Samuel Enumah1, John W Scott2, Rebecca Maine3, Eric Uwitonze4, Jeanne D'Arc Nyinawankusi4, Robert Riviello2, Jean Claude Byiringiro5, Ignace Kabagema4, Sudha Jayaraman6. 1. 1Johns Hopkins University School of Medicine,Baltimore,MarylandUSA. 2. 2Department of Surgery,Brigham and Women's Hospital,Boston,MassachusettsUSA. 3. 3University of California-San Francisco,Department of Surgery,San Francisco General Hospital,San Francisco,CaliforniaUSA. 4. 4Service d'Aide Medicale Urgente,Ministry of Health,Kigali,Rwanda. 5. 6Centre Hospitalier Universitaire de Kigali,Kigali,Rwanda. 6. 7Division of Trauma,Emergency Surgery, and Critical Care,Virginia Commonwealth University,Richmond,VirginiaUSA.
Abstract
Introduction Injury is responsible for nearly five million annual deaths worldwide, and nearly 90% of these deaths occur in low- and middle-income countries (LMICs). Reliable clinical data detailing the epidemiology of injury are necessary for improved care delivery, but they are lacking in these regions. METHODS: A retrospective review of the Service d'Aide Medicale Urgente (SAMU; Kigali, Rwanda) prehospital database for patients with traumatic injury-related conditions from December 2012 through November 2014 was conducted. Chi-squared analysis, binomial probability test, and student's t-test were used, where appropriate, to describe patient demographics, injury patterns, and temporal and geographic trends of injuries. RESULTS: In the two-year period, 3,357 patients were managed by SAMU for traumatic injuries. Males were 76.5% of the study population, and the median age of all injured patients was 29 years (IQR=23-35). The most common causes of injury were road traffic crashes (RTCs; 73.4%), stabbings/cuts (11.1%), and falls (9.4%), and the most common anatomic regions injured were the head (55.7%), lower (45.0%) extremities, and upper (27.0%) extremities. Almost one-fourth of injured patients suffered a fracture (24.9%). The most common mechanism of injury for adults was motorcycle-related RTCs (61.4%), whereas children were more commonly injured as pedestrians (59.8%). Centrally located sectors within Kigali represented common areas for RTCs. CONCLUSIONS: These data support the call for focused injury prevention strategies, some of which already are underway in Rwanda. Further research on care processes and clinical outcomes for injured patients may help identify avenues for improved care delivery. Enumah S , Scott JW , Maine R , Uwitonze E , Nyinawankusi JD , Riviello R , Byiringiro JC , Kabagema I , Jayaraman S . Rwanda's model prehospital emergency care service: a two-year review of patient demographics and injury patterns in Kigali. Prehosp Disaster Med. 2016;31(6):614-620.
Introduction Injury is responsible for nearly five million annual deaths worldwide, and nearly 90% of these deaths occur in low- and middle-income countries (LMICs). Reliable clinical data detailing the epidemiology of injury are necessary for improved care delivery, but they are lacking in these regions. METHODS: A retrospective review of the Service d'Aide Medicale Urgente (SAMU; Kigali, Rwanda) prehospital database for patients with traumatic injury-related conditions from December 2012 through November 2014 was conducted. Chi-squared analysis, binomial probability test, and student's t-test were used, where appropriate, to describe patient demographics, injury patterns, and temporal and geographic trends of injuries. RESULTS: In the two-year period, 3,357 patients were managed by SAMU for traumatic injuries. Males were 76.5% of the study population, and the median age of all injured patients was 29 years (IQR=23-35). The most common causes of injury were road traffic crashes (RTCs; 73.4%), stabbings/cuts (11.1%), and falls (9.4%), and the most common anatomic regions injured were the head (55.7%), lower (45.0%) extremities, and upper (27.0%) extremities. Almost one-fourth of injured patients suffered a fracture (24.9%). The most common mechanism of injury for adults was motorcycle-related RTCs (61.4%), whereas children were more commonly injured as pedestrians (59.8%). Centrally located sectors within Kigali represented common areas for RTCs. CONCLUSIONS: These data support the call for focused injury prevention strategies, some of which already are underway in Rwanda. Further research on care processes and clinical outcomes for injured patients may help identify avenues for improved care delivery. Enumah S , Scott JW , Maine R , Uwitonze E , Nyinawankusi JD , Riviello R , Byiringiro JC , Kabagema I , Jayaraman S . Rwanda's model prehospital emergency care service: a two-year review of patient demographics and injury patterns in Kigali. Prehosp Disaster Med. 2016;31(6):614-620.
