%0 Journal Article
%T Evaluating post-injury functional status among patients presenting for emergency care in Kigali, Rwanda
%J Trauma care (Basel, Switzerland)
%D 2022
%A Odoom, Enyonam
%A Garbern, Stephanie C.
%A Tang, Oliver Y.
%A Marqués, Catalina González
%A Beeman, Aly
%A Uwamahoro, Doris
%A Stephen, Andrew H.
%A Uwamahoro, Chantal
%A Aluisio, Adam R.
%V 2
%N 3
%P 434-444
%X Despite high injury-related morbidity, approaches for evaluating post-injury functional status after emergency care are poorly characterized in resource-limited settings. This study evaluated the feasibility of standardized disability assessments among patients presenting with significant trauma to the Centre Hospitalier Universitaire de Kigali ED in Rwanda from January-June 2020. The functional status at 28-days post-injury was assessed using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS-2), the Katz Activities of Daily Living (ADL) Scale, and self-reported functional state. The primary outcome was a descriptive profile of the disability status at 28-days post-injury. The WHODAS 2.0, Katz ADL Scale and patients' self-perceived functional status was compared using Kendall's rank correlation coefficient. Twenty-four patients were included. The most common injury mechanism was road traffic accident (70.8%); 58.3% of patients had traumatic brain injury. The self-perception questionnaire and the Katz ADL scale were strongly correlated with the WHODAS 2.0 scale; however, self-perception was not well correlated with the ADL scale. Post-injury morbidity was high and morbidity assessment was feasible, with a strong correlation between patients' self-perceived functional status and the WHODAS-2 scale. Structured post-injury assessments may serve to inform the development of rehabilitation services in Rwanda, although larger studies are needed to inform such initiatives.<p /> <p>Language: en</p>
%G en
%I MDPI: Multidisciplinary Digital Publications Institute
%@ 2673-866X
%U http://dx.doi.org/10.3390/traumacare2030036