To establish a profile of injured adult pedestrians and attempt to define the role which alcohol plays in this regard.
Prospective survey of injured pedestrians who presented consecutively over 9 weeks to Groote Schuur Hospital.
Data on fatally injured pedestrians were retrospectively collected from the State Mortuary.
Hospital-based study conducted at the trauma unit, Groote Schuur Hospital.
A total of 321 pedestrians - 196 injured and 35'dead on arrival'Main outcome measures.
Sociodemographics, blood alcohol concentration (BAC) and injury severity.
Patients were predominantly male and, on average, 35.6 years old.
They were most frequently injured at night and over weekends.
The BAC was positive in 62.1% of pedestrians, and the mean BAC was 0.19 g/dl.
Most pedestrians had at least one lower limb injury and nearly half had a head injury ; however, BAC-positive pedestrians were 2.6 times more likely to have a head injury (P=0.0009).
Furthermore, BAC-positive pedestrians sustained more severe injuries, more frequently required admission to the ICU, had longer hospital admissions and were more likely to die of their injuries.
The overall case fatality rate was 19.5%. Conclusions.
The influence of alcohol intoxication among injured adult pedestrians in Cape Town is high, suggesting that alcohol plays a major role in these accidents. (...)
Mots-clés Pascal : Traumatisme, Piéton, Adulte, Homme, République Sud Africaine, Afrique, Alcoolisme, Accident circulation, Epidémiologie
Mots-clés Pascal anglais : Trauma, Pedestrian, Adult, Human, South Africa, Africa, Alcoholism, Traffic accident, Epidemiology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0492844
Code Inist : 002B16K. Création : 10/04/1997.