Vital Statistics: Estimating Injury Mortality in Kigali, Rwanda

dc.contributor.authorKim, Woon Cho
dc.contributor.authorByiringiro, Jean Claude
dc.contributor.authorNtakiyiruta, Georges
dc.contributor.authorKyamanywa, Patrick
dc.contributor.authorIrakiza, Jean Jacques
dc.contributor.authorMvukiyehe, Jean Paul
dc.contributor.authorMutabazi, Zeta
dc.contributor.authorVizir, Jean Paul
dc.contributor.authorIngabire, Jean de la Croix Allen
dc.contributor.authorNshuti, Steven
dc.contributor.authorRiviello, Robert
dc.contributor.authorRogers, Selwyn O
dc.contributor.authorJayaraman, Sudha P
dc.date.accessioned2022-04-19T08:59:56Z
dc.date.available2022-04-19T08:59:56Z
dc.date.issued2016
dc.description.abstractBackground Globally, injury deaths largely occur in low- and middle-income countries. No estimates of injuryassociated mortality exist in Rwanda. This study aimed to describe the patterns of injury-related deaths in Kigali, Rwanda using existing data sources. Methods We created a database of all deaths reported by the main institutions providing emergency care in Kigali—four major hospitals, two divisions of the Rwanda National Police, and the National Emergency Medical Service—during 12 months (Jan–Dec 2012) and analyzed it for demographics, diagnoses, mechanism and type of injury, causes of death, and all-cause and cause-specific mortality rates. Results There were 2682 deaths, 57 % in men, 67 % in adults[18 year, and 16 % in children\5 year. All-cause mortality rate was 236/100,000; 35 % (927) were due to probable surgical causes. Injury-related deaths occurred in 22 % (593/2682). The most common injury mechanism was road traffic crash (cause-specific mortality rate of 20/100,000). Nearly half of all injury deaths occurred in the prehospital setting (47 %, n = 276) and 49 % of injury deaths at the university hospital occurred within 24 h of arrival. Being injured increased the odds of dying in the prehospital setting by 2.7 times (p\0.0001). Conclusions Injuries account for 22 % of deaths in Kigali with road traffic crashes being the most common cause. Injury deaths occurred largely in the prehospital setting and within the first 24 h of hospital arrival suggesting the need for investment in emergency infrastructure. Accurate documentation of the cause of death would help policymakers make data-driven resource allocation decisions.en_US
dc.identifier.citationKim, W.C., Byiringiro, J.C., Ntakiyiruta, G., Kyamanywa, P., Irakiza, J.J., Mvukiyehe, J.P., Mutabazi, Z., Vizir, J.P., de la Croix Allen Ingabire, J., Nshuti, S. and Riviello, R. (2016). Vital statistics: estimating injury mortality in Kigali, Rwanda. World journal of surgery, 40(1), pp.6-13.en_US
dc.identifier.issn0364-2313 / 1432-2323
dc.identifier.urihttp://hdl.handle.net/20.500.12280/2952
dc.language.isoenen_US
dc.publisherSpringer, One New York Plaza, Suite 4600 , New York, United States, Ny, 10004en_US
dc.relation.ispartofseriesWorld journal of surgery;40(1)
dc.subjectRoad Trafficen_US
dc.subjectInjury Surveillanceen_US
dc.subjectPrehospital Settingen_US
dc.subjectRoad Traffic Injuryen_US
dc.subjectInjury Deathen_US
dc.titleVital Statistics: Estimating Injury Mortality in Kigali, Rwandaen_US
dc.typeArticleen_US

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Kyamanywa_VCO_ARTICLE_2016_Vital.pdf
Size:
301.77 KB
Format:
Adobe Portable Document Format
Description:

License bundle

Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:

Collections