Cholo Wilberforce, Odero Wilson, Ogendi Japheths
Department of Public Health, Masinde Muliro University of Science and Technology.
School of Medicine, Maseno University.
Afr Health Sci. 2024 Jun;24(2):405-419. doi: 10.4314/ahs.v24i2.41.
Motorcycle crash injuries (MCIs) cause mortality and exert financial cost, globally. However, there is paucity of information on cost and length of stay of motorcycle injuries.
To assess factors influencing medical costs and length of stay (LOS) of motorcycle crash injuries presenting in hospitals in Kisumu city.
This was a cross-sectional study in which all 1073 motorcycle injury cases were enrolled over a period of six months. A pre-tested, questionnaire was used to collect data. Data were analysed using Analysis of Variance (ANOVA), logistic regression and multivariable regression analysis. P-value < 0.05 considered significant.
A total of 1073 motorcycle injury visits were made to the hospitals during the study period of which 46.0% were admitted. The total medical cost for motorcycle injury patients was Kshs. 19, 134,877 (USD 191348.77). The mean LOS was 19.8 days (1-235 days). Injuries requiring surgical intervention, higher injury severity score, and helmet non-use were significantly associated with higher medical cost and length of stay.
Motorcycle injuries are a major cause of hospital use and present significant economic burden. Surgical intervention, injury severity and non-helmet use were the major predictors of length of stay and medical costs.
摩托车碰撞伤（MCIs）在全球范围内导致死亡并产生经济成本。然而，关于摩托车伤的成本和住院时间的信息匮乏。
评估影响基苏木市医院收治的摩托车碰撞伤医疗成本和住院时间（LOS）的因素。
这是一项横断面研究，在六个月的时间里纳入了所有1073例摩托车伤病例。使用经过预测试的问卷收集数据。采用方差分析（ANOVA）、逻辑回归和多变量回归分析对数据进行分析。P值<0.05被认为具有统计学意义。
在研究期间，医院共接待了1073例摩托车伤患者，其中46.0%被收治。摩托车伤患者的总医疗费用为19,134,877肯尼亚先令（191,348.77美元）。平均住院时间为19.8天（1 - 235天）。需要手术干预的损伤、较高的损伤严重程度评分以及未使用头盔与较高的医疗成本和住院时间显著相关。
摩托车伤是住院的主要原因，并带来了巨大的经济负担。手术干预、损伤严重程度和未使用头盔是住院时间和医疗成本的主要预测因素。
