ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2017
"Life is at a standstill" Quality of life after lower extremity trauma in Malawi.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 42 citations in OpenAlex.
- Water fetching and musculoskeletal health across the life-course in Sub-Saharan Africa: A scoping review.PLOS global public health · 2024Article
- The Socioeconomic consequences of femoral shaft fracture for patients in Malawi.Malawi medical journal : the journal of Medical Association of Malawi · 2023Article
- Factors affecting social integration after road traffic orthopaedic injuries in Rwanda.Frontiers in rehabilitation sciences · 2023Article
- Epidemiology of Open Tibia fractures presenting to a tertiary referral centre in Southern Malawi: a retrospective study.Malawi medical journal : the journal of Medical Association of Malawi · 2022Article
- Epidemiology, injury characteristics and clinical outcomes of bicycle and motorcycle accidents in the under 20 population: South Korea.BMC emergency medicine · 2022Article
- Pedestrians' Perception of Pedestrian Bridges-A Qualitative Study in Dar es Salaam.International journal of environmental research and public health · 2022Article
- "Don't rush into thinking of walking again": Patient views of treatment and disability following an open tibia fracture in Malawi.Wellcome open research · 2022Article
- Childhood musculoskeletal impairment in Malawi from traumatic and non-traumatic causes: a population- based assessment using the key informant method.BMC musculoskeletal disorders · 2021Article
- Cost utility analysis of intramedullary nailing and skeletal traction treatment for patients with femoral shaft fractures in Malawi.Acta orthopaedica · 2021Article
- Exploring what is important to patients with regards to quality of life after experiencing a lower limb reconstructive procedure: a qualitative evidence synthesis.Health and quality of life outcomes · 2021Review
- Risk Factors for Delayed Presentation Among Patients with Musculoskeletal Injuries in Malawi.The Journal of bone and joint surgery. American volume · 2019Article
- The Economic Burden of Non-fatal Musculoskeletal Injuries in Northeastern Tanzania.Annals of global health · 2019Article
- Feasibility of telephone-administered interviews to evaluate long-term outcomes of trauma patients in urban Ethiopia.Trauma surgery & acute care open · 2018Article
- Trauma care in Malawi: A call to action.Malawi medical journal : the journal of Medical Association of Malawi · 2017Article
- Strengthening Cultural Competence in Health Professionals Through Partnerships: A Case Study of a Health Collaborative Exchange Between Malawi and Norway in Trauma Care and Emergency Medicine.Inquiry : a journal of medical care organization, provision and financingArticle
- Characteristics, reasons and patterns of Road Traffic Injuries presenting in emergency department of a tertiary care public hospital in Karachi.Pakistan journal of medical sciencesArticle
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
Abstract
purposeLow- and middle-income countries face a disproportionate burden of death and disability from injuries, many of which are due to road traffic accidents or falls. Lower extremity injuries in particular have implications not only for physical disabilities affecting work and school performance, but also for quality of life (QOL) of the individual. This qualitative study explores the psychosocial impact and QOL changes due to lower extremity injuries among trauma patients in central Malawi.
methodsWe transcribed and translated interviews with 20 patients who received care for a trauma to the lower extremity at a tertiary hospital in Lilongwe. We used NVivo to organize and thematically analyze the data.
resultsParticipants reported limitations in physical functioning, activities of daily living, social roles, and vocational and social activities. Limited mobility led to unplanned long-term disruptions in work, personal financial loss, and household economic hardship. As a result, psychological distress, fears and worries about recovery, and poor perceptions of health and QOL were common. Several contextual factors influenced patient outcomes including socioeconomic status, religious beliefs, social networks, local landscape, housing structures, and transportation accessibility.
conclusionLower extremity trauma led to physical suffering and ongoing social and economic costs among Malawians. Injuries affecting mobility have broad QOL and economic consequences for patients and affected family members. Interventions are needed to improve post-injury recovery and QOL. Better access to trauma surgery and social and welfare support services for people living with disabling conditions are needed to alleviate the consequences of injuries.
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Registered trials
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