International Journal of Emergency Medicine, 2010, Vol.3(3), pp.165-172
Byline: Renee Y. Hsia (1), Doruk Ozgediz (2), Milton Mutto (3), Sudha Jayaraman (4), Patrick Kyamanywa (5), Olive C. Kobusingye (6) Keywords: Road traffic; Injuries; Developing country; Trauma; Uganda Abstract: Background Despite the growing burden of injuries in LMICs, there are still limited primary epidemiologic data to guide health policy and health system development. Understanding the epidemiology of injury in developing countries can help identify risk factors for injury and target interventions for prevention and treatment to decrease disability and mortality. Aim To estimate the epidemiology of the injury seen in patients presenting to the government hospital in Kampala, the capital city of Uganda. Methods A secondary analysis of a prospectively collected database collected by the Injury Control Centre-Uganda at the Mulago National Referral Hospital, Kampala, Uganda, 2004-2005. Results From 1 August 2004 to 12 August 2005, a total of 3,750 injury-related visits were recorded a final sample of 3,481 records were analyzed. The majority of patients (62%) were treated in the casualty department and then discharged 38% were admitted. Road traffic injuries (RTIs) were the most common causes of injury for all age groups in this sample, except for those under 5 years old, and accounted for 49% of total injuries. RTIs were also the most common cause of mortality in trauma patients. Within traffic injuries, more passengers (44%) and pedestrians (30%) were injured than drivers (27%). Other causes of trauma included blunt/penetrating injuries (25% of injuries) and falls (10%). Less than 5% of all patients arriving to the emergency department for injuries arrived by ambulance. Conclusions Road traffic injuries are by far the largest cause of both morbidity and mortality in Kampala. They are the most common cause of injury for all ages, except those younger than 5, and school-aged children comprise a large proportion of victims from these incidents. The integration of injury control programs with ongoing health initiatives is an urgent priority for health and development. Author Affiliation: (1) Department of Emergency Medicine, University of California at San Francisco, 1001 Potrero Avenue, 1E21, San Francisco, CA, 94110, USA (2) Department of Surgery, University of Toronto, Hospital for Sick Children, Toronto, ON, Canada (3) Injury Control Center- Uganda, Kampala, Uganda (4) Department of Surgery, University of California at San Francisco, San Francisco, CA, USA (5) Department of Surgery, Faculty of Medicine, National University of Rwanda, Butare, Rwanda (6) Regional Office for Africa, World Health Organization, Harare, Zimbabwe Article History: Registration Date: 01/06/2010 Received Date: 23/05/2009 Accepted Date: 31/05/2010 Online Date: 20/07/2010 Article note: The views expressed in this paper are those of the author(s) and not those of the editors, editorial board or publisher.
Road traffic ; Injuries ; Developing country ; Trauma ; Uganda
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