Quality of Life after Motorcycle Traffic Injuries: A Cohort Study in Northwest of Iran

Gheshlaghi, Leili Abedi; Sharifi, Hamid; Noroozi, Mehdi; Barouni, Mohsen; Sadeghi-bazargan, Homayoun

doi:10.21203/rs.3.rs-15569/v2

Cited by 4 publications

(2 citation statements)

References 25 publications

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“…On the basis of the cross-sectional findings, for baseline (n=6807) and 1-month follow-up data (n=2905), motorcyclists suffered a lower quality of life after crashes in rainy weather and injuries in pelvis and knee. It is consistent with the results of similar studies 41 42. It may be referred to the severity of injury occurred in rainy weather.…”

Section: Discussionsupporting

confidence: 91%

PERSIAN Traffic Safety and Health Cohort: a study protocol on postcrash mental and physical health consequences

et al. 2022

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BackgroundCohort studies play essential roles in assessing causality, appropriate interventions. The study, Post-crash Prospective Epidemiological Research Studies in IrAN Traffic Safety and Health Cohort, aims to investigate the common health consequences of road traffic injuries (RTIs) postcrash through multiple follow-ups.MethodsThis protocol study was designed to analyse human, vehicle and environmental factors as exposures relating to postcrash outcomes (injury, disability, death, property damage, quality of life, etc). Population sources include registered injured people and followed up healthy people in precrash cohort experienced RTIs. It includes four first-year follow-ups, 1 month (phone-based), 3 months (in-person, video/phone call), 6 and 12 months (phone-based) after crash. Then, 24-month and 36-month follow-ups will be conducted triennially. Various questionnaires such as Post-traumatic Stress Disorder Questionnaire, Patient Health Questionnaire, WHO Disability Assessment Schedules, Cost-related Information, etc are completed. Counselling with a psychiatrist and a medical visit by a practitioner are provided accompanied by extra tools (simulator-based driving assessment, and psychophysiological tests). Through preliminary recruitment plan, 5807, 2905, 2247 and 1051 subjects have been enrolled, respectively at the baseline, first, second and third follow-ups by now. At baseline, cars and motorcycles accounted for over 30% and 25% of RTIs. At first follow-up, 27% of participants were pedestrians engaged mostly in car crashes. Around a fourth of injuries were single injuries. Car occupants were injured in 40% of collisions.DiscussionThe study provides an opportunity to investigate physical-psychosocial outcomes of RTIs, predictors and patterns at follow-up phases postinjury through longitudinal assessments, to provide advocates for evidence-based safety national policy-making.

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Section: Discussionsupporting

confidence: 91%

PERSIAN Traffic Safety and Health Cohort: a study protocol on postcrash mental and physical health consequences

et al. 2022

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“…Males were more predominant than females, which can be explained by the higher mobility of men and their greater involvement in general activities in Rwanda, a pattern observed in other Sub-Saharan African countries as well ( 35 – 37 ). Globally, road traffic injury victims are typically in the working age group ( 38 – 40 ) with fewer unemployed ( 41 – 43 ) and our study confirmed this finding. The mean age of our participants was 37.5 years, with a predominant representation in the age group of 31–50 years.…”

Section: Discussionsupporting

confidence: 87%

Factors affecting social integration after road traffic orthopaedic injuries in Rwanda

Allen Ingabire,

Stewart,

Uwakunda

et al. 2024

Front. Rehabil. Sci.

