Disparities in Injury Mortality Between Uganda and the United States: Comparative Analysis of a Neglected Disease
Background The burden of global injury-related deaths predominantly affects developing countries, which have little infrastructure to evaluate these disparities. We describe injury-related mortality patterns in Kampala, Uganda and compare them with data from the United States and San Francisco (SF),...
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| Autor*in: |
Jayaraman, Sudha [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2010 |
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| Schlagwörter: |
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| Anmerkung: |
© The Author(s) 2010 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 35(2010), 3 vom: 23. Dez., Seite 505-511 |
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| Übergeordnetes Werk: |
volume:35 ; year:2010 ; number:3 ; day:23 ; month:12 ; pages:505-511 |
| Links: |
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| DOI / URN: |
10.1007/s00268-010-0871-z |
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SPR003432068 |
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| 520 | |a Background The burden of global injury-related deaths predominantly affects developing countries, which have little infrastructure to evaluate these disparities. We describe injury-related mortality patterns in Kampala, Uganda and compare them with data from the United States and San Francisco (SF), California. Methods We created a database in Kampala of deaths recorded by the City Mortuary, the Mulago Hospital Mortuary, and the Uganda Ministry of Health from July to December 2007. We analyzed the rate and odds ratios and compared them to data from the U.S. Centers for Disease Control and Prevention and the California Department of Public Health. Results In Kampala, 25% of all deaths were due to injuries (812/3303) versus 6% in SF and 7% in the United States. The odds of dying of injury in Kampala were 5.0 times higher than in SF and 4.2 times higher than in the United States. Age-standardized death rates indicate a 93% greater risk of dying from injury in Kampala than in SF. The mean age was lower in Kampala than in SF (29 vs. 44 years). The adult injury death rate (rate ratio, or RR) was higher in Kampala than in SF (2.3) or the United States (1.5). Head/neck injury was reported in 65% of injury deaths in Kampala compared to 34% in SF [odds ratio (OR) 3.7] and 28% in the US (OR 4.8). Conclusions Urban injury-related mortality is significantly higher in Uganda than in the United States. Injury preferentially affects adults in the prime of their economically productive years. These findings serve as a call for stronger injury prevention and control policies in Uganda. | ||
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10.1007/s00268-010-0871-z doi (DE-627)SPR003432068 (SPR)s00268-010-0871-z-e DE-627 ger DE-627 rakwb eng Jayaraman, Sudha verfasserin aut Disparities in Injury Mortality Between Uganda and the United States: Comparative Analysis of a Neglected Disease 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2010 Background The burden of global injury-related deaths predominantly affects developing countries, which have little infrastructure to evaluate these disparities. We describe injury-related mortality patterns in Kampala, Uganda and compare them with data from the United States and San Francisco (SF), California. Methods We created a database in Kampala of deaths recorded by the City Mortuary, the Mulago Hospital Mortuary, and the Uganda Ministry of Health from July to December 2007. We analyzed the rate and odds ratios and compared them to data from the U.S. Centers for Disease Control and Prevention and the California Department of Public Health. Results In Kampala, 25% of all deaths were due to injuries (812/3303) versus 6% in SF and 7% in the United States. The odds of dying of injury in Kampala were 5.0 times higher than in SF and 4.2 times higher than in the United States. Age-standardized death rates indicate a 93% greater risk of dying from injury in Kampala than in SF. The mean age was lower in Kampala than in SF (29 vs. 44 years). The adult injury death rate (rate ratio, or RR) was higher in Kampala