Evidence map›Paper›PMID 39415156›Full record

ArticleBMC emergency medicine2024

Prehospital factors associated with mortality among road traffic injury patients: analysis of Cameroon trauma registry data.

Serge Ngekeng, Odette Kibu, Rasheedat Oke, Nahyeni Bassah, Darwin Arole Touko, Mark T Yost, Fanny Dissak-Delon, Nicholas Tendongfor, Georges Nguefack-Tsague, Alan Hubbard and 4 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07677449 (Implementation of a Culturally Adapted Alcohol Screening, Brief Intervention and Referral to Treatment), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07677449 nanot yet recruitingnot on this mapstarted 2027, after this paper: background citation

Implementation of a Culturally Adapted Alcohol Screening, Brief Intervention and Referral to Treatment (SBIRT) Program in Cameroon

TypeinterventionalSponsorUniversity of BueaRan2027 to 2030Enrolled690ConditionsAlcohol Use Disorder, Alcohol-Related Injury, TraumaArmsCameroon-Adapted SBIRT, Usual Care
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
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  3. Review
  4. Article
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Serge NgekengSustainable Trauma, Research, Education and Mentorship (STREaM) project, Faculty of Health Sciences, University of Buea, Buea, Cameroon. sergengekeng@gmail.com.
Odette KibuData Science Center for the Study of Surgery, Injury, and Equity in Africa (D-SINE-Africa), University of Buea, Buea, Cameroon.
Rasheedat OkeProgram for the Advancement of Surgical Equity (PASE), Department of Surgery, University of California Los Angeles, Los Angeles, CA, USA.
Nahyeni BassahSustainable Trauma, Research, Education and Mentorship (STREaM) project, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Darwin Arole ToukoData Science Center for the Study of Surgery, Injury, and Equity in Africa (D-SINE-Africa), University of Buea, Buea, Cameroon.
Mark T YostProgram for the Advancement of Surgical Equity (PASE), Department of Surgery, University of California Los Angeles, Los Angeles, CA, USA.
Fanny Dissak-DelonUniversity of Bamenda, Bamenda, Cameroon.
Nicholas TendongforSustainable Trauma, Research, Education and Mentorship (STREaM) project, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Georges Nguefack-TsagueSustainable Trauma, Research, Education and Mentorship (STREaM) project, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Alan HubbardDivision of Epidemiology, School of Public Health, University of California Berkeley, Berkeley, CA, USA.
Sandra I McCoyDivision of Epidemiology, School of Public Health, University of California Berkeley, Berkeley, CA, USA.
S Ariane ChristieProgram for the Advancement of Surgical Equity (PASE), Department of Surgery, University of California Los Angeles, Los Angeles, CA, USA.
Alain Chichom-MefireSustainable Trauma, Research, Education and Mentorship (STREaM) project, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Catherine JuillardProgram for the Advancement of Surgical Equity (PASE), Department of Surgery, University of California Los Angeles, Los Angeles, CA, USA.

Funding

University of California Launching Future Leaders in Global Health Research Training ProgramD43TW009343 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CRAIG R COHEN, Sung-Jae Lee · 2017 to 2026
$14.7M
The Data Science Center for the Study of Surgery and Injury in Africa (D-SINE-Africa)U54TW012087 · FIC · UNIVERSITY OF BUEA · PI Alain Mefire Chichom, Alan E Hubbard · 2021 to 2026
$7.3M
Strengthening the Quantitative Pipeline for Multidisciplinary Trauma Research in CameroonD43TW012186 · FIC · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Alain Mefire Chichom, Alan E Hubbard · 2021 to 2026
$1.5M
FIC NIH HHS D43 TW009343FIC NIH HHS D43 TW012186FIC NIH HHS U54 TW012087United states National Institutes of health D43TW012186United states National Institutes of health U54TW012087
6 · The paper itself

Abstract

backgroundCameroon is amongst the worst affected countries by road traffic injuries with an estimated 1443 disability-adjusted life years per 100,000 population. There have been very limited reports on the crucial prehospital response to road traffic injuries in Cameroon. This study aimed to identify prehospital factors associated with RTI mortality in Cameroon.

methodsWe included patients enrolled between June 2022 and March 2023 in the Cameroon Trauma Registry. Information about prehospital factors and demographic data was obtained from patients or their proxies. We examined the association of prehospital care factors like care at the crash scene and type of transportation during crash with final patient outcome. We used Chi-squared test to investigate the association between selected independent variables and mortality. A multivariable logistic regression model was built to identify independent predictors of dying from an RTI.

resultsRTIs constituted 69.5% (n = 3203) of all injuries in the Cameroon Trauma Registry. Only 20.7% (n = 102) of 4 + wheel vehicle occupants had seatbelts on and just 2.7% (n = 53) of motorcycle riders were wearing helmets during the collision. Only 4.9% (n = 156) of patients received any form of scene care. In-hospital mortality was 4.3% (n = 139) and was associated with male sex (AOR = 1.7, 95%CI = 1.08-2.80), crashing on a motorcycle (AOR = 2.08, 95%CI = 1.1-3.67) and scene care (AOR = 0.25, 95%CI = 0.04-0.80).

conclusionsReceiving any type of care at the scene such as bleeding control or being placed in the recovery position by bystanders is associated with improved survival. Improving on existing informal prehospital care responses should be a priority in Cameroon.

Indexed as

Accidents, TrafficEmergency Medical ServicesRegistriesWounds and InjuriesAdolescentAdultAgedCameroonChildChild, PreschoolFemaleHead Protective DevicesHospital MortalityHumansInfantMaleDispositionEmergency responsePrehospital careRTITrauma

Identifiers

PMID39415156
PMCPMC11484105

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.