One-year outcomes of traumatic injuries among survivors in Ethiopia: a cross-sectional study on the employment outcomes and functioning state
Background Traumatic injury is one of the top public health challenges globally. Injury survivors often experience poor health and functioning and restricted participation in employment. In Ethiopia, there is a paucity of evidence about the long-term consequences of injuries, particularly about thei...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-10-01
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| Series: | Trauma Surgery & Acute Care Open |
| Online Access: | https://tsaco.bmj.com/content/9/1/e001209.full |
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| author | Ayalew Zewdie Adamu Addissie Marcia Finlayson Ansha Nega Ahmed Rosemary Lysaght |
| author_facet | Ayalew Zewdie Adamu Addissie Marcia Finlayson Ansha Nega Ahmed Rosemary Lysaght |
| author_sort | Ayalew Zewdie |
| collection | DOAJ |
| description | Background Traumatic injury is one of the top public health challenges globally. Injury survivors often experience poor health and functioning and restricted participation in employment. In Ethiopia, there is a paucity of evidence about the long-term consequences of injuries, particularly about their employment outcomes and disability status. This study characterizes injury survivors by their preinjury status, injury characteristics, postinjury employment outcomes and disability status 1 year post injury.Methods An institution-based cross-sectional study was conducted on injury survivors who received services from a large public hospital in Addis Ababa. Medical records of all emergency room patients who visited the hospital within a 3-month period were reviewed to identify those who were eligible. A structured questionnaire was completed using a telephone interview. Descriptive statistics were used to characterize the outcomes.Results Of the 254 participants, 78% were men, 48% were young adults (age 25–39 years), 41% were injured by road traffic collision, 52% were admitted to the hospital for up to a week and only 16% received compensation for the injury. Before the injury, 87% were working in manual labor. One-year after the injury, the total return to work (RTW) rate was 59%; 61% of participants experienced some level of disability, 33% had at least one type of chronic illness and 56% reported challenges of physical stressors when attempting to RTW. Among the 150 who returned to work, 46% returned within 12 weeks, 78% to the same employer and most received support from multiple sources, including community-level institutions (88%) and families/friends (67%).Conclusion Traumatic injury substantially impacted the employment outcomes of survivors and contributed to increased disability in Ethiopia. This study lays a foundation for future research and contributes crucial evidence for advocacy to improve injury prevention and trauma rehabilitation in low and middle-income contexts.Level of evidence II. |
| format | Article |
| id | doaj-art-5ec2dbbaf4c540edab7b23535363e37b |
| institution | Kabale University |
| issn | 2397-5776 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | Trauma Surgery & Acute Care Open |
| spelling | doaj-art-5ec2dbbaf4c540edab7b23535363e37b2025-01-24T10:50:10ZengBMJ Publishing GroupTrauma Surgery & Acute Care Open2397-57762024-10-019110.1136/tsaco-2023-001209One-year outcomes of traumatic injuries among survivors in Ethiopia: a cross-sectional study on the employment outcomes and functioning stateAyalew Zewdie0Adamu Addissie1Marcia Finlayson2Ansha Nega Ahmed3Rosemary Lysaght4Department of Emergency Medicine, St Paul`s Hospital Millennium Medical College, Addis Ababa, Ethiopia3 Global Health Working Group, Martin-Luther-University, Halle-Wittenberg Halle, GermanyQueen`s University, Kingston, Ontario, CanadaSchool of Public Health, Addis Ababa University, Addis Ababa, EthiopiaQueen`s University, Kingston, Ontario, CanadaBackground Traumatic injury is one of the top public health challenges globally. Injury survivors often experience poor health and functioning and restricted participation in employment. In Ethiopia, there is a paucity of evidence about the long-term consequences of injuries, particularly about their employment outcomes and disability status. This study characterizes injury survivors by their preinjury status, injury characteristics, postinjury employment outcomes and disability status 1 year post injury.Methods An institution-based cross-sectional study was conducted on injury survivors who received services from a large public hospital in Addis Ababa. Medical records of all emergency room patients who visited the hospital within a 3-month period were reviewed to identify those who were eligible. A structured questionnaire was completed using a telephone interview. Descriptive statistics were used to characterize the outcomes.Results Of the 254 participants, 78% were men, 48% were young adults (age 25–39 years), 41% were injured by road traffic collision, 52% were admitted to the hospital for up to a week and only 16% received compensation for the injury. Before the injury, 87% were working in manual labor. One-year after the injury, the total return to work (RTW) rate was 59%; 61% of participants experienced some level of disability, 33% had at least one type of chronic illness and 56% reported challenges of physical stressors when attempting to RTW. Among the 150 who returned to work, 46% returned within 12 weeks, 78% to the same employer and most received support from multiple sources, including community-level institutions (88%) and families/friends (67%).Conclusion Traumatic injury substantially impacted the employment outcomes of survivors and contributed to increased disability in Ethiopia. This study lays a foundation for future research and contributes crucial evidence for advocacy to improve injury prevention and trauma rehabilitation in low and middle-income contexts.Level of evidence II.https://tsaco.bmj.com/content/9/1/e001209.full |
| spellingShingle | Ayalew Zewdie Adamu Addissie Marcia Finlayson Ansha Nega Ahmed Rosemary Lysaght One-year outcomes of traumatic injuries among survivors in Ethiopia: a cross-sectional study on the employment outcomes and functioning state Trauma Surgery & Acute Care Open |
| title | One-year outcomes of traumatic injuries among survivors in Ethiopia: a cross-sectional study on the employment outcomes and functioning state |
| title_full | One-year outcomes of traumatic injuries among survivors in Ethiopia: a cross-sectional study on the employment outcomes and functioning state |
| title_fullStr | One-year outcomes of traumatic injuries among survivors in Ethiopia: a cross-sectional study on the employment outcomes and functioning state |
| title_full_unstemmed | One-year outcomes of traumatic injuries among survivors in Ethiopia: a cross-sectional study on the employment outcomes and functioning state |
| title_short | One-year outcomes of traumatic injuries among survivors in Ethiopia: a cross-sectional study on the employment outcomes and functioning state |
| title_sort | one year outcomes of traumatic injuries among survivors in ethiopia a cross sectional study on the employment outcomes and functioning state |
| url | https://tsaco.bmj.com/content/9/1/e001209.full |
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