Road Traffic Accidents: Anatomical and Clinical lesions and favoring factors, about 705 cases at the Provincial General Hospital of Reference of Bukavu

Authors : Teiggy Birhula Mongane; Abigael Mukonkole Kapenga; Elvis Zagabe Murhula; Jeremie Kasongo Tshinyama; Apollinaire Murhula Cizungu; John Ntabo Shebeni; Djaile Malulu Kabwe

Volume/Issue : Volume 6 - 2021, Issue 7 - July

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Road traffic accidents are defined as unfortunate or harmful events occurring on a road or path open to traffic and belonging to the public domain. Our work aims to analyze the epidemiological parameters of the victims, to identify the risk factors, to analyze the clinical parameters, to evaluate the vital prognosis and to propose a prevention strategy. This is a prospective descriptive study carried out at the HPGRB over a period of 12 months, involving 705 cases of road traffic accident victims. Methodology: An analytical study carried out at the level of the emergency and surgical departments of the Bukavu Provincial General Reference Hospital (HPGRB) over a 12-month period. It covered the period from 1 July 2011 to 30 June 2012. Results: Male predominance: 68.93%. The age group between 15 and 29 years is the most affected with 39.85% of cases. The majority of victims come from Kadutu in 34.6% of cases. Pupils and students followed by those without a profession are the most affected by ATRs with 30.5% and 23.4% respectively. The highest number of accidents is observed on weekends between 12:00 and 18:00 with 64.1%. Pedestrians are the most affected by TIAs, with 248 cases (35.2%) and motorcycle-pedestrian collisions with 24.4% of cases. Motorbikes are responsible for a significant proportion of mortality and morbidity. Careless crossing of the road is the cause of 30.2% of accidents and 50% of undetermined causes. Drivers were involved in 51.1% of accidents, with motorcyclists predominating in 53%. Bad weather was involved in 37.2%. Loss of control of the vehicle was incriminated in 54.8%. The injuries that led to death were head injuries (33 (37.5%) and open fractures (16 (18.1%)). Conclusion: The most common injuries were head injuries and fractures associated with visceral injuries, which were responsible for a large proportion of the deaths. The reduction in the number of accidents and victims on the roads of Bukavu in particular and of the DRC in general can only be achieved if the causal factors of the accident risk are eliminated, hence the need for a real approach to road safety, which requires first of all a political will.

Keywords : Accident, road, injuries, facilitating factors, HPGRB, Bukavu, DRC.


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