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BackgroundRoad traffic injuries (RTIs) leading to long-term disability present a significant public health challenge, causing immense personal and societal consequences. Every year, 50 million people are hurt, 1.2 million die, 30% are permanently disabled, and 14% cannot return to work due to road traffic accidents. However, in many developing countries, information on the social integration of patients post-RTI remains limited. This study aimed to identify factors contributing to social integration following road traffic-related orthopedic injuries (RTOI) in Rwanda.MethodologyA multicenter, cross-sectional study included 369 adult Road traffic orthopedic injuries (RTOI) victims from five Rwandan referral hospitals. Participants completed the IMPACT-S Questionnaire between 2 June 2022, and 31 August 2022, two years after the injury. It measured social integration in terms of activities and paricipation. We used logistic regression statistical analysis with a significance level of p < 0.05 to estimate odds ratios (OR) and 95% confidence intervals (CI). The Institutional Review Board for Health Sciences and Medicine at the University of Rwanda College of Medicine ethically authorized this study. Participants signed a written consent form before participating in the study. The data was kept private and was used only for this study.ResultsThe study's findings indicated that the mean age of RTOI victims was 37.5 ± 11.26 years, with a notable male predominance over females. Of the participants, 5.69% were unable to resume normal life activities. The overall mean score on the IMPACT-S scale was moderate, at 77 ± 17. Specifically, participants achieved an average score of 76 ± 16 for “activities” and a higher average of 84 ± 16 for “participation.” Certain factors were associated with poor social integration compared to others, including belonging to the age group above 65 years (OR = 8.25, p = 0.02), female sex (OR = 3.26, p = 0.02), lack of rehabilitation (OR = 3.82, p = 0.01), and length of hospital stay >15 days (OR = 4.44, p = 0.02).ConclusionThe majority of RTOI victims in Rwanda achieved successful reintegration into society; nevertheless, their mobility and community engagement were more significantly impacted compared to other aspects assessed by the IMPACT-S scale. The study emphasized the importance of early management, effective rehabilitation, and prompt patient discharge from the hospital in facilitating a successful return to everyday life after road traffic-related orthopedic injuries.

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Factors affecting social integration after road traffic orthopaedic injuries in Rwanda

Ingabire,

Stewart,

Uwakunda

et al. 2023

Preprint

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BackgroundRoad traffic injuries (RTIs) leading to long-term disability present a significant public health challenge, causing immense personal and societal consequences. However, in many developing countries, information on the social integration of patients post-RTI remains limited.PurposeThis study aimed to identify factors contributing to social integration following road traffic-related orthopedic injuries in Rwanda.MethodologyThe research encompassed a multicenter, cross-sectional study involving 369 adult RTI victims from five Rwandan referral hospitals, all of whom experienced accidents in 2019. Participants completed the IMPACT-S Questionnaire, which evaluated the level of social integration in terms of activities and participation. Statistical analysis using logistic regression, with a significance level set at p<0.05, helped estimate odds ratios (OR) and 95% confidence intervals (CI). We obtained ethical approval to conduct the study from the University of Rwanda, College of Medicine and Health Sciences Institutional Review Board. All participants signed a written consent before enrollment into the study, and all data were kept confidential and only used for the purpose of this study.ResultsThe study’s findings indicated that the mean age of RTI victims was 37.5±11.26 years, with a notable male predominance over females. Of the participants, 5.69% were unable to resume normal life activities. The overall mean score on the IMPACT-S scale was moderate, at 77±17. Specifically, participants achieved an average score of 76±16 for “activities” and a higher average of 84±16 for “participation.” Certain factors were associated with poor social integration compared to others, including belonging to the age group above 65 years (OR=8.25, p=0.02), female sex (OR=3.26, p=0.02), lack of rehabilitation (OR=3.82, p=0.01), and length of hospital stay > 15 days (OR=4.44, p=0.02).ConclusionThe majority of RTI victims in Rwanda achieved successful reintegration into society; nevertheless, their mobility and community engagement were more significantly impacted compared to other aspects assessed by the IMPACT-S scale. The study emphasized the importance of early management, effective rehabilitation, and prompt patient discharge from the hospital in facilitating a successful return to everyday life after road traffic-related orthopedic injuries.

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Quality of Life after Motorcycle Traffic Injuries: A Cohort Study in Northwest of Iran

Cited by 4 publications

References 25 publications

PERSIAN Traffic Safety and Health Cohort: a study protocol on postcrash mental and physical health consequences

PERSIAN Traffic Safety and Health Cohort: a study protocol on postcrash mental and physical health consequences

Factors affecting social integration after road traffic orthopaedic injuries in Rwanda

Factors affecting social integration after road traffic orthopaedic injuries in Rwanda

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