What to know
- Presentation Day/Time: Friday, April 25, 9:00–10:25 am
- Presenter: Yvette Kisaka, EIS officer assigned to the FETP
What did we do?
- This study investigated the adequacy of prehospital care and its associated factors in Nakuru County, Kenya.
- We conducted a cross-sectional study targeting road crash victims presenting to a health facility within 24 hours. Using a semi-structured questionnaire, we collected data on sociodemographic characteristics, injury severity, and prehospital interventions, including responder type, transport mode, and care provided.
- The adequacy of prehospital care was assessed using a scoring tool based on the WHO and Kenyan emergency care frameworks defined at a ≥ 75% cut-off.
- We summarized data using measures of central tendencies for continuous variables, frequencies, and proportions for categorical variables and employed logistic regression to evaluate associations between predictors and prehospital care adequacy.
What did we find?
- We enrolled 227 crash victims; 73.1% were male. Bystanders responded in 65.2% cases. Ambulances transported 7% of victims. Only 7.0% received adequate care.
- Odds of receiving adequate care were 8 times among those with severe injuries, compared with mild injuries and 3 times for highway crashes, compared with other roads.
- Passengers and pedestrians were unlikely to receive adequate prehospital care.
Why does it matter?
• Effective prehospital care can reduce a quarter of road traffic fatalities, yet it is inadequate, inequitable, and unstructured.
• Governments should strengthen prehospital care, including ambulance services, and train first responders, inclusive of bystanders.
***This presentation has updated data that will be shared at the EIS Conference.
Abstract Category: Global Health