Quality of life of survivors following road traffic orthopaedic injuries in Rwanda.

Journal: Frontiers in public health

Volume: 12

Issue: 

Year of Publication: 2024

Affiliated Institutions:  Department of Surgery, University Teaching Hospital of Kigali, University of Rwanda, Kigali, Rwanda. Physiotherapy Department, University of Rwanda, Kigali, Rwanda. Department of Epidemiology and Biostatistics, Imperial College London, London, United Kingdom. Physiotherapy Department, University of the Witwatersrand, Johannesburg, South Africa.

Abstract summary 

Road traffic injuries (RTI) pose a global public health threat, especially in low- and middle-income nations. These injuries typically cause orthopaedic problems that may negatively impair a person's physical and mental health and quality of life. Our study examined the quality of life of road traffic orthopaedic injuries (RTOI) survivors.A cross-sectional study at five Rwandan referral hospitals, included 369 adult RTOI victims. Two years post-injury, participants completed the European Quality of life 5 Dimension 5 (EQ-5D-5L) and Visual Analogue Scale (VAS) Questionnaire between June 2 and August 31, 2022, with informed consent. Three EQ-5D-5L-VAS scores were used: low (0-40%), fair (41-60%), and excellent (61-100%). We used logistic regression analysis with a significance threshold of  < 0.05 to determine odds ratios (OR) and 95% CI.The RTOI victims had a mean age of 37.5 ± 11.26 years with sex ratio M:F:3:1. Usual activities (66.8%) and mobility (54.8%) were the most affected EQ-5D-5L dimensions. Residence, hospital stay, rehabilitation, and return to work affected mobility, usual activities, pain/discomfort, and anxiety/depression. The EQ-5D-5L/VAS score showed 34.95% poor QoL (0-40%) and 35.50% good QoL. Factors affecting QoL include level of education (OR = 1.66,  < <0.01), type of intervention (OR = 1.22,  = 0.003), rehabilitation (OR = 2.41,  < 0.01) and level of disability (OR = 196.41,  < 0.01). Mobility, self-care, usual activities, pain, comfort, anxiety, and depression vary moderately on Shannon's index.The study highlights the significant impact of road traffic orthopaedic injuries (RTOI) on survivors' quality of life in Rwanda, revealing challenges in mobility and daily activities. Factors influencing quality of life include education level, medical intervention type, rehabilitation, and disability degree. The findings emphasize the need for tailored rehabilitation strategies and policy interventions to improve long-term outcomes for RTOI survivors.

Authors & Co-authors:  Allen Ingabire J C JC Tumusiime David K DK Sagahutu Jean Baptiste JB Urimubenshi Gerard G Bucyibaruta Georges G Pilusa Sonti S Stewart Aimee A

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Organização Mundial da Saúde . Global status Report on road. France: World Health Organization; (2018). 20 p.
Authors :  7
Identifiers
Doi : 1405697
SSN : 2296-2565
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
EQ-5D-5L;Rwanda;disability;quality of life;road traffic orthopaedic injuries
Study Design
Cross Sectional Study
Study Approach
Country of Study
Rwanda
Publication Country
Switzerland