• Logo
  • SBMUJournals

Ethanol Intoxication and Road Accident Trauma Statistics in a Tertiary Hospital Complex of Cotonou City in Benin Republic

Bigot Cedric Egnonwa, Chigblo Pascal, Assouto Pamphile, Gozo Adjoua Kattia, Goukoudadja Oswald, Hans-Moevi Akoue Aristote




Background: Road traffic accidents are among the leading causes of morbidity and mortality in Benin Republic, in other words, a serious public health problem here. Consumption of alcoholic drinks is known as an important risk factor for road accidents. The aim of this preliminary study was to determine alcohol ingestion and its relationship with victims of road traffic accidents in Cotonou City, Benin.
Methods: It is a descriptive and analytic study which carried out during January-June 2016. In this study, ethanol concentration was measured in the victims of traffic accidents’ blood. Information related to the injured people, their social characteristics, circumstances of accident occurrence, and the outcomes were also collected.
Results: In this study, 80 victims of road accidents were included. Most of the victims were men (64%), youth under 40 years (70%), and motorcyclists (83%). The overall prevalence of ethanol ingestion was 55% (64% in motorcyclists and 25% in motorists). Approximately, 16% of them were involved in fatal accidents. There was no association between ethanol ingestion frequency and factors such as the age of the injured, condition of the injured at the time of the accident, time of accident, and road condition on which the accident happened.
Conclusion: This study indicated that a lot of traffic accident victims had consumed alcoholic drinks shortly before the accident in Benin.


Road traffic accident, Alcohol, Drunk driving


Goniewicz K, Goniewicz M, Pawłowski W, Fiedor P. Road accident rates: Strategies and programmes for improving road traffic safety. European Journal of Trauma and Emergency Surgery. 2016; 42(4):433-8. [DOI:10.1007/s00068-015-0544-6]

Onyemaechi NO, Nwankwo OE, Ezeadawi RA. Epidemiology of injuries seen in a Nigerian tertiary hospital. Nigerian Journal of Clinical Practice. 2018; 21(6):752-7. [DOI:10.4103/njcp.njcp_263_17]

World Health Organization. Global status report on road safety 2015: Supporting a decade of action. Geneva: World Health Organization; 2015.

Adeloye D, Thompson JY, Akanbi MA, Azuh D, Samuel V, Omoregbe N, et al. The burden of road traffic crashes, injuries and deaths in Africa: A systematic review and meta-analysis. Bulletin of the World Health Organization. 2016; 94(7):510-21A. [DOI:10.2471/BLT.15.163121]

Eby DW, Molnar LJ, Kostyniuk LP, Louis RM, Zanier N, Lepkowski JM, et al. Perceptions of alcohol-impaired driving and the blood alcohol concentration standard in the United States. Journal of Safety Research. 2017; 63:73-81. [DOI:10.1016/j.jsr.2017.08.013]

Léric H, Kaplan JC, Broun G. [Enzymatic assay of blood alcohol by colorimetric micromethod (French)]. Clinica Chimica Acta. 1970; 29(3):523-8. [DOI:10.1016/0009-8981(70)90024-0]

Kristoffersen L, Skuterud B, Larssen BR, Skurtveit S, Smith-Kielland A. Fast quantification of ethanol in whole blood specimens by the enzymatic alcohol dehydrogenase method: Optimization by Experimental Design. Journal of Analytical Toxicology. 2005; 29(1):66-70. [DOI:10.1093/jat/29.1.66]

Madougou S, Chigblo PS, Tchomtchoua AS, Lawson E, Yetognon L, Hans-MoeviAkue A. [Incidence and impacts of road traffic accidents among motorcycle taxi drivers in tropical areas (French)]. Revue de Chirurgie Orthopédique et Traumatologique. 2016; 102(2):211-4. [DOI:10.1016/j.rcot.2016.01.005]

Kandolo SI, Matungulu CM, Mukanya PK, Umba IK, Kabamba JN, Numbi OL, et al. [Factors associated with road accidents in the city of Lubumbashi (French)]. Santé Publique. 2014; 26(6):889. [DOI:10.3917/spub.146.0889]

Boniface R, Museru L, Kiloloma O, Munthali V. Factors associated with road traffic injuries in Tanzania. Pan African Medical Journal. 2016; 23:46. [DOI:10.11604/pamj.2016.23.46.7487]

du Plessis M, Hlaise KK, Blumenthal R. Ethanol-related death in Ga-Rankuwa road-users, South Africa: A five-year analysis. Journal of Forensic and Legal Medicine. 2016; 44:5-9. [DOI:10.1016/j.jflm.2016.08.006] [PMID]