than in SF (2.3) or the United States (1.5). Head/neck injury was reported in 65% of injury deaths in Kampala compared to 34% in SF [odds ratio (OR) 3.7] and 28% in the US (OR 4.8). Conclusions Urban injury-related mortality is significantly higher in Uganda than in the United States. Injury preferentially affects adults in the prime of their economically productive years. These findings serve as a call for stronger injury prevention and control policies in Uganda. Trauma Care (dpeaa)DE-He213 Prehospital Setting (dpeaa)DE-He213 Road Traffic Injury (dpeaa)DE-He213 Mulago Hospital (dpeaa)DE-He213 Injury Death (dpeaa)DE-He213 Ozgediz, Doruk aut Miyamoto, Justin aut Caldwell, Nolan aut Lipnick, Michael S. aut Mijumbi, Cephas aut Mabweijano, Jacqueline aut Hsia, Renee aut Dicker, Rochelle aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 35(2010), 3 vom: 23. Dez., Seite 505-511 (DE-627)SPR003391159 nnns volume:35 year:2010 number:3 day:23 month:12 pages:505-511 https://dx.doi.org/10.1007/s00268-010-0871-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 35 2010 3 23 12 505-511 |
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10.1007/s00268-010-0871-z doi (DE-627)SPR003432068 (SPR)s00268-010-0871-z-e DE-627 ger DE-627 rakwb eng Jayaraman, Sudha verfasserin aut Disparities in Injury Mortality Between Uganda and the United States: Comparative Analysis of a Neglected Disease 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2010 Background The burden of global injury-related deaths predominantly affects developing countries, which have little infrastructure to evaluate these disparities. We describe injury-related mortality patterns in Kampala, Uganda and compare them with data from the United States and San Francisco (SF), California. Methods We created a database in Kampala of deaths recorded by the City Mortuary, the Mulago Hospital Mortuary, and the Uganda Ministry of Health from July to December 2007. We analyzed the rate and odds ratios and compared them to data from the U.S. Centers for Disease Control and Prevention and the California Department of Public Health. Results In Kampala, 25% of all deaths were due to injuries (812/3303) versus 6% in SF and 7% in the United States. The odds of dying of injury in Kampala were 5.0 times higher than in SF and 4.2 times higher than in the United States. Age-standardized death rates indicate a 93% greater risk of dying from injury in Kampala than in SF. The mean age was lower in Kampala than in SF (29 vs. 44 years). The adult injury death rate (rate ratio, or RR) was higher in Kampala than in SF (2.3) or the United States (1.5). Head/neck injury was reported in 65% of injury deaths in Kampala compared to 34% in SF [odds ratio (OR) 3.7] and 28% in the US (OR 4.8). Conclusions Urban injury-related mortality is significantly higher in Uganda than in the United States. Injury preferentially affects adults in the prime of their economically productive years. These findings serve as a call for stronger injury prevention and control policies in Uganda. Trauma Care (dpeaa)DE-He213 Prehospital Setting (dpeaa)DE-He213 Road Traffic Injury (dpeaa)DE-He213 Mulago Hospital (dpeaa)DE-He213 Injury Death (dpeaa)DE-He213 Ozgediz, Doruk aut Miyamoto, Justin aut Caldwell, Nolan aut Lipnick, Michael S. aut Mijumbi, Cephas aut Mabweijano, Jacqueline aut Hsia, Renee aut Dicker, Rochelle aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 35(2010), 3 vom: 23. Dez., Seite 505-511 (DE-627)SPR003391159 nnns volume:35 year:2010 number:3 day:23 month:12 pages:505-511 https://dx.doi.org/10.1007/s00268-010-0871-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 35 2010 3 23 12 505-511 |
