Allen Ingabire J C, Stewart Aimee, Sagahutu Jean Baptiste, Urimubenshi Gerard, Bucyibaruta Georges, Pilusa Sonti, Uwakunda Carine, Mugisha Didace, Ingabire Leontine, Tumusiime David
Department of Surgery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Department of Surgery, University Teaching Hospital of Kigali, Kigali, Rwanda.
Afr J Disabil. 2024 Jan 18;13:1251. doi: 10.4102/ajod.v13i0.1251. eCollection 2024.
Prolonged disability resulting from road traffic injuries (RTIs) contributes significantly to morbidity and disease burden. A good understanding of the prevalence and the level of disability of orthopaedic injuries in developing countries is crucial for improvement; however, such data are currently lacking in Rwanda.
To determine the prevalence and levels of disability of 2 years post-road traffic orthopaedic injuries in Rwanda.
A multicentre, cross-sectional study from five Rwandan referral hospitals of 368 adult RTI victims' sustained from accidents in 2019. Between 02 June 2022, and 31 August 2022, two years after the injury, participants completed the World Health Organization Disability Assessment Schedule (WHODAS 2.0) Questionnaire for the degree of impairment and the Upper Extremity Functional Scale and Lower-Extremity Functional Scale forms for limb functional evaluation. Descriptive, inferential statistics Chi-square and multinomial regression models were analysed using R Studio.
The study's mean age of the RTOI victims was 37.5 (±11.26) years, with a sex ratio M: F:3: 1. The prevalence of disability following road traffic orthopedic injury (RTOI) after 2 years was 36.14%, with victims having WHODAS score > 25.0% and 36.31% were still unable to return to their usual activities. Age group, Severe Kampala Trauma Score and lack of rehabilitation contributed to disability. The most affected WHODAS domains were participation in society (33%) and life activities (28%).
The prevalence and levels of disability because of RTOI in Rwanda are high, with mobility and participation in life being more affected than other WHODAS domains. Middle-aged and socio-economically underprivileged persons are the most affected.
This study showed that a good rehabilitation approach and economic support for the RTI victims would decrease their disabilities in Rwanda.
道路交通伤害（RTIs）导致的长期残疾对发病率和疾病负担有重大影响。深入了解发展中国家骨科损伤的患病率和残疾程度对于改善情况至关重要；然而，卢旺达目前缺乏此类数据。
确定卢旺达道路交通伤后2年骨科损伤的患病率和残疾程度。
一项多中心横断面研究，来自卢旺达五家转诊医院，研究对象为2019年事故中受伤的368名成年RTI受害者。在受伤两年后的2022年6月2日至2022年8月31日期间，参与者完成了世界卫生组织残疾评估量表（WHODAS 2.0）问卷以评估损伤程度，并完成了上肢功能量表和下肢功能量表表格以评估肢体功能。使用R Studio分析描述性、推断性统计卡方检验和多项回归模型。
该研究中RTI受害者的平均年龄为37.5（±11.26）岁，男女比例为3:1。道路交通骨科损伤（RTOI）两年后的残疾患病率为36.14%，WHODAS评分>25.0%的受害者中有36.31%仍无法恢复正常活动。年龄组、严重坎帕拉创伤评分和缺乏康复治疗是导致残疾的因素。受影响最大的WHODAS领域是社会参与（33%）和生活活动（28%）。
卢旺达因RTOI导致的残疾患病率和程度很高，与其他WHODAS领域相比，行动能力和生活参与受到的影响更大。中年人和社会经济弱势群体受影响最大。
本研究表明，为卢旺达的RTI受害者提供良好的康复方法和经济支持将减少他们的残疾。
