Systematic review of patient reported outcomes from open tibia fractures in low and middle income countries

Schade, Alexander Thomas; Hind, Jamie; Khatri, Chetan; Metcalfe, Andrew; Harrison, William J.

doi:10.1016/j.injury.2019.11.015

Cited by 32 publications

(44 citation statements)

References 30 publications

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“…Length of stay was reported for 15 studies with a mean of 56 days (3-115 days). Number of procedures was reported for 6 studies with a mean of 4 [2][3][4][5][6][7] . Mean time to union was reported in 8 studies with a mean of 50 weeks (10-228).…”

Section: Initial Hospitalisation Costs and Hospital Staysmentioning

confidence: 99%

“…In the United Kingdom, the incidence is 5.6 per 10 0,0 0 0 people per year [2] (unknown in any low-or middle-income country, LMIC) and is it is often associated with poor clinical outcomes [ 5 , 6 ]. These outcomes include 18% infection, 15% nonunion and 15% amputation in LMICs [6] compared to 17.9% infection, 15.5% nonunion and 7.3% amputation in high-income countries [5] . This injury predominantly affects young men and vulnerable road users [2] .…”

Section: Introductionmentioning

confidence: 99%

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The economic burden of open tibia fractures: A systematic review

Schade

Khatri

Nwankwo

et al. 2021

Injury

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Background: Open tibia fractures are a common injury following road traffic collisions and place a large economic burden on patients and healthcare systems. Summarising their economic burden is key to inform policy and help prioritise treatment.Methods: All studies were identified from a systematic search of Medline, Embase and the Cochrane Central Register of Controlled Trials. We included any human with a diagnosed open tibia fracture, following any intervention. The primary outcome was any costs reported or patient return to work status. Secondary outcomes included average length of stay, wage loss, absenteeism and complications such as infection, amputation and nonunion. Data was extracted and we performed a descriptive narrative summary.Results: We reviewed 1,204 studies from our searches. A total of 34 studies were included from 14 different countries. The average age was 37.7 years old and 76% of the patients were male. 6.5% were Gustilo I, 12% Gustilo II and 82% Gustilo III. Initial direct hospitalisation costs were reported to be between £356 to £126,479 with an average length of stay of 56 days (3.1-244). 89% of participants were working preinjury, 60% fully returned to work, 17% returned to work part time or changed profession and 22% did not return to work at one-year. The most common complications reported were 22% infection, 11% nonunion and 16% amputation. Mean follow-up duration for the studies was 25 months. Conclusion:The economic burden of open tibia fractures varies greatly, but it is costly for both hospitals and patients. The current evidence is predominantly from high-income countries (HICs), especially the USA. Further research is required to investigate the costs of open tibia fractures using validated costing tools, especially in low-income countries (LICs), to help inform and direct policy.

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Section: Initial Hospitalisation Costs and Hospital Staysmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The economic burden of open tibia fractures: A systematic review

Schade

Khatri

Nwankwo

et al. 2021

Injury

Self Cite

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“…Mekanisme trauma yang terbanyak pada shaf tibia yaitu akibat high energy (Dehandra et al, 2019) Fraktur luka terbuka pada penelitian ini lebih banyak dibandingkan fraktur dengan luka tertutup. Penyebab fraktur tibia terbuka yaitu akibat kecelakaan (Schade et al, 2020). Penelitian lain yang berbeda menyebutkan bahwa kejadian fraktur femur menunjukkan jenis fraktur tertutup.…”

Section: Pendahuluanunclassified

Karakteristik Pasien Fraktur Ekstermitas Bawah

Platini¹,

Chaidir

Rahayu

2020

j.keperawatan aisyiyah

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Fraktur merupakan salah satu penyebab cacat diantaranya akibat kecelakaan. Fraktur ekstremitas bawah sering terjadi terkait dengan morbiditas yang cukup besar dan meenyebabkan perawatan panjang di rumah sakit. Gangguan akibat fraktur berdampak pada toleransi aktivitas sehingga mengurangi produktivitas. Selama ini karakteristik penderita fraktur ektermitas bawah belum diketahui, sehingga jika tidak dilakukan tidak dapat diketahui pencegahan resiko fraktur. Penelitian ini bertujuan untuk mengetahui karakteristik pasien fraktur ektermitas bawah. Metode penelitian ini merupakan penelitian deskriptif kuantitatif dengan observasional. Tekhnik sampling yang digunakan yaitu total sampling, sehingga didapatkan responden sebanyak 40 orang. Analisa hasil yaitu menggunakan analisis statistik distribusi frekeunsi. Hasil dari penelitian ini yaitu semua responden berjenis kelamin laki-laki (100%), sebagian besar responden berusia 36-45 (42,5%), untuk jenis fraktur sebagian besar yaitu fraktur terbuka sebanyak 25 (62,5%) dan lokasi fraktur terbanyak yaitu pada tibia sebanyak 26 responden (62,5%). Fraktur dapat mempengaruhi produktivitas penderita akibat adanya gangguan ektermitas akibat cedera yang menganggu fungsi tubuh. Dengan mengetahui karakteristik pasien fraktur ektermitas bawah, maka perawat dapat melakukan intervensi keperawatan yang sesuai. Diperlukan penelitian lebih lanjut mengenai faktor resiko yang mempengaruhi fraktur ektermitas bawah yang dikaitkan dengan karakteristik

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“…Open tibia fractures remain a frequent source of admission and are proven to cause roadway death as well as incidence [2]. Among the most complex and frequent fractures inside the joint is tibial plateau fractures (TPFs), affecting nearly 1% among all fractures in adults [3].…”

Section: Introductionmentioning

confidence: 99%

Bridging the Gap between Locking Compressive Plate, Skin Grafting and Rehabilitation for Tibia Fracture: A Case Report

Narang

Phansopkar

Vaidya

et al. 2021

JPRI

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Introduction: Road traffic accidents (RTA) have remained an ongoing endemic problem over the years and a serious economic and medical-social burden for many countries around the world. Among the most complex and frequent fractures inside the joint is tibial plateau fractures. Such fractures are linked to adverse results, because of reasons such as the damage of cartilage but also soft tissue envelopes, complications like compartment syndrome, postoperative infection, knee dysfunction or rigidity, or even post-traumatic osteoarthritis. Case Description: An 18-year-old young girl complaining of pain and inability to perform activities of daily living was referred to physiotherapy after being operated with external fixator (LCP) and skin grafting. Locking compressive plate was placed at lateral side of leg with 2 nails near head of fibula and 2 nails near lateral malleolus. Grafted skin was seen at anterior aspect of knee and anterior to medial aspect to leg. Patient was mostly suffering from pain in right leg and knee with intensity 7/10 at rest and 9/10 slight movement and swelling over right lower limb and patient complained of limited mobility and unable to walk. Discussion: The significance of early mobilisation and range of knee joint motion exercises has been apparent in literature in the past 40 years. From low-intensity activities to progressive strengthening and partial to complete weight with walkers, recovery objectives were devised. Good grafting rates can be achieved with fast ambulation leading low extremity skin grafting operations, which runs counter to conventional lessons in post-operative skin grafting after lower extremity

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Systematic review of patient reported outcomes from open tibia fractures in low and middle income countries

Cited by 32 publications

References 30 publications

The economic burden of open tibia fractures: A systematic review

The economic burden of open tibia fractures: A systematic review

Karakteristik Pasien Fraktur Ekstermitas Bawah

Bridging the Gap between Locking Compressive Plate, Skin Grafting and Rehabilitation for Tibia Fracture: A Case Report

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