title: Pre-hospital care of the injured in South Western Nigeria: a hospital based study of four tertiary level hospitals in three states.
abstract: Pre-hospital care in developing worlds has been found to be grossly deficient compared to high income countries. The pre-hospital care given to road accident victims attending the casualty departments of four tertiary level hospitals in South Western Nigeria was assessed using a one-page pro-forma. 1996 patients with injuries from road crashes were seen in the hospitals, only 172 had any form of pre-hospital care, just 160 were transported in ambulances and none had any form of organized pre-hospital care. The mean arrival time in the hospital after crashes was 93.6 minutes and there was a high rate (29.5%) of inter-hospital referral. For every Revised Trauma Score (RTS), the Probability of survival (Ps) of the patients was higher than the Ps of patients from high income countries.
authors.affiliation: Department of Surgery, LAUTECH Teaching Hospital Osogbo.
authors.forename: K S
authors.initials: KS
authors.lastname: Oluwadiya
authors.forename: A O
authors.initials: AO
authors.lastname: Olakulehin
authors.forename: S A
authors.initials: SA
authors.lastname: Olatoke
authors.forename: I K
authors.initials: IK
authors.lastname: Kolawole
authors.forename: B A
authors.initials: BA
authors.lastname: Solagberu
authors.forename: A A
authors.initials: AA
authors.lastname: Olasinde
authors.forename: E O K
authors.initials: EO
authors.lastname: Komolafe
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D017598:Efficiency, Organizational; D004632:Emergency Medical Services / Q000592:standards*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009549:Nigeria; D014947:Wounds and Injuries / Q000628:therapy*