Epidemiology of injuries presenting to the national hospital in Kampala, Uganda: implications for research and policy
- Renee Y. HsiaAffiliated withDepartment of Emergency Medicine, University of California at San Francisco Email author
- , Doruk OzgedizAffiliated withDepartment of Surgery, University of Toronto, Hospital for Sick Children
- , Milton MuttoAffiliated withInjury Control Center- Uganda
- , Sudha JayaramanAffiliated withDepartment of Surgery, University of California at San Francisco
- , Patrick KyamanywaAffiliated withDepartment of Surgery, Faculty of Medicine, National University of Rwanda
- , Olive C. KobusingyeAffiliated withRegional Office for Africa, World Health Organization
Despite the growing burden of injuries in LMICs, there are still limited primary epidemiologic data to guide health policy and health system development. Understanding the epidemiology of injury in developing countries can help identify risk factors for injury and target interventions for prevention and treatment to decrease disability and mortality.
To estimate the epidemiology of the injury seen in patients presenting to the government hospital in Kampala, the capital city of Uganda.
A secondary analysis of a prospectively collected database collected by the Injury Control Centre-Uganda at the Mulago National Referral Hospital, Kampala, Uganda, 2004-2005.
From 1 August 2004 to 12 August 2005, a total of 3,750 injury-related visits were recorded; a final sample of 3,481 records were analyzed. The majority of patients (62%) were treated in the casualty department and then discharged; 38% were admitted. Road traffic injuries (RTIs) were the most common causes of injury for all age groups in this sample, except for those under 5 years old, and accounted for 49% of total injuries. RTIs were also the most common cause of mortality in trauma patients. Within traffic injuries, more passengers (44%) and pedestrians (30%) were injured than drivers (27%). Other causes of trauma included blunt/penetrating injuries (25% of injuries) and falls (10%). Less than 5% of all patients arriving to the emergency department for injuries arrived by ambulance.
Road traffic injuries are by far the largest cause of both morbidity and mortality in Kampala. They are the most common cause of injury for all ages, except those younger than 5, and school-aged children comprise a large proportion of victims from these incidents. The integration of injury control programs with ongoing health initiatives is an urgent priority for health and development.
KeywordsRoad traffic Injuries Developing country Trauma Uganda
- Epidemiology of injuries presenting to the national hospital in Kampala, Uganda: implications for research and policy
- Open Access
- Available under Open Access This content is freely available online to anyone, anywhere at any time.
International Journal of Emergency Medicine
Volume 3, Issue 3 , pp 165-172
- Cover Date
- Print ISSN
- Online ISSN
- Springer Berlin Heidelberg
- Additional Links
- Road traffic
- Developing country
- Author Affiliations
- 1. Department of Emergency Medicine, University of California at San Francisco, 1001 Potrero Avenue, 1E21, San Francisco, CA, 94110, USA
- 2. Department of Surgery, University of Toronto, Hospital for Sick Children, Toronto, ON, Canada
- 3. Injury Control Center- Uganda, Kampala, Uganda
- 4. Department of Surgery, University of California at San Francisco, San Francisco, CA, USA
- 5. Department of Surgery, Faculty of Medicine, National University of Rwanda, Butare, Rwanda
- 6. Regional Office for Africa, World Health Organization, Harare, Zimbabwe