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Pattern of pedestrian injuries from road traffic accidents in Nigerians

E O Odelowo1

  • 1Department of Surgery, University of Ilorin, Nigeria.

Insights

Nigerian pedestrian road traffic accidents disproportionately affect children and males, with high rates of multiple injuries and a 12% mortality rate. Prevention strategies are crucial to reduce pedestrian RTA morbidity and mortality.

Area of Science:

  • Public Health
  • Trauma Surgery
  • Epidemiology

Background:

  • Road traffic accidents (RTAs) represent a significant global health burden.
  • Pedestrian RTAs are a major cause of injury and mortality, particularly in developing countries.
  • Understanding the specific epidemiology of pedestrian RTAs in Nigeria is essential for targeted interventions.

Purpose of the Study:

  • To investigate the incidence, patterns, and outcomes of pedestrian road traffic accidents in Nigerian victims.
  • To identify demographic and injury characteristics associated with pedestrian RTA morbidity and mortality.
  • To review contributing factors and recommend preventive measures for pedestrian RTAs in Nigeria.

Main Methods:

  • A prospective study was conducted involving 108 Nigerian pedestrian RTA victims.
  • Data collection occurred at the University of Ilorin Teaching Hospital between 1983 and 1984.
  • Patient demographics, injury patterns, treatment received, and outcomes (including mortality) were recorded.

Main Results:

  • The peak incidence of pedestrian RTAs was observed in children aged 6 to 12 years.
  • Males were more frequently affected than females, with a male/female ratio of 2.4/1.
  • Multiple injuries, frequently involving the chest, occurred in 51.9% of patients. Mortality was 12.0%, with most deaths occurring in adults.

Conclusions:

  • Pedestrian RTAs pose a substantial risk, particularly to children and males in Nigeria.
  • A significant proportion of victims require surgical intervention, highlighting the severity of injuries.
  • Socio-cultural, economic, and clinical factors contribute to pedestrian RTA outcomes, necessitating comprehensive preventive strategies.

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