Factors contributing to social integration following road traffic orthopedic injuries in Rwanda
Description
To determine the factors contributing to social integration following road traffic orthopedic injuries in Rwanda.
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Of the 1986 patients with orthopaedic injuries, we contacted 1721 on the phone; some had died, or their phones malfunctioned. The severity of the injury was evaluated using the Kampala Trauma Score (KTS), which is classified as mild, moderate and severe. After sampling, participants were invited to the hospital to assess their current status after almost two years post-RTIs. Using the IMPACT-S questionnaire, we measured the patient's overall level of social integration (participation and activities) after road traffic orthopaedic injuries in Rwanda. Participants filled out the questionnaire by considering how much their impairments interfered with their lives in the last 30 days before the interview. They answered on a 4-point response scale from 0- 3 (Extreme, considerable, some and no limitations), and the research assistants helped the participants to complete the questionnaire if they could not write. We calculated each IMPACT-S domain's mean and standard deviation (learning and applying knowledge, general tasks and demands, communication, mobility, self-care, domestic life, interpersonal interactions and relationships, major life areas, community, social and civic life). The participant's socioeconomic status (Ubudehe) was collected according to the Rwandan government classification, where category I include impoverished and vulnerable citizens. Category II includes citizens who can afford some form of rented or owned accommodation but are not gainfully employed and can only afford to eat once or twice a day. Category III includes citizens who were gainfully employed or employers of labour. Category IV are citizens who are chief executive officers of big businesses, full-time employees with organisations, industries or companies, government employees, owners of shops or markets and owners of commercial transport vehicles or trucks (Sabates-Wheeler et al., 2015). The study's primary outcome is social integration (activities and participation). The risk factors include demographic data, the Kampala Trauma Scale, length of hospital stay, and rehabilitation.