Prevalence and levels of disability post road traffic orthopaedic injuries in Rwanda

Allen Ingabire, JC; Stewart, Aimee; Sagahutu, Jean Baptiste; Urimubenshi, Gerard; Bucyibaruta, Georges; Pilusa, Sonti; Uwakunda, Carine; Mugisha, Didace; Ingabire, Leontine; Tumusiime, David

doi:10.4102/ajod.v13i0.1251

Cited by 3 publications

(2 citation statements)

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“…For these injuries, half had orthopaedic problems, 35.6% permanent disabilities and 36% of victims were unable to return to work. Age, gender, socioeconomic status, the severity of the injury, rehabilitation, and hospital length of stay affect the level of disability and social reintegration of the road traffic orthopaedic injuries in Rwanda ( 14 , 15 ).…”

Section: Introductionmentioning

confidence: 99%

Quality of life of survivors following road traffic orthopaedic injuries in Rwanda

Allen Ingabire,

Tumusiime,

Sagahutu

et al. 2024

Front. Public Health

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BackgroundRoad traffic injuries (RTI) pose a global public health threat, especially in low- and middle-income nations. These injuries typically cause orthopaedic problems that may negatively impair a person’s physical and mental health and quality of life. Our study examined the quality of life of road traffic orthopaedic injuries (RTOI) survivors.MethodsA cross-sectional study at five Rwandan referral hospitals, included 369 adult RTOI victims. Two years post-injury, participants completed the European Quality of life 5 Dimension 5 (EQ-5D-5L) and Visual Analogue Scale (VAS) Questionnaire between June 2 and August 31, 2022, with informed consent. Three EQ-5D-5L-VAS scores were used: low (0–40%), fair (41–60%), and excellent (61–100%). We used logistic regression analysis with a significance threshold of p < 0.05 to determine odds ratios (OR) and 95% CI.ResultsThe RTOI victims had a mean age of 37.5 ± 11.26 years with sex ratio M:F:3:1. Usual activities (66.8%) and mobility (54.8%) were the most affected EQ-5D-5L dimensions. Residence, hospital stay, rehabilitation, and return to work affected mobility, usual activities, pain/discomfort, and anxiety/depression. The EQ-5D-5L/VAS score showed 34.95% poor QoL (0–40%) and 35.50% good QoL. Factors affecting QoL include level of education (OR = 1.66, p < <0.01), type of intervention (OR = 1.22, p = 0.003), rehabilitation (OR = 2.41, p < 0.01) and level of disability (OR = 196.41, p < 0.01). Mobility, self-care, usual activities, pain, comfort, anxiety, and depression vary moderately on Shannon’s index.ConclusionThe study highlights the significant impact of road traffic orthopaedic injuries (RTOI) on survivors’ quality of life in Rwanda, revealing challenges in mobility and daily activities. Factors influencing quality of life include education level, medical intervention type, rehabilitation, and disability degree. The findings emphasize the need for tailored rehabilitation strategies and policy interventions to improve long-term outcomes for RTOI survivors.

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Section: Introductionmentioning

confidence: 99%

Quality of life of survivors following road traffic orthopaedic injuries in Rwanda

Allen Ingabire,

Tumusiime,

Sagahutu

et al. 2024

Front. Public Health

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“…A study in Rwanda found that 36% of patients injured in a road traffic accident had moderate to severe disability at 2 years. 7 Patients who are delayed or unable to resume their usual activities will therefore be driven further down into poverty, dragging dependent families along. The economic constraints further limit access to care and decrease the likelihood of full recovery.…”

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Impact of trauma systems on injury morbidity: important considerations for low-income and middle-income countries

Sawe

2024

Emerg Med J

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Developing and integrating a destination decision support algorithm into an innovative electronic communication platform to improve injury care service coordination in Rwanda: The Rwanda912 study protocol

Group,

Nishimwe,

Davies

et al. 2024

Preprint

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Introduction: Delays in getting injured patients to hospital in a timely manner can increase avoidable death and disability. Like many low- or middle-income countries (LMICs), Rwanda experiences delays related to lack of efficient prehospital communication and formal guidelines to triage patients for hospital care. This paper describes the protocol to develop, roll out, and evaluate the effectiveness of a Destination Decision Support Algorithm (DDSA) integrated in an electronic communication platform, ‘912Rwanda’. The DDSA will facilitate the linkage of patients to health facilities able to treat their condition(s). Work will be conducted in three phases: i. development, ii. training and roll-out, and iii. evaluation. Methods and analysis: Work will be conducted in the pre-hospital emergency service “SAMU - Service d'Aide Medicale Urgente” and health facilities in Kigali City and Musanze District, which serve predominately urban and rural populations, respectively. We will develop interfaces to capture facility and patient-relevant data, which feed into a guideline-based electronic DDSA to match patients to hospitals. We will assess existing trauma care processes using qualitative and quantitative methodologies. This will be followed by a series of consensus workshops to develop at-scene triage guidelines and agree variables to capture in the interfaces. The DDSA will be developed based on outputs from these workshops and tested against historical ambulance data and expert opinion until acceptable thresholds of performance are passed. User interfaces will be developed and tested using human computer interface design principles. Discussion: The combined collaborative approach of bringing together experts and software developers, and with deep engagement of Rwandan stakeholders, including leadership of Rwanda Ministry of health through its technical arm, the Rwanda Biomedical Center, should lead to an ambulance communication system which is utilized, sustained, and effective. Trial registration, ISRCTN, ISRCTN97674565. Registered on 29 July 2024. https://doi.org/10.1186/ISRCTN97674565

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Prevalence and levels of disability post road traffic orthopaedic injuries in Rwanda

Cited by 3 publications

References 47 publications

Quality of life of survivors following road traffic orthopaedic injuries in Rwanda

Quality of life of survivors following road traffic orthopaedic injuries in Rwanda

Impact of trauma systems on injury morbidity: important considerations for low-income and middle-income countries

Developing and integrating a destination decision support algorithm into an innovative electronic communication platform to improve injury care service coordination in Rwanda: The Rwanda912 study protocol

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