriş ve Amaç: Dünyanın bu bölgesinde kişi, hizmet veren ve çevrenin etkileşiminin ölümcül sonuçlarının olduğu motosiklet kazaları sık görülür. Bu çalışmanın amacı Güney Batı Nijeryada Osobongo şehrinde ticari motosikletlerin karıştığı trafik kazalarının mortalite ve morbite paternlerini değerlendirmektir. Materyal ve Metot: Bu Güney Batı Nijeryada Osobonga'da Ladoke Akintola Üniversitesi Teknoloji ve Eğitim Hastanesinde tedavi gören ticari motosiklet sürücülerinin morbidite ve mortalite paternlerini belirleyen retrospektif ve analitik bir çalışmadır. Mayıs 2002 ve Nisan 2005 tarihleri arasında yolda trafik kazası geçiren 111 ticari motosiklet sürücüsünün morbidite ve mortalite ile ilgili kayıtları gözden geçirildi. Bu veriler EPİ Info yazılımı ile analiz edildi. Bulgular: Ticari motosiklet sürücülerinin yaş ortalaması 33,3 (+1.4) yıldır ve tümü erkekti. Elialtısı (50.4%) evliydi, 48'i (43.2%) ortaokuldan düşük eğitime sahipti ve 42'si (37.8%) kesinlikle profesyonel motosikletçiydi. Toplamda 12 kişi kaza sırasında ölmüştü, 99'u (89.2%) ise yaşamaktaydı. Yaşayanlardan 32'si (32.4%) sakatlanmıştı, 67'si ise (67.6%) sakatlanmamıştı. Kurbanların uğradığı yaralanma paternleri 63'inde (56.8%) bacak kırığı,; 48'inde (43.2%) kafa travması,, 48'inde (43.2%) berelenme, 36'inde (32.4) bilinç kaybı, 5'inde (4.5%) kalça çıkığı ve 3'ünde (2.7%) spinal kord zedelenmesi şeklindeydi. Sonuçlar: Motosiklet yol kazaları ile ilişkili morbidite ve mortalite sıktır. Bu grupta morbidite ve mortaliteyi veya kazaların oluşumunun önlenmesi veya azaltılması için tüm paydaşların yeterli adımları atmasına ihtiyaç vardır.

Anahtar Kelimeler

Trafik kazaları ve yaralanmalar, ticari motosikletçi, güvenlik uygulamaları

Kaynakça

• Kemp, A and Sibert, J. Childhood accidents: epidemiology, trends, and prevention. J Accid Emerg Med 1997; 14: 316 - 20.
• Nantulya, V.M and Reich, M.R. The neglected epidemic: road traffic injuries in developing countries. BMJ 2002; 324: 1139 - 41.
• Asogwa, S.E. Road traffic accidents in Nigeria: a review and a reappraisal. Injury 1990; 21:234- 8.
• Asogwa, S.E. Road Traffic Accidents in Nigeria: In a Handbook for All Road Users. 1st Edition. Enugu. SNAAP Press Ltd., 1999: 1-79.
• Odero, W; Garner, P and Zwi, A. Road traffic injuries in epidemiological studies. Trop Med Int Health 1997; 2: 445-60. 6. a comprehensive review
• of Adesunkanmi, A.R. A review of trauma scoring systems: uses and relevance to the developing countries Nigerian Postgraduate Medical Journal 2000; 7: 75 - 84.
• Oluwadiya, K.S. Pattern of Limb Injuries resulting from Motorcycle Accidents in Ile-Ife. A dissertation submitted to the National Postgraduate Medical College of Nigeria, May 2001. 8. Adesunkanmi, A.K, Oginni, L.M, Oyelami, O.A and Badru, O.S. Road traffic accidents to African children: Assessment of severity using the Injury Severity Score (ISS). Injury, Int J Care Injured 2000; 31: 225 - 8.
• Bergman, A.B; Rivera, F.P and Richards, D.D. The Seattle children's bicycle helmet campaign. Am J Dis Childhood 1990; 144: 727-731.
• and .Nzegwu, C.O. Patterns of Morbidity and Mortality amongst Motorcycle Riders and their Passengers in Benin-City Nigeria: One-year Review. Annals of African Medicine, 2008; 7(2): 82- 85. 11. OO. Motorcycle associated ocular injuries in Ile-Ife, Nigeria, African Journal of Trauma 2004; 2:35–9.
• Badru, O.S. Epidemiology of childhood injury. J Trauma, 1988; 44: 506-12.
• A.O and Adelowo, E.O. Surgical Morbidity and Mortality Pattern in the Accident and Emergency Room: A preliminary report. Afr J med. Med Sci. 2000, 29: 315-8.
• and severity of maxillofacial injuries in vehicular crashes. West Afr J Med. 2003; 22(2):146-9.
• The Revised Highway Code. FRSC. January, 1997: 11-17.
• control. .J.Roy soc Health. 1980:144-148.
• OB. Road safety practices among commercial motorcyclists in a rural town in Nigeria: implications for health education. International Quarterly of Community Health Education. 2005- 2006;24(1): 1-15.
• preventable head injuries. Available from: URL: http: //www.unicef.org/vietnam/new045 accessed on the 8th July, 2004.
• and Jurkovich, G.J. Trauma outcome in the rural developing world: comparison with an urban Level 1 trauma centre. J Trauma 1993; 35: 518.