Entities:
Keywords:
GCS Glasgow Coma Score; LMIC low- and middle-income country; RTC road traffic crash; RTS Revised Trauma Score; SAMU Service d’Aide Medicale Urgente; Rwanda; epidemiology; injury; prehospital; trauma
Authors: A Rosenberg; F Z Uwinshuti; M Dworkin; V Nsengimana; E Kankindi; M Niyonsaba; J M Uwitonze; I Kabagema; T Dushime; E Krebs; S Jayaraman Journal: Traffic Inj Prev Date: 2020-07-17 Impact factor: 1.491
Authors: Corrado Cancedda; Phil Cotton; Joseph Shema; Stephen Rulisa; Robert Riviello; Lisa V Adams; Paul E Farmer; Jeanne N Kagwiza; Patrick Kyamanywa; Donatilla Mukamana; Chrispinus Mumena; David K Tumusiime; Lydie Mukashyaka; Esperance Ndenga; Theogene Twagirumugabe; Kaitesi B Mukara; Vincent Dusabejambo; Timothy D Walker; Emmy Nkusi; Lisa Bazzett-Matabele; Alex Butera; Belson Rugwizangoga; Jean Claude Kabayiza; Simon Kanyandekwe; Louise Kalisa; Faustin Ntirenganya; Jeffrey Dixson; Tanya Rogo; Natalie McCall; Mark Corden; Rex Wong; Madeleine Mukeshimana; Agnes Gatarayiha; Egide Kayonga Ntagungira; Attila Yaman; Juliet Musabeyezu; Anne Sliney; Tej Nuthulaganti; Meredith Kernan; Peter Okwi; Joseph Rhatigan; Jane Barrow; Kim Wilson; Adam C Levine; Rebecca Reece; Michael Koster; Rachel T Moresky; Jennifer E O'Flaherty; Paul E Palumbo; Rashna Ginwalla; Cynthia A Binanay; Nathan Thielman; Michael Relf; Rodney Wright; Mary Hill; Deborah Chyun; Robin T Klar; Linda L McCreary; Tonda L Hughes; Marik Moen; Valli Meeks; Beth Barrows; Marcel E Durieux; Craig D McClain; Amy Bunts; Forrest J Calland; Bethany Hedt-Gauthier; Danny Milner; Giuseppe Raviola; Stacy E Smith; Meenu Tuteja; Urania Magriples; Asghar Rastegar; Linda Arnold; Ira Magaziner; Agnes Binagwaho Journal: Int J Health Policy Manag Date: 2018-11-01
Authors: Peter Mattson; Ezechiel Nteziryayo; Adam R Aluisio; Michael Henry; Noah Rosenberg; Zeta A Mutabazi; Jeanne D'Arc Nyinawankusi; Jean Claude Byiringiro; Adam C Levine; Naz Karim Journal: West J Emerg Med Date: 2019-10-14
Authors: Helen E Noble; John W Scott; Jeanne D Nyinawankusi; Jean M Uwitonze; Ignace Kabagema; Rebecca G Maine; Robert Riviello; Theophile Dushime; Samuel Enumah; Yiyuan Hu; Zeta Mutabazi; Jean C Byiringiro; Sudha Jayaraman Journal: Afr J Emerg Med Date: 2020-09-03
Authors: Sudha Jayaraman; Faustin Ntirenganya; Menelas Nkeshimana; Ashley Rosenberg; Theophile Dushime; Ignace Kabagema; Jean Marie Uwitonze; Eric Uwitonize; Jeanne d'Arc Nyinawankusi; Robert Riviello; Irene Bagahirwa; Kenneth L Williams; Elizabeth Krebs; Rebecca Maine; Paulin Banguti; Stephen Rulisa; Patrick Kyamanywa; Jean Claude Byiringiro Journal: Ann Glob Health Date: 2021-10-26 Impact factor: 2.462
Authors: Alexis S Kearney; Lise M Kabeja; Naomi George; Naz Karim; Adam R Aluisio; Zeta Mutabazi; Jean Eric Uwitonze; Jeanne D'Arc Nyinawankusi; Jean Claude Byiringiro; Adam C Levine Journal: Afr J Emerg Med Date: 2016-10-28
Authors: Gabin Mbanjumucyo; Naomi George; Alexis Kearney; Naz Karim; Adam R Aluisio; Zeta Mutabazi; Olivier Umuhire; Samuel Enumah; John W Scott; Eric Uwitonze; Jeanne D'Arc Nyinawankusi; Jean Claude Byiringiro; Ignace Kabagema; Georges Ntakiyiruta; Sudha Jayaraman; Robert Riviello; Adam C Levine Journal: Afr J Emerg Med Date: 2016-10-28
Authors: A Rosenberg; E Uwitonze; M Dworkin; J P D Guidry; T Cyuzuzo; D Banerjee; K McIntyre; K Carlyle; J M Uwitonze; I Kabagema; T Dushime; S Jayaraman Journal: Pain Res Manag Date: 2020-09-18 Impact factor: 3.037