Damsere-Derry J, Palk G, King M. Motorists’ knowledge, attitudes and practices toward alcohol-impaired driving/riding in Ghana. Traffic Injury Prevention. 2017; 18(1):28-34. [DOI:10.1080/15389588.2016.1193172]

Diakite A, Gadegbeku B, Dano DS, YapoEtte H, Botti K, Malan AK, et al. Road traffic injuries involving illegal blood alcohol levels and psychoactive drug use in Côte d’Ivoire: A hospital-based study. Universal Journal of Public Health. 2014; 2:154-62. [DOI:10.13189/ujph.2014.020503]

Costa N, Silva R, Mendonça MC, Real FC, Vieira DN, Teixeira HM. Prevalence of ethanol and illicit drugs in road traffic accidents in the centre of Portugal: An eighteen-year update. Forensic Science International. 2012; 216(1-3):37-43. [DOI:10.1016/j.forsciint.2011.08.013]

Carfora A, Campobasso CP, Cassandro P, Petrella R, Borriello R. Alcohol and drugs use among drivers injured in road accidents in Campania (Italy): A 8-years retrospective analysis. Forensic Science International. 2018; 288:291-6. [DOI:10.1016/j.forsciint.2018.05.003]

Ahlner J, Holmgren A, Jones AW. Prevalence of alcohol and other drugs and the concentrations in blood of drivers killed in road traffic crashes in Sweden. Scandinavian Journal of Public Health. 2014; 42(2):177-83. [DOI:10.1177/1403494813510792]

Christophersen AS, Gjerde H. Prevalence of alcohol and drugs among motorcycle riders killed in road crashes in Norway during 2001-2010. Accident Analysis & Prevention. 2015; 80:236-42. [DOI:10.1016/j.aap.2015.04.017]

Damsere-Derry J, Afukaar F, Palk G, King M. Determinants of drink-driving and association between drink-driving and road traffic fatalities in Ghana. The International Journal of Alcohol and Drug Research. 2014; 3(2):135-41. [DOI:10.7895/ijadr.v3i2.135]

Eby DW, Molnar LJ, Kostyniuk LP, St Louis RM, Zanier N, Lepkowski JM, et al. Perceptions of alcohol-impaired driving and the blood alcohol concentration standard in the United States. Journal of Safety Research. 2017; 63:73-81. [DOI:10.1016/j.jsr.2017.08.013]

Martin TL, Solbeck PAM, Mayers DJ, Langille RM, Buczek Y, Pelletier MR. A review of alcohol-impaired driving: The role of blood alcohol concentration and complexity of the driving task. Journal of Forensic Sciences. 2013; 58(5):1238-50. [DOI:10.1111/1556-4029.12227]

Wiedemann K, Naujoks F, Wörle J, Kenntner-Mabiala R, Kaussner Y, Neukum A. Effect of different alcohol levels on take-over performance in conditionally automated driving. Accident Analysis & Prevention. 2018; 115:89-97. [DOI:10.1016/j.aap.2018.03.001]

AL-Abdallat IM, Al Ali R, Hudaib AA, Salameh GAM, Salameh RJM, Idhair AKF. The prevalence of alcohol and psychotropic drugs in fatalities of road-traffic accidents in Jordan during 2008-2014. Journal of Forensic and Legal Medicine. 2016; 39:130-4. [DOI:10.1016/j.jflm.2016.01.018]

Das A, Gjerde H, Gopalan SS, Normann PT. Alcohol, drugs, and road traffic crashes in India: A systematic review. Traffic Injury Prevention. 2012; 13(6):544-53. [DOI:10.1080/15389588.2012.663518]

Beydoun H, Teel A, Crowder C, Khanal S, Lo BM. Past blood alcohol concentration and injury in trauma center: Propensity scoring. The Journal of Emergency Medicine. 2014; 47(4):387-94. [DOI:10.1016/j.jemermed.2014.06.024]

Green RS, Kureshi N, Erdogan M. Legal consequences for alcohol-impaired drivers injured in motor vehicle collisions: A systematic review. Accident Analysis & Prevention. 2015; 80:106-16. [DOI:10.1016/j.aap.2015.04.005]

DOI: https://doi.org/10.22037/ijmtfm.v9i1(Winter).23705