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10.1007/s00268-010-0871-z doi (DE-627)SPR003432068 (SPR)s00268-010-0871-z-e DE-627 ger DE-627 rakwb eng Jayaraman, Sudha verfasserin aut Disparities in Injury Mortality Between Uganda and the United States: Comparative Analysis of a Neglected Disease 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2010 Background The burden of global injury-related deaths predominantly affects developing countries, which have little infrastructure to evaluate these disparities. We describe injury-related mortality patterns in Kampala, Uganda and compare them with data from the United States and San Francisco (SF), California. Methods We created a database in Kampala of deaths recorded by the City Mortuary, the Mulago Hospital Mortuary, and the Uganda Ministry of Health from July to December 2007. We analyzed the rate and odds ratios and compared them to data from the U.S. Centers for Disease Control and Prevention and the California Department of Public Health. Results In Kampala, 25% of all deaths were due to injuries (812/3303) versus 6% in SF and 7% in the United States. The odds of dying of injury in Kampala were 5.0 times higher than in SF and 4.2 times higher than in the United States. Age-standardized death rates indicate a 93% greater risk of dying from injury in Kampala than in SF. The mean age was lower in Kampala than in SF (29 vs. 44 years). The adult injury death rate (rate ratio, or RR) was higher in Kampala than in SF (2.3) or the United States (1.5). Head/neck injury was reported in 65% of injury deaths in Kampala compared to 34% in SF [odds ratio (OR) 3.7] and 28% in the US (OR 4.8). Conclusions Urban injury-related mortality is significantly higher in Uganda than in the United States. Injury preferentially affects adults in the prime of their economically productive years. These findings serve as a call for stronger injury prevention and control policies in Uganda. Trauma Care (dpeaa)DE-He213 Prehospital Setting (dpeaa)DE-He213 Road Traffic Injury (dpeaa)DE-He213 Mulago Hospital (dpeaa)DE-He213 Injury Death (dpeaa)DE-He213 Ozgediz, Doruk aut Miyamoto, Justin aut Caldwell, Nolan aut Lipnick, Michael S. aut Mijumbi, Cephas aut Mabweijano, Jacqueline aut Hsia, Renee aut Dicker, Rochelle aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 35(2010), 3 vom: 23. Dez., Seite 505-511 (DE-627)SPR003391159 nnns volume:35 year:2010 number:3 day:23 month:12 pages:505-511 https://dx.doi.org/10.1007/s00268-010-0871-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 35 2010 3 23 12 505-511 |
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10.1007/s00268-010-0871-z doi (DE-627)SPR003432068 (SPR)s00268-010-0871-z-e DE-627 ger DE-627 rakwb eng Jayaraman, Sudha verfasserin aut Disparities in Injury Mortality Between Uganda and the United States: Comparative Analysis of a Neglected Disease 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2010 Background The burden of global injury-related deaths predominantly affects developing countries, which have little infrastructure to evaluate these disparities. We describe injury-related mortality patterns in Kampala, Uganda and compare them with data from the United States and San Francisco (SF), California. Methods We created a database in Kampala of deaths recorded by the City Mortuary, the Mulago Hospital Mortuary, and the Uganda Ministry of Health from July to December 2007. We analyzed the rate and odds ratios and compared them to data from the U.S. Centers for Disease Control and Prevention and the California Department of Public Health. Results In Kampala, 25% of all deaths were due to injuries (812/3303) versus 6% in SF and 7% in the United States. The odds of dying of injury in Kampala were 5.0 times higher than in SF and 4.2 times higher than in the United States. Age-standardized death rates indicate a 93% greater risk of dying from injury in Kampala than in SF. The mean age was lower in Kampala than in SF (29 vs. 44 years). The adult injury death rate (rate ratio, or RR) was higher in Kampala than in SF (2.3) or the United States (1.5). Head/neck injury was reported in 65% of injury deaths in Kampala compared to 34% in SF [odds ratio (OR) 3.7] and 28% in the US (OR 4.8). Conclusions Urban injury-related mortality is significantly higher in Uganda than in the United States. Injury preferentially affects adults in the prime of their economically productive years. These findings serve as a call for stronger injury prevention and control policies in Uganda. Trauma Care (dpeaa)DE-He213 Prehospital Setting (dpeaa)DE-He213 Road Traffic Injury (dpeaa)DE-He213 Mulago Hospital (dpeaa)DE-He213 Injury Death (dpeaa)DE-He213 Ozgediz, Doruk aut Miyamoto, Justin aut Caldwell, Nolan aut Lipnick, Michael S. aut Mijumbi, Cephas aut Mabweijano, Jacqueline aut Hsia, Renee aut Dicker, Rochelle aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 35(2010), 3 vom: 23. Dez., Seite 505-511 (DE-627)SPR003391159 nnns volume:35 year:2010 number:3 day:23 month:12 pages:505-511 https://dx.doi.org/10.1007/s00268-010-0871-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 35 2010 3 23 12 505-511 |
