Department of Surgery, University Teaching Hospital of Kigali, University of Rwanda, Kigali, Rwanda.
Physiotherapy Department, University of Rwanda, Kigali, Rwanda.
Front Public Health. 2024 Jul 17;12:1405697. doi: 10.3389/fpubh.2024.1405697. eCollection 2024.
Road traffic injuries (RTI) pose a global public health threat, especially in low- and middle-income nations. These injuries typically cause orthopaedic problems that may negatively impair a person's physical and mental health and quality of life. Our study examined the quality of life of road traffic orthopaedic injuries (RTOI) survivors.
A cross-sectional study at five Rwandan referral hospitals, included 369 adult RTOI victims. Two years post-injury, participants completed the European Quality of life 5 Dimension 5 (EQ-5D-5L) and Visual Analogue Scale (VAS) Questionnaire between June 2 and August 31, 2022, with informed consent. Three EQ-5D-5L-VAS scores were used: low (0-40%), fair (41-60%), and excellent (61-100%). We used logistic regression analysis with a significance threshold of < 0.05 to determine odds ratios (OR) and 95% CI.
The RTOI victims had a mean age of 37.5 ± 11.26 years with sex ratio M:F:3:1. Usual activities (66.8%) and mobility (54.8%) were the most affected EQ-5D-5L dimensions. Residence, hospital stay, rehabilitation, and return to work affected mobility, usual activities, pain/discomfort, and anxiety/depression. The EQ-5D-5L/VAS score showed 34.95% poor QoL (0-40%) and 35.50% good QoL. Factors affecting QoL include level of education (OR = 1.66, < <0.01), type of intervention (OR = 1.22, = 0.003), rehabilitation (OR = 2.41, < 0.01) and level of disability (OR = 196.41, < 0.01). Mobility, self-care, usual activities, pain, comfort, anxiety, and depression vary moderately on Shannon's index.
The study highlights the significant impact of road traffic orthopaedic injuries (RTOI) on survivors' quality of life in Rwanda, revealing challenges in mobility and daily activities. Factors influencing quality of life include education level, medical intervention type, rehabilitation, and disability degree. The findings emphasize the need for tailored rehabilitation strategies and policy interventions to improve long-term outcomes for RTOI survivors.
道路交通伤害（RTI）对全球公共健康构成威胁，尤其是在低收入和中等收入国家。这些伤害通常会导致骨科问题，可能会对人的身心健康和生活质量产生负面影响。我们的研究调查了道路交通骨科伤害（RTOI）幸存者的生活质量。
在卢旺达的五家转诊医院进行了一项横断面研究，纳入了 369 名成年 RTOI 受害者。在受伤后两年，参与者于 2022 年 6 月 2 日至 8 月 31 日之间，在知情同意的情况下，使用欧洲生活质量 5 维 5 级量表（EQ-5D-5L）和视觉模拟量表（VAS）问卷完成了调查。我们使用逻辑回归分析，使用 < 0.05 的显著性阈值来确定比值比（OR）和 95%CI。
RTOI 受害者的平均年龄为 37.5 ± 11.26 岁，性别比例为 3:1。日常活动（66.8%）和行动能力（54.8%）是受影响最严重的 EQ-5D-5L 维度。居住地点、住院时间、康复和重返工作影响行动能力、日常活动、疼痛/不适以及焦虑/抑郁。EQ-5D-5L/VAS 评分显示，34.95%的生活质量较差（0-40%），35.50%的生活质量较好。影响生活质量的因素包括教育程度（OR = 1.66， < <0.01）、干预类型（OR = 1.22， = 0.003）、康复（OR = 2.41， < 0.01）和残疾程度（OR = 196.41， < 0.01）。行动能力、自理能力、日常活动、疼痛、舒适度、焦虑和抑郁在 Shannon 指数上呈中度变化。
本研究强调了道路交通骨科伤害（RTOI）对卢旺达幸存者生活质量的重大影响，揭示了移动和日常活动方面的挑战。影响生活质量的因素包括教育水平、医疗干预类型、康复和残疾程度。研究结果强调了需要制定个性化的康复策略和政策干预措施，以改善 RTOI 幸存者的长期结局。
