ArticleTrauma surgery & acute care open2017
Geospatial relationship of road traffic crashes and healthcare facilities with trauma surgical capabilities in Nairobi, Kenya: defining gaps in coverage.
Article in Trauma surgery & acute care open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- The effects of time and distance to definitive care on morbidity and mortality in pediatric injury patients in Northern Tanzania.Journal of tropical pediatrics · 2026Observational
- Article
- The Burden of Plastic Surgery in Rural Kenya: The Kapsowar Hospital Experience.Plastic and reconstructive surgery. Global open · 2024Article
- Using parallel geocoding to analyse the spatial characteristics of road traffic injury occurrences across Lagos, Nigeria.BMJ global health · 2023Review
- Assessment of critical resource gaps in pediatric injury care in Mozambique's four largest Hospitals.PloS one · 2023Article
- Self-reported involvement in road traffic crashes in Kenya: A cross-sectional survey of a nationally representative sample.Health science reports · 2022Article
- Driving to Childhood Cancer Hub Hospitals: A Study on Hospital Accessibility in Japan.Asian Pacific journal of cancer prevention : APJCP · 2020Article
- Impact of traffic, poverty and facility ownership on travel time to emergency care in Nairobi, Kenya.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020Article
- Going to the nearest hospital vs. designated trauma centre for road traffic crashes: estimating the time difference in Delhi, India.International journal of injury control and safety promotion · 2019Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRoad traffic injuries (RTIs) are a cause of significant morbidity and mortality in low- and middle-income countries. Access to timely emergency services is needed to decrease the morbidity and mortality of RTIs and other traumatic injuries. Our objective was to describe the distribution of roadtrafficcrashes (RTCs) in Nairobi with the relative distance and travel times for victims of RTCs to health facilities with trauma surgical capabilities.
methodsRTCs in Nairobi County were recorded by the Ma3route app from May 2015 to October 2015 with latitude and longitude coordinates for each RTC extracted using geocoding. Health facility administrators were interviewed to determine surgical capacity of their facilities. RTCs and health facilities were plotted on maps using ArcGIS. Distances and travel times between RTCs and health facilities were determined using the Google Maps Distance Matrix API.
results89 percent (25/28) of health facilities meeting inclusion criteria were evaluated. Overall, health facilities were well equipped for trauma surgery with 96% meeting WHO Minimal Safety Criteria. 76 percent of facilities performed greater than 12 of three pre-selected 'Bellweather Procedures' shown to correlate with surgical capability. The average travel time and distance from RTCs to the nearest health facilities surveyed were 7 min and 3.4 km, respectively. This increased to 18 min and 9.6 km if all RTC victims were transported to Kenyatta National Hospital (KNH).
conclusionAlmost all hospitals surveyed in the present study have the ability to care for trauma patients. Treating patients directly at these facilities would decrease travel time compared with transfer to KNH. Nairobi County could benefit from formally coordinating the triage of trauma patients to more facilities to decrease travel time and potentially improve patient outcomes. LEVEL OF EVIDENCE: III.
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