Rôle de l'alcool et des substances psychoactives dans les accidents de la voie publique à Abidjan, Côte d'Ivoire (Étude Asma-ci)

The aim of our doctoral thesis is to assess the contribution of alcohol and other psychoactive drugs to the occurrence of RTA and to the severity of resulting injuries. We implemented a data collecting process including 893 victims who died or were injured following a RTA, and were admitted to the Emergency Room or to the Forensic Institute in Abidjan. This hospital-based data was linked with police data and toxicological testing. The method developed in our laboratory for blood alcohol determination using GC-FID demonstrated a good compliance with analytical performance requirements in terms of repeatability, accuracy, linearity, stability and limit of quantification. Blood alcohol levels found in victims at the time of the RTA were compatible with an excessive alcohol intake. More than 75% of drivers with a positive alcohol test had a blood alcohol concentration greater than 1g/L. Prevalence of alcohol above 0.8g/L reaches 41% in light four-wheel drivers, 35% in two-wheel riders, 17% in pedestrian and 13% in passengers. The prevalence of psychoactive drugs was lower (11%) compared to alcohol and usually associated with blood alcohol level greater than 0.8g/L. The assessment of the risk of serious injury (NISS9+) associated to the level of blood alcohol content suggest that victims showing a moderate blood alcohol level are more at risk to sustain serious injury compared to sober victims (OR = 7.7; IC95% : 2.5 - 24.2). In conclusion, we make some practical proposals to strengthen and for facilitating the application of the current law concerning driving under the influence of alcohol. We also make recommendations for prevention of road traffic injuries in the Ivory Coast.

Language

  • French

Media Info

  • Media Type: Digital/other
  • Pagination: 305 p

Subject/Index Terms

Filing Info

  • Accession Number: 01688986
  • Record Type: Publication
  • Source Agency: Institut Francais des Sciences et Technologies des Transports, de l'Amenagement et des Reseaux (IFSTTAR)
  • Files: ITRD
  • Created Date: Dec 18 2018 10:20AM