TY - JOUR
PY - 2022//
TI - Evaluating post-injury functional status among patients presenting for emergency care in Kigali, Rwanda
JO - Trauma care (Basel, Switzerland)
A1 - Odoom, Enyonam
A1 - Garbern, Stephanie C.
A1 - Tang, Oliver Y.
A1 - Marqués, Catalina González
A1 - Beeman, Aly
A1 - Uwamahoro, Doris
A1 - Stephen, Andrew H.
A1 - Uwamahoro, Chantal
A1 - Aluisio, Adam R.
SP - 434
EP - 444
VL - 2
IS - 3
N2 - 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. Language: en
LA - en
SN - 2673-866X
UR - http://dx.doi.org/10.3390/traumacare2030036
ID - ref1
ER -