Risk factor profile and the cost of traffic injury in a tertiary hospital in Kenya

Hassan S Saidi

The objective of this study was to evaluate the risk factors and in-patient cost of traffic injury. A total of 233 crash victims, 134 non-traffic trauma patients and 87 non-trauma patients admitted to the surgical units of the Kenyatta National Hospital between February 1, 1999 and April 30, 1999 were enrolled in the study. Information on age, gender and occupation of the patient, payer category, alcohol use, length of hospital stay, hospital cost and principal region of injury was gathered. Road trauma admissions comprised about 31% of all admissions due to injury, 15.1% of surgical admissions and 4.5% of emergency hospital admissions. The male sex, occupation status and regular use of alcohol appeared to be significant risk factors for injury occurrence. The respective hospital costs for non-traffic trauma patients and non-trauma patients were 2.2 and 1.9 times higher as compared to road traffic accident trauma patients. The capacity of the injured to compensate for the care given was minimal. In only 6% of the road traffic accident patients was the hospital bill cleared through a health insurance agency or medical scheme. It is concluded that road traffic injury is common, costly, places considerable workload on the hospital and referentially occurs in productive males. It is suggested that the current orientation of trauma care delivery cannot be sustained. Cost containment strategies including the re-examination of the national health insurance scheme may be the way forward to reduce the cost of injury.



International Conference on Electric Road Systems starts today

Electric Road Systems (ERS) is a relatively new concept with many initiatives on the way. To learn from each other and stimulate new collaborations the Swedish Research and Innovation Platform for Electric Roads arranged the first international conference...


Same survey of road users’ attitudes in 50 countries

At the Road Safety on Five Continents Conference, RS5C, one entire session presented a large survey of road users' attitudes in 38 countries. Results show large differences between countries in many areas, both regarding behavior and attitudes. A new survey...


Good results with alcohol interlock program according to Swedish study

An alcohol interlock program makes it possible for drink driving offenders to continue their everyday lives. In a Swedish study most of the participants were satisfied with the program and experienced improved health. They also reported drinking alcohol more...


Traffic safety in the spotlight

Today the Conference Road Safety on Five Continents (RS5C) opened in Jeju Island, South Korea. More than 220 participators have come from all over the world to present findings and learn about traffic safety. Dr. Young Tae Kim, Secretary-General of the...


VTI will develop simulators for ambulance staff

VTI has initiated a pilot study for paramedics with the Centre for Teaching & Research in Disaster Medicine and Traumatology and Linköping University. The aim is to give ambulance staff the opportunity to practice critical medical tasks in a moving vehicle in...


Unique electrified road opens in Sweden

The world’s first electrified road recharging the batteries of cars and trucks while driving opened in Sweden. The Swedish Minister for Infrastructure, Tomas Eneroth, was at the formal inauguration of the electrified road on April 11, 2018. VTI is one of 22...