دورية أكاديمية
Factors affecting social integration after road traffic orthopaedic injuries in Rwanda.
| العنوان: | Factors affecting social integration after road traffic orthopaedic injuries in Rwanda. |
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| المؤلفون: | Allen Ingabire JC; Department of Surgery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda., Stewart A; Physiotherapy Department, University of the Witwatersrand, Johannesbourg, South Africa., Uwakunda C; Department of Surgery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda., Mugisha D; Department of Environmental, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda., Sagahutu JB; Physiotherapy Department, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda., Urimubenshi G; Physiotherapy Department, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda., Tumusiime DK; Physiotherapy Department, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda., Bucyibaruta G; Department of Epidemiology and Biostatistics, Imperial College London, London, United Kingdom. |
| المصدر: | Frontiers in rehabilitation sciences [Front Rehabil Sci] 2024 Jan 16; Vol. 4, pp. 1287980. Date of Electronic Publication: 2024 Jan 16 (Print Publication: 2023). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Frontiers Country of Publication: Switzerland NLM ID: 9918227358906676 Publication Model: eCollection Cited Medium: Internet ISSN: 2673-6861 (Electronic) Linking ISSN: 26736861 NLM ISO Abbreviation: Front Rehabil Sci Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Lausanne : Frontiers, [2020]- |
| مستخلص: | Background: Road traffic injuries (RTIs) leading to long-term disability present a significant public health challenge, causing immense personal and societal consequences. Every year, 50 million people are hurt, 1.2 million die, 30% are permanently disabled, and 14% cannot return to work due to road traffic accidents. However, in many developing countries, information on the social integration of patients post-RTI remains limited. This study aimed to identify factors contributing to social integration following road traffic-related orthopedic injuries (RTOI) in Rwanda. Methodology: A multicenter, cross-sectional study included 369 adult Road traffic orthopedic injuries (RTOI) victims from five Rwandan referral hospitals. Participants completed the IMPACT-S Questionnaire between 2 June 2022, and 31 August 2022, two years after the injury. It measured social integration in terms of activities and paricipation. We used logistic regression statistical analysis with a significance level of p < 0.05 to estimate odds ratios (OR) and 95% confidence intervals (CI). The Institutional Review Board for Health Sciences and Medicine at the University of Rwanda College of Medicine ethically authorized this study. Participants signed a written consent form before participating in the study. The data was kept private and was used only for this study. Results: The study's findings indicated that the mean age of RTOI victims was 37.5 ± 11.26 years, with a notable male predominance over females. Of the participants, 5.69% were unable to resume normal life activities. The overall mean score on the IMPACT-S scale was moderate, at 77 ± 17. Specifically, participants achieved an average score of 76 ± 16 for "activities" and a higher average of 84 ± 16 for "participation." Certain factors were associated with poor social integration compared to others, including belonging to the age group above 65 years (OR = 8.25, p = 0.02), female sex (OR = 3.26, p = 0.02), lack of rehabilitation (OR = 3.82, p = 0.01), and length of hospital stay >15 days (OR = 4.44, p = 0.02). Conclusion: The majority of RTOI victims in Rwanda achieved successful reintegration into society; nevertheless, their mobility and community engagement were more significantly impacted compared to other aspects assessed by the IMPACT-S scale. The study emphasized the importance of early management, effective rehabilitation, and prompt patient discharge from the hospital in facilitating a successful return to everyday life after road traffic-related orthopedic injuries. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2024 Allen Ingabire, Stewart, Uwakunda, Mugisha, Sagahutu, Urimubenshi, Tumusiime and Bucyibaruta.) |
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| معلومات مُعتمدة: | United Kingdom WT_ Wellcome Trust |
| فهرسة مساهمة: | Keywords: IMPACT-S; activities and participation; rehabilitation; road traffic orthopaedic injuries; social integration |
| تواريخ الأحداث: | Date Created: 20240131 Latest Revision: 20240210 |
| رمز التحديث: | 20240210 |
| مُعرف محوري في PubMed: | PMC10825670 |
| DOI: | 10.3389/fresc.2023.1287980 |
| PMID: | 38293289 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2673-6861 |
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| DOI: | 10.3389/fresc.2023.1287980 |