Helmet Wearing and Traumatic Brain Injuries Among Motorcyclists in Cotonou
Journal of Surgery
Volume 6, Issue 3, June 2018, Pages: 73-77
Received: Apr. 28, 2018; Accepted: May 16, 2018; Published: Jun. 8, 2018
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Authors
Iréti Fiacre Tidjani, Department of Traumatology-Orthopedy, Centre National Hospitalier Universitaire Hubert Koutoukou Maga, Cotonou, Benin
Sègla Pascal Chigblo, Department of Traumatology-Orthopedy, Centre National Hospitalier Universitaire Hubert Koutoukou Maga, Cotonou, Benin
Valentin Houannou, Department of Anesthesia-Resuscitation, Centre National Hospitalier Universitaire Hubert Koutoukou Maga, Cotonou, Benin
Thierry Alihonou, Department of General Surgery, Centre Hospitalier Universitaire Départemental Ouémé/Plateau, Porto-Novo, Benin
Eric Lawson, Department of Traumatology-Orthopedy, Centre National Hospitalier Universitaire Hubert Koutoukou Maga, Cotonou, Benin
Penance Agbélélé, Department of Traumatology-Orthopedy, Centre National Hospitalier Universitaire Hubert Koutoukou Maga, Cotonou, Benin
Soumaïla Madougou, Department of Traumatology-Orthopedy, Centre National Hospitalier Universitaire Hubert Koutoukou Maga, Cotonou, Benin
Aristote Hans-Moevi Akué, Department of Traumatology-Orthopedy, Centre National Hospitalier Universitaire Hubert Koutoukou Maga, Cotonou, Benin
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Abstract
Background: traumatic brain injury is a real health problem, especially in low-income countries. The aim of this study was to assess the impact of helmet wearing on primary injuries in motorcycle trauma. Methods: this was a cross-sectional study from 1st January to 31st December 2013. It covered all motorcycle users, admitted in emergency at Cotonou National Teaching Hospital, with a traumatic brain injury. Epidemiological variables and primary lesions were identified. Statistical analysis was performed with Chi2 and Fischer’s tests; a p-value ≤ 0.05 was considered statistically significant. Results: we collected 310 patients (57.9% of traumatic brain injury), 11 of whom wore a helmet. They were predominantly male (male to female ratio =7.6), with a mean age of 33.2 ± 10.9 years. Craftsmen (24.4%) were the most affected. The head trauma was often opened (172 cases / 299) in patients without helmet compared with 4 cases / 11 in patients with helmet (p = 0.001). Similarly, primary lesions were often more severe in patients without helmet, with a large number of primary lesions requiring surgery. Conclusion: helmet wearing significantly reduces the risk of serious primary injuries in motorcyclists in our context. Strict enforcement of mandatory helmet use should reduce the incidence of disabling injuries in our country.
Keywords
Motorcyclist, Helmet Wearing, Traumatic Brain Injury
To cite this article
Iréti Fiacre Tidjani, Sègla Pascal Chigblo, Valentin Houannou, Thierry Alihonou, Eric Lawson, Penance Agbélélé, Soumaïla Madougou, Aristote Hans-Moevi Akué, Helmet Wearing and Traumatic Brain Injuries Among Motorcyclists in Cotonou, Journal of Surgery. Vol. 6, No. 3, 2018, pp. 73-77. doi: 10.11648/j.js.20180603.14
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Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Tran TM, Fuller AT, Kiryabwire J, Mukasa J, Muhumuza M, Ssenyojo H, Haglund MM. Distribution and Characteristics of Severe Traumatic Brain Injury at Mulago National Referral Hospital in Uganda. World neurosurg 2015; 83: 269-77.
[2]
Feigin VL, Theadom A, Barker-Collo S, Starkey NJ, McPherson K, Kahan M, et al. Incidence of traumatic brain injury in New Zealand: a population-based study Lancet Neurol 2013; 12: 53–64.
[3]
The Lancet Neurology. Traumatic brain injury: time to end the silence. Lancet Neurol 2010; 9 (4): 331.
[4]
Kiboi JG, Kitunguu PK, Angwenyi P, Mbuthia F, Sagina LS. Predictors of Functional Recovery in African Patients with Traumatic Intracranial Hematomas. World neurosurg 2011; 75: 586-91.
[5]
Corso P, Finkelstein E, Miller T, Fiebelkorn I, Zaloshnja E. Incidence and lifetime costs of injuries in the United States. Inj Prev 2006; 12: 212–18.
[6]
Hodé L, Madougou S, Fatigba HO, Hounnou P, Ebassa K, Hans Moevi AA, et al. The Direct Cost of Treatment of Traumatic Brain Injury in a Sub-Saharan African Country (Benin). World Neurosurg. 2017; 99:210-3.
[7]
Masters SJ, McClean PM, Arcarese JS, Brown RF, Campbell JA, Freed HA, et al. Skull x-ray examinatons after head trauma. Recommendations by multidisciplinary panel and validation study. N Engl J Med. 1987; 316 (2): 84-91.
[8]
Ledoux D, Piret S, Boveroux P, Bruno MA, Vanhaudenhuyse A, Damas P, et al. Les échelles d’évaluation des états de conscience altérée. Réanim 2008; 17: 695-701.
[9]
Winkler AS, Tluway A, Slottje D, Schmutzhard E, Härtl R, the East African Neurosurgical Research Collaboration. The Pattern of Neurosurgical Disorders in Rural Northern Tanzania: A Prospective Hospital-Based Study. World Neurosurg. 2010; 73 (4):264-9.
[10]
Agrawal A, Galwankar S, Kapil V, Coronado V, Basavaraju SV, et al. Epidemiology and clinical characteristics of traumatic brain injuries in a rural setting in Maharashtra, India. 2007–2009. Int J Crit Illn Inj Sci. 2012; 2 (3): 167-71.
[11]
Abou-Abbass H, Bahmad H, Ghandour H, Fares J, Wazzi-Mkahal R, Yacoub B, et al. Epidemiology and clinical characteristics of traumatic brain injury in Lebanon. Medicine 2016; 95:47.
[12]
Fatigba OH, Padonou J. Epidémiologie des traumatismes crânio-encéphaliques à Parakou. Afr J Neurol Sci. 2010; 29 (1): 25-33.
[13]
Aenderl I, Gashaw T, Siebeck M, Mutschler W. Head injury-a neglected public health problem: a Four-month prospective study at Jimma University Specialized Hospital, Ethiopia. Ethiop J Health Sci. 2014; 24 (1): 27-34.
[14]
Shekhar C, Gupta LN, Premsagar IC, Sinha M, Kishore J. An epidemiological study of traumatic brain injury cases in a trauma centre of New Delhi (India). J Emerg Trauma Shock. 2015; 8 (3): 131-9.
[15]
Olsen CS, Thomas AM, Singleton M, Gaichas AM, Smith TJ, Smith GA. Motorcycle helmet effectiveness in reducing head, face and brain injuries by state and helmet law. Injury Epidemiology 2016; 3:8.
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