Author and year |
Title |
Setting |
Division |
Design /instrument |
Database/ journal |
Finding |
Otieno et al (2011) |
Pre-hospital and First Health Facility Management of Patients with Severe Musculoskeletal Injuries in Uganda |
Mulago Hospital Accident and Emergency Unit (MHAEU) |
Trauma care |
Cross-sectional descriptive analysis (structure questionnaire) |
Google Scholar |
Minimal care is administered in the field to musculoskeletal injury patients due to inadequate resources and equipment and along with unskilled responders. |
Kigera et al (2011) |
Injury to presentation delays among musculoskeletal trauma patients in Uganda |
Mulago Hospital MHAEU |
Trauma care |
Prospective study (interview and case notes) |
Google Scholar |
The median delay in presentation was 3.5 hours associated with factors of patients being managed as an outpatient, having an upper limb injury, being less than 18 years of age and involved in RTCs. |
Kitara D. L (2011) |
Boda Boda Injuries in Gulu Regional Hospital, Northern Uganda |
Gulu regional hospital, Northern Uganda |
Trauma etiology |
Retrospective study (medical records) |
Google Scholar |
Boda Boda injuries constituted (21.9%) of all admissions due to trauma and majority (57.5%) of the victims were males |
Muto et al (2011) |
Unintentional childhood injury patterns, odds, and outcomes in Kampala City: an analysis of surveillance data from the National Pediatric Emergency Unit |
National Pediatric Emergency unit in Kampala city |
Trauma etiology |
A cross sectional analysis (data registry) |
OVID |
Unintentional injuries are the common causes of hospital visits by children <13 years (especially boys). Homes, roads and educational facilities are commonest unintentional injury sites. |
Hsia et al (2011) |
Epidemiology of child injuries in Uganda: Challenges for health policy |
Mulago hospital |
Trauma etiology |
Records of trauma registry |
Google Scholar |
The most common causes of injuries were traffic crashes (34%), falls (18%) and violence (15%). |
Jayaraman et al (2011) |
Disparities in Injury Mortality Between Uganda and the U.S: Comparative Analysis of a Neglected Disease |
Uganda (Kampala), the U.S and San Francisco |
Mortality |
Database of deaths |
OVID |
Urban injury-related mortality is significantly higher in Uganda than in the United States. |
Maryse et al (2012) |
Corruption in the health care sector: A barrier to access of orthopaedic care and medical devices in Uganda |
Uganda as a whole |
Trauma care |
Qualitative case study (open -ended interviews) |
Web science |
Poor leadership in government and corruption were the major barriers to access orthopaedic care and orthopaedic medical devices. |
Trond et al (2012) |
Cultural and socio-demographic predictors of car accident involvement in Norway, Ghana, Tanzania and Uganda |
Norway, Ghana, Uganda and Tanzania |
Trauma etiology |
Questionnaires |
Science Direct |
Male gender was the only significant predictor of accident involvement in Norway. Introverted and extroverted culture, and destiny orientation as well as male gender written culture were associated with accident involvement in the African countries. |
Derek et al (2012) |
Road Communication Technologies and Safety Regulation Enforcement on Roads in Uganda |
Uganda- countrywide |
Trauma Registry |
Questionnaires |
Google Scholar |
RCTs can play a significant role in enforcement of road safety. |
Mujuni et al (2012) |
Acute traumatic coagulopathy among major trauma patients in urban tertiary hospital in sub Saharan Africa |
Mulago Hospital MHAEU |
Treatment |
Prospective cohort (Laboratory based) |
Web science |
The commonest cause of injury was RTC, followed by assaults, burn and falls. ATC was strongly associated with acute renal injury. |
Douglas et al (2013) |
Using baseline and formative evaluation data to inform the Uganda Helmet Vaccine Initiative |
Kampala |
Interventions |
Qualitative methods (Focus group discussions, interviews and observation) |
Pub Med |
During motorcycle crash, many boda boda riders in Kampala continue to ride without elements and barriers were noted as uncomfortable, ‘Helmet is too hot’, ‘Helmet is too expensive’, and ‘Helmet is of low quality’. |
Trond et al (2013) |
Culture related to road traffic safety: A comparison of eight countries using two conceptualizations of culture |
Norway, Russia, Ghana, India, Uganda, Tanzania, Turkey and Iran |
Trauma etiology |
Self-mailed questionnaire |
Science Direct |
Norwegians reported overall safer attitudes towards traffic safety and driver behavior than remaining country clusters. Individuals in Africa reported the highest risk perception. The countries also differed substantially in road traffic culture as symbol use. |
O’Hara et al (2014) |
The Orthopaedic Trauma Patient Experience: A Qualitative Case Study of Orthopaedic Trauma Patients in Uganda |
Mulago National Referral Hospital in Kampala |
Cost |
Descriptive qualitative case study (structure interviews) |
Pub Med |
Limited resources to fund the treatment of orthopaedic trauma patients in Uganda leads to reliance of patients on their friends, family, and hospital connections, and a tremendous economic burden that falls on the patient and their dependents. |
Munabi et al (2014) |
Musculoskeletal disorder risk factors among nursing professionals in low resource settings: a cross-sectional study in Uganda |
Five hospitals through Uganda |
Trauma etiology |
Cross- sectional study (questionnaire) |
Pub Med |
Significant risk factors for MSD include: being absent from the work station for more than 6 months due to illness or an accident, working in awkward postures, pushing /pulling of heavy loads and mental exhaustion. |
Musiitwa et al (2014) |
Emergency Ultrasound Predicting the Need for Therapeutic Laparotomy among Blunt Abdominal Trauma Patients in a Sub-Saharan African Hospital |
Mulago Hospital MHAEU |
Trauma etiology |
A prospective observational study (pretested questionnaire) |
Pub Med |
The commonest injuries were to the head 80 (42%) and the abdomen 54 (28%). A SSORTT score of >2 appropriately identified patients needed a therapeutic Laparotomy. |
Twinomuhangi et al (2014) |
Application of geographic information systems methodology to injury surveillance in Uganda |
Two referral hospitals (Mulago and Mubende) in Central Uganda |
Trauma Registry and communication |
Trauma registry form |
Google Scholar |
GIS-based surveillance and mapping capacity may become an important approach to treating the prevalence of different types of injury in Uganda over the longer term. |
Okello et al (2014) |
Serum lactate as a predictor of early outcomes among trauma patients in Uganda |
Emergency Department of Mulago Hospital |
Treatment |
Cross-sectional analytical study (medical observation and theater operation) |
Pub Med |
Serum lactate ≥2.0 mmol/l had a hazard ratio of 1.10 (p <0.001) for ED disposition, 4.33 (p = 0.06) for the 72-h non-discharge disposition, and 1.19 (p <0.0 01) for 72-h mortality. |
Daniel et al (2014) |
Upper extremity injury management by non-physician emergency practitioners in rural Uganda: A pilot study |
Karoli Lwanga Hospital Emergency Centre Rukungiri District |
Treatment |
Retrospective querying of EC quality assurance database |
Science Direct |
Non-physician clinicians appear to be performing upper extremity repairs with good outcome and key variable for success was initial injury type. |
Michael et al (2015) |
Distribution and characteristics of severe traumatic brain injury at Mulago National Referral Hospital in Uganda |
Mulago National Referral Hospital |
Trauma etiology |
Retrospective chart and medical record review |
Science Direct |
Motorcycle road traffic accident was the leading mechanism of injury and male ages 15 - 29 were predominant demographics. |