Authors :
Dr. Idowu E.O
Volume/Issue :
Volume 6 - 2021, Issue 10 - October
Google Scholar :
http://bitly.ws/gu88
Scribd :
https://bit.ly/30gqlmP
Abstract :
The study assessed the economic burden of
neuro-tropic substance use ( tramadol+ codeine) among
commercial bus drivers who presented as head injury
victims in a prestigious tertiary center in Ibadan, Nigeria,
Sub-saharan Africa. The study adopted a snowballing/purposive sampling method to obtain data. The
interview was done with 386 road traffic injury
victims( commercial bus drivers) admitted over a 4-
month period to the randomly selected study center
using a structured questionairre. The result showed that
average cost per patient for road traffic head injury
treatment( neuro-trauma care) was 346 US dollars with
an average of 30 US dollars on tramadol+ codeine
purchase aside the medical expenditure. Prevalence of
catastrophic out-of-pocket spending was over 90%
thereby rendering victims impoverished. It is
recommended that clinical neuro-toxicology units be
established in hospitals for routine and emergency
toxicology screens for licensure to qualify or be
disqualified from public commercial driving and for
neuro-rehabs follow-up care alongside medical insurance
for the citizenry with implemented laws and regulations
guiding use of codeine+tramadol and other neuro-tropic
medications of public health concern.
Keywords :
mroad traffic injury, neuro-toxicology, codeine+tramadol, neurotropic substances, neurotrauma.
The study assessed the economic burden of
neuro-tropic substance use ( tramadol+ codeine) among
commercial bus drivers who presented as head injury
victims in a prestigious tertiary center in Ibadan, Nigeria,
Sub-saharan Africa. The study adopted a snowballing/purposive sampling method to obtain data. The
interview was done with 386 road traffic injury
victims( commercial bus drivers) admitted over a 4-
month period to the randomly selected study center
using a structured questionairre. The result showed that
average cost per patient for road traffic head injury
treatment( neuro-trauma care) was 346 US dollars with
an average of 30 US dollars on tramadol+ codeine
purchase aside the medical expenditure. Prevalence of
catastrophic out-of-pocket spending was over 90%
thereby rendering victims impoverished. It is
recommended that clinical neuro-toxicology units be
established in hospitals for routine and emergency
toxicology screens for licensure to qualify or be
disqualified from public commercial driving and for
neuro-rehabs follow-up care alongside medical insurance
for the citizenry with implemented laws and regulations
guiding use of codeine+tramadol and other neuro-tropic
medications of public health concern.
Keywords :
mroad traffic injury, neuro-toxicology, codeine+tramadol, neurotropic substances, neurotrauma.
