{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T04:52:36Z","timestamp":1792126356326,"version":"4.4.0"},"reference-count":48,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T00:00:00Z","timestamp":1713225600000},"content-version":"unspecified","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Trauma Surg Acute Care Open"],"accepted":{"date-parts":[[2024,3,23]]},"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of the 254 participants, 78% were men, 48% were young adults (age 25\u201339 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%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Level of evidence<\/jats:title>\n                  <jats:p>II.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/tsaco-2023-001209","type":"journal-article","created":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T13:15:12Z","timestamp":1713273312000},"page":"e001209","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["One-year outcomes of traumatic injuries among survivors in Ethiopia: a cross-sectional study on the employment outcomes and functioning state"],"prefix":"10.1136","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2307-3427","authenticated-orcid":false,"given":"Ansha Nega","family":"Ahmed","sequence":"first","affiliation":[{"name":"School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia"},{"name":"Queen's University, Kingston, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosemary","family":"Lysaght","sequence":"additional","affiliation":[{"name":"Queen's University, Kingston, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adamu","family":"Addissie","sequence":"additional","affiliation":[{"name":"School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayalew","family":"Zewdie","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, St Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia"},{"name":"Addis Ababa University, Addis Ababa, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcia","family":"Finlayson","sequence":"additional","affiliation":[{"name":"Queen's University, