Burden and predictions of hospitalized injuries in a low-middle income country: results from a Tunisian university hospital
ABSTRACTInjuries are responsible for a high premature mortality and disability. They are poorly explored in low and middle income-countries. We aimed to estimate the burden of hospitalized injuries in the Monastir governorate (Tunisia) according to the nature of the injury, trends and projections of...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2023-12-01
|
| Series: | Libyan Journal of Medicine |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/19932820.2023.2266238 |
| _version_ | 1827632266862395392 |
|---|---|
| author | Meriem Kacem Cyrine Bennasrallah Hela Abroug Manel Ben Fredj Imen Zemni Wafa Dhouib Amel Gara Ameni Maatouk Issam Aloui Samir Nouira Ines Bouanene Asma Sriha Belguith |
| author_facet | Meriem Kacem Cyrine Bennasrallah Hela Abroug Manel Ben Fredj Imen Zemni Wafa Dhouib Amel Gara Ameni Maatouk Issam Aloui Samir Nouira Ines Bouanene Asma Sriha Belguith |
| author_sort | Meriem Kacem |
| collection | DOAJ |
| description | ABSTRACTInjuries are responsible for a high premature mortality and disability. They are poorly explored in low and middle income-countries. We aimed to estimate the burden of hospitalized injuries in the Monastir governorate (Tunisia) according to the nature of the injury, trends and projections of hospitalizations for injuries up until 2024, and to identify the distribution of this disease burden based on age and sex. We performed a descriptive study from 2002 to 2012 including all hospitalizations for injuries. Data were collected from morbidity and mortality register of the University Hospital of Monastir (Tunisia). We estimated the burden of injuries using the Disability Adjusted Life Years (DALYs). We described injuries (crude prevalence rate (CPR) and age standardized prevalence rate (ASR)), related mortality (lethality and standardized mortality ratio (SMR)), trends and prediction for 2024. A total of 18,632 hospitalizations for injuries representing 10% of all hospitalizations during study period were recorded. Per 1000 inhabitants per year, CPR was 3.36 and the ASR was 3.44. The lethality was of 17.5 deaths per 1000 injured inpatients per year and the SMR was of 2.95 (Confidence Interval of 95%: 2.64–3.29). Burden related to injuries was 2.36 DALYs per 1000 population per year, caused mainly by Years of Life Lost (83.4%), most frequent among men aged under 40 years. The predicted ASR for 2024 was 4.46 (3.81–5.23) per 1000 person-years. Injuries to the head was the most prevalent (20.7%) causing 67.7% of DALYs; and increasing by 226% through 2024. Injuries had a high prevalence and an important burden in a Tunisian university hospital. Prediction showed increased prevalence for 2024. Preventive measures and a trauma surveillance register should be implemented soon. |
| first_indexed | 2024-03-09T14:34:34Z |
| format | Article |
| id | doaj.art-5a13a9f76b544d9eb52b45167efa8843 |
| institution | Directory Open Access Journal |
| issn | 1993-2820 1819-6357 |
| language | English |
| last_indexed | 2024-03-09T14:34:34Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Libyan Journal of Medicine |
| spelling | doaj.art-5a13a9f76b544d9eb52b45167efa88432023-11-27T14:59:05ZengTaylor & Francis GroupLibyan Journal of Medicine1993-28201819-63572023-12-0118110.1080/19932820.2023.2266238Burden and predictions of hospitalized injuries in a low-middle income country: results from a Tunisian university hospitalMeriem Kacem0Cyrine Bennasrallah1Hela Abroug2Manel Ben Fredj3Imen Zemni4Wafa Dhouib5Amel Gara6Ameni Maatouk7Issam Aloui8Samir Nouira9Ines Bouanene10Asma Sriha Belguith11Department of Preventive Medicine, University of Monastir, Monastir, TunisiaDepartment of Preventive Medicine, University of Monastir, Monastir, TunisiaDepartment of Preventive Medicine, University of Monastir, Monastir, TunisiaDepartment of Preventive Medicine, University of Monastir, Monastir, TunisiaDepartment of Preventive Medicine, University of Monastir, Monastir, TunisiaDepartment of Preventive Medicine, University of Monastir, Monastir, TunisiaDepartment of Preventive Medicine, University of Monastir, Monastir, TunisiaDepartment of Preventive Medicine, University of Monastir, Monastir, TunisiaOrthopedic Department, University of Monastir, Monastir, TunisiaEmergency Department, University of Monastir, Monastir, TunisiaDepartment of Preventive Medicine, University of Monastir, Monastir, TunisiaDepartment of Preventive Medicine, University of Monastir, Monastir, TunisiaABSTRACTInjuries are responsible for a high premature mortality and disability. They are poorly explored in low and middle income-countries. We aimed to estimate the burden of hospitalized injuries in the Monastir governorate (Tunisia) according to the nature of the injury, trends and projections of hospitalizations for injuries up until 2024, and to identify the distribution of this disease burden based on age and sex. We performed a descriptive study from 2002 to 2012 including all hospitalizations for injuries. Data were collected from morbidity and mortality register of the University Hospital of Monastir (Tunisia). We estimated the burden of injuries using the Disability Adjusted Life Years (DALYs). We described injuries (crude prevalence rate (CPR) and age standardized prevalence rate (ASR)), related mortality (lethality and standardized mortality ratio (SMR)), trends and prediction for 2024. A total of 18,632 hospitalizations for injuries representing 10% of all hospitalizations during study period were recorded. Per 1000 inhabitants per year, CPR was 3.36 and the ASR was 3.44. The lethality was of 17.5 deaths per 1000 injured inpatients per year and the SMR was of 2.95 (Confidence Interval of 95%: 2.64–3.29). Burden related to injuries was 2.36 DALYs per 1000 population per year, caused mainly by Years of Life Lost (83.4%), most frequent among men aged under 40 years. The predicted ASR for 2024 was 4.46 (3.81–5.23) per 1000 person-years. Injuries to the head was the most prevalent (20.7%) causing 67.7% of DALYs; and increasing by 226% through 2024. Injuries had a high prevalence and an important burden in a Tunisian university hospital. Prediction showed increased prevalence for 2024. Preventive measures and a trauma surveillance register should be implemented soon.https://www.tandfonline.com/doi/10.1080/19932820.2023.2266238Epidemiologyglobal burden of diseasemortalityprevalencetrendswounds and injuries |
| spellingShingle | Meriem Kacem Cyrine Bennasrallah Hela Abroug Manel Ben Fredj Imen Zemni Wafa Dhouib Amel Gara Ameni Maatouk Issam Aloui Samir Nouira Ines Bouanene Asma Sriha Belguith Burden and predictions of hospitalized injuries in a low-middle income country: results from a Tunisian university hospital Libyan Journal of Medicine Epidemiology global burden of disease mortality prevalence trends wounds and injuries |
| title | Burden and predictions of hospitalized injuries in a low-middle income country: results from a Tunisian university hospital |
| title_full | Burden and predictions of hospitalized injuries in a low-middle income country: results from a Tunisian university hospital |
| title_fullStr | Burden and predictions of hospitalized injuries in a low-middle income country: results from a Tunisian university hospital |
| title_full_unstemmed | Burden and predictions of hospitalized injuries in a low-middle income country: results from a Tunisian university hospital |
| title_short | Burden and predictions of hospitalized injuries in a low-middle income country: results from a Tunisian university hospital |
| title_sort | burden and predictions of hospitalized injuries in a low middle income country results from a tunisian university hospital |
| topic | Epidemiology global burden of disease mortality prevalence trends wounds and injuries |
| url | https://www.tandfonline.com/doi/10.1080/19932820.2023.2266238 |
| work_keys_str_mv | AT meriemkacem burdenandpredictionsofhospitalizedinjuriesinalowmiddleincomecountryresultsfromatunisianuniversityhospital AT cyrinebennasrallah burdenandpredictionsofhospitalizedinjuriesinalowmiddleincomecountryresultsfromatunisianuniversityhospital AT helaabroug burdenandpredictionsofhospitalizedinjuriesinalowmiddleincomecountryresultsfromatunisianuniversityhospital AT manelbenfredj burdenandpredictionsofhospitalizedinjuriesinalowmiddleincomecountryresultsfromatunisianuniversityhospital AT imenzemni burdenandpredictionsofhospitalizedinjuriesinalowmiddleincomecountryresultsfromatunisianuniversityhospital AT wafadhouib burdenandpredictionsofhospitalizedinjuriesinalowmiddleincomecountryresultsfromatunisianuniversityhospital AT amelgara burdenandpredictionsofhospitalizedinjuriesinalowmiddleincomecountryresultsfromatunisianuniversityhospital AT amenimaatouk burdenandpredictionsofhospitalizedinjuriesinalowmiddleincomecountryresultsfromatunisianuniversityhospital AT issamaloui burdenandpredictionsofhospitalizedinjuriesinalowmiddleincomecountryresultsfromatunisianuniversityhospital AT samirnouira burdenandpredictionsofhospitalizedinjuriesinalowmiddleincomecountryresultsfromatunisianuniversityhospital AT inesbouanene burdenandpredictionsofhospitalizedinjuriesinalowmiddleincomecountryresultsfromatunisianuniversityhospital AT asmasrihabelguith burdenandpredictionsofhospitalizedinjuriesinalowmiddleincomecountryresultsfromatunisianuniversityhospital |