在乌干达，骨折或脱臼后前往综合医院寻求医疗护理。
Seeking health care from a general hospital in Uganda following a fracture or a dislocation.
作者信息
Kajja Isaac, Sibinga Cees Th Smit
机构信息
Department of Orthopedics, School of Medicine, College of Health Sciences, Makerere University, PO Box 7072, Kampala, Uganda.
International Development of Transfusion Medicine, University of Groningen, Netherlands.
出版信息
Afr J Emerg Med. 2016 Dec;6(4):174-179. doi: 10.1016/j.afjem.2016.05.008. Epub 2016 Jul 25.
INTRODUCTION
Selecting a treatment approach and a facility to get treated from, poses a challenge in musculoskeletal injuries in Africa. The study aimed at determining demographic and injury characteristics of patients with musculoskeletal injuries and how these impact the time and reason for presenting to a general hospital in Uganda.
METHODS
An observational study was carried out at Entebbe general hospital on patients presenting with musculoskeletal injuries between 1 November 2014 and 28 February 2015. The patient demographics, injury characteristics, duration of injury to presentation for treatment and reason for seeking treatment from this hospital were noted.
RESULTS
A total of 101 patients were recruited. Of these, 95 had fractures while six had dislocations. Patients took an average of 96 h before presenting for care, females taking significantly longer than males (191.2 and 58.6 h respectively, = 0.005). The fractured segment of bone significantly influenced the patients' choice for care at this hospital ( = 0.02).
DISCUSSION
Entebbe General Hospital serves a young and unemployed population for musculoskeletal injuries. These patients present late for care, especially females. Patients base their choice for care from this hospital on the character of the injury.
引言
在非洲，选择治疗方法和治疗机构来处理肌肉骨骼损伤是一项挑战。本研究旨在确定肌肉骨骼损伤患者的人口统计学和损伤特征，以及这些因素如何影响在乌干达一家综合医院就诊的时间和原因。
方法
于2014年11月1日至2015年2月28日在恩德培综合医院对出现肌肉骨骼损伤的患者进行了一项观察性研究。记录了患者的人口统计学信息、损伤特征、受伤至前来治疗的持续时间以及从该医院寻求治疗的原因。
结果
共招募了101名患者。其中，95人骨折，6人脱位。患者平均在96小时后才前来就诊，女性就诊时间明显长于男性（分别为191.2小时和58.6小时，P = 0.005）。骨折的骨段对患者选择在该医院治疗有显著影响（P = 0.02）。
讨论
恩德培综合医院为肌肉骨骼损伤患者提供服务的对象是年轻且无业的人群。这些患者就诊较晚，尤其是女性。患者选择在该医院治疗是基于损伤的特点。
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