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10.1007/s00268-010-0871-z doi (DE-627)SPR003432068 (SPR)s00268-010-0871-z-e DE-627 ger DE-627 rakwb eng Jayaraman, Sudha verfasserin aut Disparities in Injury Mortality Between Uganda and the United States: Comparative Analysis of a Neglected Disease 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2010 Background The burden of global injury-related deaths predominantly affects developing countries, which have little infrastructure to evaluate these disparities. We describe injury-related mortality patterns in Kampala, Uganda and compare them with data from the United States and San Francisco (SF), California. Methods We created a database in Kampala of deaths recorded by the City Mortuary, the Mulago Hospital Mortuary, and the Uganda Ministry of Health from July to December 2007. We analyzed the rate and odds ratios and compared them to data from the U.S. Centers for Disease Control and Prevention and the California Department of Public Health. Results In Kampala, 25% of all deaths were due to injuries (812/3303) versus 6% in SF and 7% in the United States. The odds of dying of injury in Kampala were 5.0 times higher than in SF and 4.2 times higher than in the United States. Age-standardized death rates indicate a 93% greater risk of dying from injury in Kampala than in SF. The mean age was lower in Kampala than in SF (29 vs. 44 years). The adult injury death rate (rate ratio, or RR) was higher in Kampala than in SF (2.3) or the United States (1.5). Head/neck injury was reported in 65% of injury deaths in Kampala compared to 34% in SF [odds ratio (OR) 3.7] and 28% in the US (OR 4.8). Conclusions Urban injury-related mortality is significantly higher in Uganda than in the United States. Injury preferentially affects adults in the prime of their economically productive years. These findings serve as a call for stronger injury prevention and control policies in Uganda. Trauma Care (dpeaa)DE-He213 Prehospital Setting (dpeaa)DE-He213 Road Traffic Injury (dpeaa)DE-He213 Mulago Hospital (dpeaa)DE-He213 Injury Death (dpeaa)DE-He213 Ozgediz, Doruk aut Miyamoto, Justin aut Caldwell, Nolan aut Lipnick, Michael S. aut Mijumbi, Cephas aut Mabweijano, Jacqueline aut Hsia, Renee aut Dicker, Rochelle aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 35(2010), 3 vom: 23. Dez., Seite 505-511 (DE-627)SPR003391159 nnns volume:35 year:2010 number:3 day:23 month:12 pages:505-511 https://dx.doi.org/10.1007/s00268-010-0871-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 35 2010 3 23 12 505-511 |
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Disparities in Injury Mortality Between Uganda and the United States: Comparative Analysis of a Neglected Disease |
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Jayaraman, Sudha |
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Jayaraman, Sudha Ozgediz, Doruk Miyamoto, Justin Caldwell, Nolan Lipnick, Michael S. Mijumbi, Cephas Mabweijano, Jacqueline Hsia, Renee Dicker, Rochelle |
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disparities in injury mortality between uganda and the united states: comparative analysis of a neglected disease |
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Disparities in Injury Mortality Between Uganda and the United States: Comparative Analysis of a Neglected Disease |
| abstract |
Background The burden of global injury-related deaths predominantly affects developing countries, which have little infrastructure to evaluate these disparities. We describe injury-related mortality patterns in Kampala, Uganda and compare them with data from the United States and San Francisco (SF), California. Methods We created a database in Kampala of deaths recorded by the City Mortuary, the Mulago Hospital Mortuary, and the Uganda Ministry of Health from July to December 2007. We analyzed the rate and odds ratios and compared them to data from the U.S. Centers for Disease Control and Prevention and the California Department of Public