Faculty of Medicine, Libyan International Medical University, Benghazi, Libya.
PLoS One. 2012;7(7):e40454. doi: 10.1371/journal.pone.0040454. Epub 2012 Jul 11.
This paper aims to observe and to study the trends of road traffic accidents (RTA's) for the past ten years in Benghazi-Libya. A retrospective analysis was done using the patient records of Al-Jalaa hospital (the main trauma center in Benghazi) from over 21,753 RTA cases. The annual data were compared to each other and changes of trends were observed. RTA's represented an increasing percentage of Al-Jalaa's case load across the years. Around 41% of these cases needed to undergo surgery. The younger age group (20-29 years of age) formed the majority of cases while there was a trend towards an increasing average age of patients involved in an accident. Male patients were found to be younger than their female counterparts. Males comprised 81.5% while females formed 18.5% of RTA patients. In terms of inpatient duration, most patients stayed in the hospital for less than 1 week. Vehicle occupants (drivers and passengers) were admitted more often than pedestrians. There was a trend across the years towards an increased involvement of vehicle occupants and decrease in the proportion of pedestrians that had to be hospitalized. Additionally, there was a decrease in the fatalities of pedestrians. Overall, most RTA patients were discharged and made to follow-up in outpatient clinics however there was a startling trend towards increased LAMA and absconded patients. There were both encouraging findings as well as points that needed further emphasis and action. Public education, life support training and diversification of transport (apart from the use of the roads) should be looked into, as possible means of improving the current situation.
本文旨在观察和研究过去十年在利比亚班加西的道路交通伤害(RTA)趋势。使用来自 Al-Jalaa 医院(班加西的主要创伤中心)的 21753 例 RTA 患者的病历记录进行回顾性分析。将每年的数据进行比较,观察趋势变化。RTA 在 Al-Jalaa 的病例负荷中所占比例逐年增加。这些病例中有大约 41%需要接受手术。年轻年龄组(20-29 岁)构成了大多数病例,而涉及事故的患者的平均年龄呈上升趋势。男性患者比女性患者年轻。男性占 81.5%,而女性占 RTA 患者的 18.5%。就住院时间而言,大多数患者住院时间不到 1 周。车辆乘员(司机和乘客)比行人更常住院。多年来,车辆乘员的参与率呈上升趋势,而需要住院的行人比例呈下降趋势。此外,行人的死亡率也有所下降。总体而言,大多数 RTA 患者出院并在门诊进行随访,但 LAMA 和潜逃患者的比例惊人地增加。有一些令人鼓舞的发现,也有一些需要进一步强调和采取行动的方面。应考虑开展公众教育、生命支持培训和交通多元化(除了使用道路之外),作为改善现状的可能手段。