000			03099nam a22003617a 4500
003			OSt
005			20240305193715.0
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022			_2Tanzania journal of health research _a1821-9241
022			_2Tanzania journal of health research _a 1821-6404
028			_bPhone: +255 28 298 3384
028			_b Fax: +255 28 298 3386
028			_b Email: vc@bugando.ac.tz
028			_b Website: www.bugando.ac.tz
040			_cDLC
041			_aEnglish
100			_aPhillipo L Chalya _915821
222			_amotorcycle accidents, helmet use, injury outcome, Tanzania
245			_aInjury outcome among helmeted and non-helmeted motorcycle riders and passengers at a tertiary care hospital in north-western Tanzania
260			_aMwanza, Tanzania: _bTanzania journal of health research & _b Catholic University of Health and Allied Sciences [CUHAS – Bugando] _c2014/7/20
490			_vTanzania journal of health research Volume 16 Issue 4 _x1821-9241 _x 1821-6404
520			_aAbstract Motorcycle helmets have been reported to reduce the risk of death and head injuries following motorcycle accidents. The aim of this descriptive prospective study was to determine the injury outcome among helmeted and non-helmeted motorcyclists and passengers at a tertiary hospital in north-western Tanzania. A total of 654 patients involved in the motorcycle accident were studied. Of these, 468 (71.6%) were motorcyclists (riders) and the remaining 186 (28.4%) were passengers. The median age of patients at presentation was 26 years. Male outnumbered females by a ratio of 4.5: 1. Helmet use was reported in 312 (47.7%) patients. Non-helmeted patients were young compared with helmeted patients and this was statistically significant (p=0.021). The rate of helmet use was significantly higher among motorcyclists than among passengers (p=0.004). History of alcohol consumption prior to the accident was reported in 212 (32.4%) patients. The rate of helmet use was significantly low among alcohol consumers compared with non-alcohol consumers (p=0.011). Lack of helmet use was significantly associated with abnormal head Computed Tomography scans, admission to the Intensive care unit, severe trauma, and worse traumatic brain injury severity (p<0.001). Helmet use was significantly associated with shorter period of hospitalization and reduced mortality rate (p<0.001). Motorcycle helmet use is still low in this part of Tanzania and this poses a great impact on injury outcome among motorcycle injury patients. This observation calls for action to implement more widespread injury prevention and helmet safety education and advocacy.
700			_aIsidori H Ngayomela _923350
700			_aJoseph B Mabula _922948
700			_a Nkinda Mbelenge _923231
700			_a Ramesh M Dass _923309
700			_aAlphonce B Chandika _923222
700			_aJaphet M Gilyoma _922731
700			_a Sospatro E Ngallaba _922840
700			_a Anthony Kapesa _922819
856			_y https://doi.org/10.4314/thrb.v16i4.4
942			_2ddc _cVM
999			_c19077 _d19077