Jurnal Internasional Afrika vol. 11 issue 2 2021
African Journal of Emergency Medicine
Cross-sectional survey of treatments and outcomes among injured adult patients in Kigali, Rwanda
Dublin Core
Title
Jurnal Internasional Afrika vol. 11 issue 2 2021
African Journal of Emergency Medicine
Cross-sectional survey of treatments and outcomes among injured adult patients in Kigali, Rwanda
African Journal of Emergency Medicine
Cross-sectional survey of treatments and outcomes among injured adult patients in Kigali, Rwanda
Subject
Rwanda
Trauma
Injury prevention
Injury secondary survey
LMIC
Low and middle-income country
CHUK: Centre Hospitalier Universitaire de
Kigali
Trauma
Injury prevention
Injury secondary survey
LMIC
Low and middle-income country
CHUK: Centre Hospitalier Universitaire de
Kigali
Description
Introduction: Traumatic injuries and their resulting mortality and disability impose a disproportionate burden on
sub-Saharan countries like Rwanda. An important facet of addressing injury burdens is to comprehend injury
patterns and aetiologies of trauma. This study is a cross-sectional analysis of injuries, treatments and outcomes at
the University Teaching Hospital-Kigali (CHUK).
Methods: A random sample of Emergency Centre (EC) injury patients presenting during August 2015 through July
2016 was accrued. Patients were excluded if they had non-traumatic illness. Data included demographics,
clinical presentation, injury type(s), mechanism of injury, and EC disposition. Descriptive statics were utilised to
explore characteristics of the population.
Results: A random sample of 786 trauma patients met inclusion criteria and were analysed. The median age was
28 (IQR 6–50) years and 69.4% were male. Of all trauma patients 49.4% presented secondary to road traffic
injuries (RTIs), 23.9% due to falls, 10.9% due to penetrating trauma. Craniofacial trauma was the most frequent
traumatic injury location at 36.3%. Lower limb trauma and upper limb trauma constituted 35.8% and 27.1% of
all injuries. Admission was required in 68.2% of cases, 23.3% were admitted to the orthopaedic service with the
second highest admission to the surgical service (19.2%). Of those admitted to the hospital, the median LOS was
6 days (IQR 3–14), in the subset of patients requiring operative intervention, the median LOS was also 6 days
(IQR 3–16). Death occurred in 5.5% of admitted patients in the hospital.
Conclusion: The traumatic injury burden is borne more proportionally by young males in Kigali, Rwanda. Blunt
trauma accounts for a majority of trauma patient presentations; of these RTIs constitute nearly half the injury
mechanisms. These findings suggest that this population has substantial injury burdens and prevention and care
interventions focused in this demographic group could provide positive impacts in the study setting
sub-Saharan countries like Rwanda. An important facet of addressing injury burdens is to comprehend injury
patterns and aetiologies of trauma. This study is a cross-sectional analysis of injuries, treatments and outcomes at
the University Teaching Hospital-Kigali (CHUK).
Methods: A random sample of Emergency Centre (EC) injury patients presenting during August 2015 through July
2016 was accrued. Patients were excluded if they had non-traumatic illness. Data included demographics,
clinical presentation, injury type(s), mechanism of injury, and EC disposition. Descriptive statics were utilised to
explore characteristics of the population.
Results: A random sample of 786 trauma patients met inclusion criteria and were analysed. The median age was
28 (IQR 6–50) years and 69.4% were male. Of all trauma patients 49.4% presented secondary to road traffic
injuries (RTIs), 23.9% due to falls, 10.9% due to penetrating trauma. Craniofacial trauma was the most frequent
traumatic injury location at 36.3%. Lower limb trauma and upper limb trauma constituted 35.8% and 27.1% of
all injuries. Admission was required in 68.2% of cases, 23.3% were admitted to the orthopaedic service with the
second highest admission to the surgical service (19.2%). Of those admitted to the hospital, the median LOS was
6 days (IQR 3–14), in the subset of patients requiring operative intervention, the median LOS was also 6 days
(IQR 3–16). Death occurred in 5.5% of admitted patients in the hospital.
Conclusion: The traumatic injury burden is borne more proportionally by young males in Kigali, Rwanda. Blunt
trauma accounts for a majority of trauma patient presentations; of these RTIs constitute nearly half the injury
mechanisms. These findings suggest that this population has substantial injury burdens and prevention and care
interventions focused in this demographic group could provide positive impacts in the study setting
Creator
Saadiyah Bilal , Jean Paul Nzabandora , Doris Lorette Uwamahoro , Lars Meisner , Subhanik Purkayastha , Adam R. Aluisio
Source
www.elsevier.com/locate/afjem
Date
7 March 2021
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Citation
Saadiyah Bilal , Jean Paul Nzabandora , Doris Lorette Uwamahoro , Lars Meisner , Subhanik Purkayastha , Adam R. Aluisio, “Jurnal Internasional Afrika vol. 11 issue 2 2021
African Journal of Emergency Medicine
Cross-sectional survey of treatments and outcomes among injured adult patients in Kigali, Rwanda,” Repository Horizon University Indonesia, accessed March 13, 2025, https://repository.horizon.ac.id/items/show/2624.
African Journal of Emergency Medicine
Cross-sectional survey of treatments and outcomes among injured adult patients in Kigali, Rwanda,” Repository Horizon University Indonesia, accessed March 13, 2025, https://repository.horizon.ac.id/items/show/2624.