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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Traumatic injuries in developing countries: Report from a nationwide cross-sectional survey of Sierra Leone
JAMA Surgery, Volume 148, No. 5, Year 2013
Notification
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Description
Objective: To use a nationwide household survey tool to provide an estimate of injury prevalence, mechanisms of traumatic injuries, and number of injury-related deaths in a low-income country. Design: A randomized, cross-sectional nationwide survey using the Surgeons OverSeas Assessment of Surgical Need tool was conducted in 2012. Setting: Sierra Leone, Africa. Participants: Three thousand seven hundred fifty randomly selected participants throughout Sierra Leone. Main Outcome Measures: Mechanisms of injury based on age, sex, anatomic location, cause, and sociodemographic factors as well as mechanisms of injury-related deaths in the previous year were the primary outcome measures. Results: Data were collected and analyzed from 1843 households and 3645 respondents (98% response rate). Four hundred fifty-two respondents (12%) reported at least 1 traumatic injury in the preceding year. Falls were the most common cause of nonfatal injuries (40%). The extremities were the most common injury site regardless of age or sex. Traffic injuries were the leading cause of injury-related deaths (32% of fatal injuries). Conclusions: This study provides baseline data on the mechanisms of traumatic injuries as well as the sociodemographic factors affecting injury prevalence in one of the world's poorest nations. It is anticipated that these data will provide an impetus for further studies to determine injury severity, associated disability, and barriers to accessing care in these resource-poor areas. ©2013 American Medical Association. All rights reserved.
Authors & Co-Authors
Stewart, Kerry Ann
United States, Stanford
Stanford University School of Medicine
Groen, Reinou Sybrecht
United States, New York
Surgeons Overseas
Netherlands, Amsterdam
Royal Tropical Institute - Kit
United States, Baltimore
The Johns Hopkins Hospital
Kamara, Thaim Buya
Sierra Leone, Freetown
Connaught Hospital
Farahzad, Mina M.
United States, Milwaukee
Medical College of Wisconsin
Samai, Mohamed M.
Sierra Leone, Freetown
University of Sierra Leone
Cassidy, Laura Dawn
United States, Milwaukee
Medical College of Wisconsin
Kushner, Adam L.
United States, New York
Surgeons Overseas
United States, New York
Columbia University
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Wren, Sherry M.
United States, Stanford
Stanford University School of Medicine
United States, Palo Alto
Palo Alto Veteran's Affairs Health Care System
Statistics
Citations: 81
Authors: 8
Affiliations: 10
Identifiers
Doi:
10.1001/jamasurg.2013.1341
ISSN:
21686254
Research Areas
Disability
Health System And Policy
Violence And Injury
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Sierra Leone