Health. Results In Kampala, 25% of all deaths were due to injuries (812/3303) versus 6% in SF and 7% in the United States. The odds of dying of injury in Kampala were 5.0 times higher than in SF and 4.2 times higher than in the United States. Age-standardized death rates indicate a 93% greater risk of dying from injury in Kampala than in SF. The mean age was lower in Kampala than in SF (29 vs. 44 years). The adult injury death rate (rate ratio, or RR) was higher in Kampala than in SF (2.3) or the United States (1.5). Head/neck injury was reported in 65% of injury deaths in Kampala compared to 34% in SF [odds ratio (OR) 3.7] and 28% in the US (OR 4.8). Conclusions Urban injury-related mortality is significantly higher in Uganda than in the United States. Injury preferentially affects adults in the prime of their economically productive years. These findings serve as a call for stronger injury prevention and control policies in Uganda. © The Author(s) 2010 |
| abstractGer |
Background The burden of global injury-related deaths predominantly affects developing countries, which have little infrastructure to evaluate these disparities. We describe injury-related mortality patterns in Kampala, Uganda and compare them with data from the United States and San Francisco (SF), California. Methods We created a database in Kampala of deaths recorded by the City Mortuary, the Mulago Hospital Mortuary, and the Uganda Ministry of Health from July to December 2007. We analyzed the rate and odds ratios and compared them to data from the U.S. Centers for Disease Control and Prevention and the California Department of Public Health. Results In Kampala, 25% of all deaths were due to injuries (812/3303) versus 6% in SF and 7% in the United States. The odds of dying of injury in Kampala were 5.0 times higher than in SF and 4.2 times higher than in the United States. Age-standardized death rates indicate a 93% greater risk of dying from injury in Kampala than in SF. The mean age was lower in Kampala than in SF (29 vs. 44 years). The adult injury death rate (rate ratio, or RR) was higher in Kampala than in SF (2.3) or the United States (1.5). Head/neck injury was reported in 65% of injury deaths in Kampala compared to 34% in SF [odds ratio (OR) 3.7] and 28% in the US (OR 4.8). Conclusions Urban injury-related mortality is significantly higher in Uganda than in the United States. Injury preferentially affects adults in the prime of their economically productive years. These findings serve as a call for stronger injury prevention and control policies in Uganda. © The Author(s) 2010 |
| abstract_unstemmed |
Background The burden of global injury-related deaths predominantly affects developing countries, which have little infrastructure to evaluate these disparities. We describe injury-related mortality patterns in Kampala, Uganda and compare them with data from the United States and San Francisco (SF), California. Methods We created a database in Kampala of deaths recorded by the City Mortuary, the Mulago Hospital Mortuary, and the Uganda Ministry of Health from July to December 2007. We analyzed the rate and odds ratios and compared them to data from the U.S. Centers for Disease Control and Prevention and the California Department of Public Health. Results In Kampala, 25% of all deaths were due to injuries (812/3303) versus 6% in SF and 7% in the United States. The odds of dying of injury in Kampala were 5.0 times higher than in SF and 4.2 times higher than in the United States. Age-standardized death rates indicate a 93% greater risk of dying from injury in Kampala than in SF. The mean age was lower in Kampala than in SF (29 vs. 44 years). The adult injury death rate (rate ratio, or RR) was higher in Kampala than in SF (2.3) or the United States (1.5). Head/neck injury was reported in 65% of injury deaths in Kampala compared to 34% in SF [odds ratio (OR) 3.7] and 28% in the US (OR 4.8). Conclusions Urban injury-related mortality is significantly higher in Uganda than in the United States. Injury preferentially affects adults in the prime of their economically productive years. These findings serve as a call for stronger injury prevention and control policies in Uganda. © The Author(s) 2010 |
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