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Volume 2023, Issue 4
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Road traffic accidents (RTAs) are a significant contributor to morbidity and mortality in East Africa. Lower extremity (LE) injuries are especially debilitating, negatively impacting quality of life and employment prospects. This systematic review characterizes the proportion of LE injuries due to RTAs in four members of the East African Community: Kenya, Rwanda, Tanzania, and Uganda.

Embase, Medline, Web of Science, and PubMed were queried for studies from 2010 to 2022 providing information on lower extremity injuries caused by RTAs in the countries of interest. Proportions of RTA-related LE injuries were extracted from eligible papers. Study quality and bias were assessed using the framework for systematic reviews established by Zaza et al.1

Seven studies met the eligibility criteria–four for Kenya, two for Uganda, and one for Tanzania; however, no eligible studies were found for Rwanda. The proportion of RTA-related injuries affecting the lower extremities ranged from 0.39 to 0.49. In patients presenting with LE injuries, RTAs were the most frequent cause, representing more than 70% of cases in the examined studies. Motorcycle accidents were not more likely to cause LE injuries, but they were the most significant contributor to the overall LE injury burden due to their prevalence.

With urbanization and the increased adoption of low-cost motorcycles, RTAs will continue to pose a public health challenge. Investments in traffic enforcement and physical infrastructure will alleviate the risks to both motorists and pedestrians. In addition to primary prevention, there is a significant need for improvements in emergency care and surgical capacity.

© 2023 Ayotte, Dravid, Mahmoud, Baldwin, Sheth, licensee HBKU Press.
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2023-10-22
2024-06-01
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References

