Strategies for injury prevention have been extensively studied in developed nations but not in the developing world.
This study sought to determine which mechanisms of injury were common in a rural developing area and which were important contributors to mortality and disability.
All 614 patients admitted for injuries to a rural African hospital between 1987 and 1991 were analyzed retrospectively for mechanism of injury and outcome, as assessed by mortality and long-term functional status.
The leading mechanisms of injury were transport related (29%) and burns (16%). Burns accounted for 61% of injuries in children under 5 years.
Mortality was 7.3% in the series, with 24% of deaths owing to transport injuries.
Disability developed in 103 (22%) of the 462 survivors available for assessment, with most disability resulting from transport injuries (26% of all disabilities), burns (13%), and agricultural injuries (14%). Conclusions.
Among injured patients who presented for treatment in this rural developing area, the largest burden of mortality and disability was from burns and transport-related injuries.
Population-based studies are needed to substantiate whether these should be priorities for injury prevention efforts.
Mots-clés Pascal : Traumatisme, Cause, Admission hôpital, Milieu rural, Ghana, Homme, Prévention, Epidémiologie, Afrique
Mots-clés Pascal anglais : Trauma, Cause, Hospital admission, Rural environment, Ghana, Human, Prevention, Epidemiology, Africa
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0437203
Code Inist : 002B30A01A2. Création : 01/03/1996.