Hsia Renee Y, Ozgediz Doruk, Mutto Milton, Jayaraman Sudha, Kyamanywa Patrick, Kobusingye Olive C
Int J Emerg Med. 2010 Jul 20;3(3):165-72. doi: 10.1007/s12245-010-0200-1.
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.
To estimate the epidemiology of the injury seen in patients presenting to the government hospital in Kampala, the capital city of Uganda.
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.
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.
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.
尽管低收入和中等收入国家的伤害负担日益加重，但用于指导卫生政策和卫生系统发展的基础流行病学数据仍然有限。了解发展中国家的伤害流行病学有助于识别伤害的风险因素，并针对预防和治疗采取干预措施，以降低残疾率和死亡率。
评估乌干达首都坎帕拉政府医院就诊患者的伤害流行病学情况。
对2004年至2005年期间乌干达伤害控制中心在坎帕拉穆拉戈国家转诊医院前瞻性收集的数据库进行二次分析。
2004年8月1日至2005年8月12日，共记录了3750次与伤害相关的就诊；最终分析了3481份记录样本。大多数患者（62%）在急诊科接受治疗后出院；38%的患者住院。在这个样本中，除5岁以下儿童外，道路交通伤害（RTIs）是所有年龄组最常见的伤害原因，占总伤害的49%。RTIs也是创伤患者最常见的死亡原因。在交通伤害中，受伤的乘客（44%）和行人（30%）多于司机（27%）。其他创伤原因包括钝器/穿透性伤害（占伤害的25%）和跌倒（10%）。所有因伤到达急诊科的患者中，不到5%是乘坐救护车前来的。
道路交通伤害是坎帕拉发病和死亡的最大原因。它们是所有年龄段（5岁以下儿童除外）最常见的伤害原因，学龄儿童在这些事件的受害者中占很大比例。将伤害控制项目与正在进行的卫生倡议相结合是卫生和发展的当务之急。