  1. WHO. Global status report on road safety 2018. Geneva: WHO;2018. Available online at:https://www.who.int/publications/i/item/9789241565684
     [Google Scholar]
  2. Balikuddembe JK, Khorasani-Zavareh D, Sinclair P, Stephen K, Ardalan A, Nejati A. Mainstreaming road safety in the regional integration of the East African Community to reduce road traffic injuries. Afr Safety Promot. 2017;15: 38−54.
     [Google Scholar]
  3. Bhalla K, Harrison J, Shahraz S, Abraham JP, Bartels D, Yeh PH, et al. Burden of Road Injuries in Sub-Saharan Africa. Boston, MA: Harvard School of Public Health; 2013. Available online at:https://africa.globalburdenofinjuries.org.
     [Google Scholar]
  4. Kumar AM. Understanding the emerging role of motorcycles in African cities: a political economy perspective. Sub-Saharan Africa Transport Policy Program (SSATP) discussion paper; no. 13. Washington, DC: World Bank; 2011. Available online at:https://openknowledge.worldbank.org/handle/10986/17804
     [Google Scholar]
  5. Nation Media Group. East Africa's Boda Boda boom that turned into major public health concern. Central Nairobi: Nation Media Group; 2022. Available online at:https://nation.africa/kenya/health/east-africa-s-boda-boda-boom-that-turned-into-major-public-health-concern--3776860
     [Google Scholar]
  6. Macharia WM, Njeru EK, Muli-Musiime F, Nantulya V. Severe road traffic injuries in Kenya, quality of care and access. Afr Health Sci. 2009; 9:(2):118−24.
     [Google Scholar]
  7. Sawe HR, Milusheva S, Croke K, Karpe S, Mohammed M, Mfinanga JA. Burden of road traffic injuries in Tanzania: one-year prospective study of consecutive patients in 13 multilevel health facilities. Emerg Med Int. 2021:4272781.
     [Google Scholar]
  8. Chalya PL, Mabula JB, Dass RM, Melange N, Ngayomela IH, Chandika AB, et al. Injury characteristics and outcome of road traffic crash victims at Bugando Medical Centre in Northwestern Tanzania. J Trauma Manag Outcomes. 2012; 6:(1):1.
     [Google Scholar]
  9. Premkumar A, Massawe HH, Mshabaha DJ, Forans JR, Ying X, Sheth NP. The burden of orthopaedic disease presenting to a referral hospital in northern Tanzania. Ann Glob Health. 2016; 82:(3):553−4.
     [Google Scholar]
  10. Hardaker WM, Jusabani M, Massawe H, Pallangyo A, Temu R, Masenga G, et al. The burden of orthopaedic disease presenting to a tertiary referral center in Moshi, Tanzania: a cross-sectional study. Pan Afr Med J. 2022;42:96.
     [Google Scholar]
  11. WHO. World Report on Disability 2011. Geneva: WHO; 2011. Available online at:https://www.who.int/teams/noncommunicable-diseases/sensory-functions-disability-and-rehabilitation/world-report-on-disability
     [Google Scholar]
  12. Kohler RE, Tomlinson J, Chilunjika TE, Young S, Hosseinipour M, Lee CN, et al. “Life is at a standstill” Quality of life after lower extremity trauma in Malawi. Qual Life Res. 2017; 26:(4):1027−35.
     [Google Scholar]
  13. WHO Global Health Observatory. Estimated road traffic deaths per 100,000 population. 2022. Available online at:https://www.who.int/data/gho/data/indicators/indicator-details/GHO/estimated-road-traffic-death-rate-(per-100-000-population) (accessed December 17, 2022).
     [Google Scholar]
  14. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffman TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021;372:n71.
     [Google Scholar]
  15. Page MJ, Moher D, Bossuyt PM, Boutron I, Hoffmann T, Shamseer L, et al. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ. 2021;372:n160.
     [Google Scholar]
  16. Zaza S, Wright-De Agüero LK, Briss PA, Truman BI, Hopkins DP, Hennessy MH, et al. Data collection instrument and procedure for systematic reviews in the Guide to Community Preventive Services. Task force on community preventive services. Am J Prev Med. 2000;18(1 Suppl):44−74.
     [Google Scholar]
  17. Temizel S, Wunderlich R, Leifels M. Characteristics and injury patterns of road traffic injuries in urban and rural Uganda-a retrospective medical record review study in two hospitals. Int J Environ Res Public Health. 2021; 18:(14):7663.
     [Google Scholar]
  18. Botchey IM, Hung YW, Bachani AM, Paruk F, Mehmood A, Saidi H, et al. Epidemiology and outcomes of injuries in Kenya: a multisite surveillance study. Surgery. 2017;162(6S):S45−53.
     [Google Scholar]
  19. Matheka DM, Kitonyi MN, Alkizim FO. Three-month pattern of road traffic injuries at a Kenyan level 4 hospital. Pan Afr Med J. 2015;20:78.
     [Google Scholar]
  20. Sisimwo PK, Mwaniki PK, Bii C. Crash characteristics and injury patterns among commercial motorcycle users attending Kitale level IV district hospital, Kenya. Pan Afr Med J. 2014;19:296.
     [Google Scholar]
  21. Saidi H, Mutisto BK. Motorcycle injuries at a tertiary referral hospital in Kenya: injury patterns and outcome. Eur J Trauma Emerg Surg. 2013; 39:(5):481−5.
     [Google Scholar]
  22. Clelland SJ, Chauhan P, Mandari FN. The epidemiology and management of tibia and fibula fractures at Kilimanjaro Christian Medical Centre (KCMC) in Northern Tanzania. Pan Afr Med J. 2016;25:51.
     [Google Scholar]
  23. Stephens T, Mezei A, O'Hara NN, Potter J, Mugarura R, Blachut PA, et al. When surgical resources are severely constrained, who receives care? Determinants of access to orthopedic trauma surgery in Uganda. World J Surg. 2017; 41:(6):1415−9.
     [Google Scholar]
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Lower extremity injuries secondary to road traffic accidents in East Africa: A systematic review
Journal of Emergency Medicine, Trauma and Acute Care 2023, 34 (2023); https://doi.org/10.5339/jemtac.2023.34
/content/journals/10.5339/jemtac.2023.34
/content/journals/10.5339/jemtac.2023.34
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Keyword(s): East Africa, global surgery, lower extremity, motorcycles, orthopedic trauma and road traffic accidents (RTAs)

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