IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0245779.html
   My bibliography  Save this article

Epidemiology of injured patients in rural Uganda: A prospective trauma registry’s first 1000 days

Author

Listed:
  • Dennis J Zheng
  • Patrick J Sur
  • Mary Goretty Ariokot
  • Catherine Juillard
  • Mary Margaret Ajiko
  • Rochelle A Dicker

Abstract

Trauma is a leading cause of morbidity and mortality worldwide. Data characterizing the burden of injury in rural Uganda is limited. Hospital-based trauma registries are a critical tool in illustrating injury patterns and clinical outcomes. This study aims to characterize the traumatic injuries presenting to Soroti Regional Referral Hospital (SRRH) in order to identify opportunities for quality improvement and policy development. From October 2016 to July 2019, we prospectively captured data on injured patients using a locally designed, context-relevant trauma registry instrument. Information regarding patient demographics, injury characteristics, clinical information, and treatment outcomes were recorded. Descriptive, bivariate, and multivariate statistical analyses were conducted. A total of 4109 injured patients were treated during the study period. Median age was 26 years and 63% were male. Students (33%) and peasant farmers (31%) were the most affected occupations. Falls (36%) and road traffic injuries (RTIs, 35%) were the leading causes of injury. Nearly two-thirds of RTIs were motorcycle-related and only 16% involved a pedestrian. Over half (53%) of all patients had a fracture or a sprain. Suffering a burn or a head injury were significant predictors of mortality. The number of trauma patients enrolled in the study declined by five-fold when comparing the final six months and initial six months of the study. Implementation of a context-appropriate trauma registry in a resource-constrained setting is feasible. In rural Uganda, there is a significant need for injury prevention efforts to protect vulnerable populations such as children and women from trauma on roads and in the home. Orthopedic and neurosurgical care are important targets for the strengthening of health systems. The comprehensive data provided by a trauma registry will continue to inform such efforts and provide a way to monitor their progress moving forward.

Suggested Citation

  • Dennis J Zheng & Patrick J Sur & Mary Goretty Ariokot & Catherine Juillard & Mary Margaret Ajiko & Rochelle A Dicker, 2021. "Epidemiology of injured patients in rural Uganda: A prospective trauma registry’s first 1000 days," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-13, January.
  • Handle: RePEc:plo:pone00:0245779
    DOI: 10.1371/journal.pone.0245779
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0245779
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0245779&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0245779?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Paul Mukwaya & Yazidhi Bamutaze & Samuel Mugarura & Todd Benson, 2012. "Rural-Urban Transformation in Uganda," Journal of African Development, African Finance and Economic Association (AFEA), vol. 14(2), pages 169-194.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Selin Temizel & Robert Wunderlich & Mats Leifels, 2021. "Characteristics and Injury Patterns of Road Traffic Injuries in Urban and Rural Uganda—A Retrospective Medical Record Review Study in Two Hospitals," IJERPH, MDPI, vol. 18(14), pages 1-16, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Paolo Brunori & Flaviana Palmisano & Vito Peragine, 2015. "Inequality of opportunity during the great recession in Uganda," WIDER Working Paper Series 039, World Institute for Development Economic Research (UNU-WIDER).
    2. Violah Mpangwire & Benjamin Musiita & Richard Akisimire, 2023. "The Role of Operation Wealth Creation (OWC) Program on Diary Farmers in Mbarara District-A Descriptive Perspective," Journal of Economics and Behavioral Studies, AMH International, vol. 15(2), pages 13-19.
    3. Paolo Brunori & Flaviana Palmisano & Vitorocco Peragine, 2015. "Inequality of Opportunity During the Great Recession in Uganda," WIDER Working Paper Series wp-2015-039, World Institute for Development Economic Research (UNU-WIDER).
    4. Samuel Tumwesigye & Lisa-Marie Hemerijckx & Alfonse Opio & Jean Poesen & Matthias Vanmaercke & Ronald Twongyirwe & Anton Van Rompaey, 2021. "Who and Why? Understanding Rural Out-Migration in Uganda," Geographies, MDPI, vol. 1(2), pages 1-20, August.
    5. Han Wang & Liam Kilmartin, 2014. "Comparing Rural and Urban Social and Economic Behavior in Uganda: Insights from Mobile Voice Service Usage," Journal of Urban Technology, Taylor & Francis Journals, vol. 21(2), pages 61-89, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0245779. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.