ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2016
Epidemiology of injuries and outcomes among trauma patients receiving prehospital care at a tertiary teaching hospital in Kigali, Rwanda.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- Prehospital Emergency Care in Low- and Middle-Income Countries: A Systematic Review.Prehospital and disaster medicine · 2023Pooled it
- Epidemiological characteristics and hospital and inpatient burdens of trauma patients in Xuzhou from 2019 to 2023.Annals of medicine · 2026Article
- Global challenges and perspectives in acute and emergency general surgery in low and middle-income countries: a scoping review.BMJ global health · 2026Article
- Duration to recovery and its predictors among hospitalized road traffic injury patients in Southern Ethiopia: a cohort study.Scientific reports · 2026Article
- Effect of First Aid Training on Motorcyclists and Cyclists' Knowledge, Skills, Attitude, and Self-Efficacy in Managing Road Traffic Accident Victims in Rwanda: A Quasi-Experimental Study.Rwanda journal of medicine and health sciences · 2025Article
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- Reaching the right facility for emergency patients - destinations of patients transported by emergency medical services in Kigali, Rwanda.International journal of emergency medicine · 2025Article
- Epidemiology and Outcomes of Moderate-to-Severe Trauma Patients in a Regional Trauma Center: Challenges and Future Directions.Korean journal of neurotrauma · 2025Article
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- Emergency care knowledge, utilization, and barriers in Northern Tanzania: A community-based survey.PLOS global public health · 2025Article
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- A cross-sectional study measuring injury mortality and its associated factors among adult patients in comprehensive specialized hospitals in Amhara National Regional State, Ethiopia.Annals of medicine and surgery (2012) · 2024Article
- Mapping the processes and information flows of a prehospital emergency care system in Rwanda: a process mapping exercise.BMJ open · 2024Article
- Pattern of admission, outcome and predictors of trauma patients visiting the surgical emergency department in comprehensive specialized hospital: a retrospective follow-up study.Annals of medicine and surgery (2012) · 2024Article
- Analgesia use in trauma patients at a university teaching hospital in Kigali, Rwanda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Treatment Outcome, Pattern of Injuries and Associated Factors Among Traumatic Patients Attending Emergency Department of Dessie City Government Hospitals, Northeast Ethiopia: A Cross-Sectional Study.Open access emergency medicine : OAEM · 2023Article
- Injury characteristics and their association with clinical complications among emergency care patients in Tanzania.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Chest trauma epidemiology and emergency department management in a tertiary teaching hospital in Kigali, Rwanda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Referral conditions for severe road traffic injuries and their influence on the occurrence of hospital deaths in Benin.Journal of public health in Africa · 2022Article
Corrections and comments
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Authors and funding
17 authors at 8 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionInjury accounts for 9.6% of the global mortality burden, disproportionately affecting those living in low- and middle-income countries. In an effort to improve trauma care in Rwanda, the Ministry of Health developed a prehospital service, Service d'Aide Médicale Urgente (SAMU), and established an emergency medicine training program. However, little is known about patients receiving prehospital and emergency trauma care or their outcomes. The objective was to develop a linked prehospital-hospital database to evaluate patient characteristics, mechanisms of injury, prehospital and hospital resource use, and outcomes among injured patients receiving acute care in Kigali, Rwanda.
methodsA retrospective cohort study was conducted at University Teaching Hospital - Kigali, the primary trauma centre in Rwanda. Data was included on all injured patients transported by SAMU from December 2012 to February 2015. SAMU's prehospital database was linked to hospital records and data were collected using standardised protocols by trained abstractors. Demographic information, injury characteristics, acute care, hospital course and outcomes were included.
results1668 patients were transported for traumatic injury during the study period. The majority (77.7%) of patients were male. The median age was 30 years. Motor vehicle collisions accounted for 75.0% of encounters of which 61.4% involved motorcycles. 48.8% of patients sustained injuries in two or more anatomical regions. 40.1% of patients were admitted to the hospital and 78.1% required surgery. The overall mortality rate was 5.5% with nearly half of hospital deaths occurring in the emergency centre.
conclusionA linked prehospital and hospital database provided critical epidemiological information describing trauma patients in a low-resource setting. Blunt trauma from motor vehicle collisions involving young males constituted the majority of traumatic injury. Among this cohort, hospital resource utilisation was high as was mortality. This data can help guide the implementation of interventions to improve trauma care in the Rwandan setting.
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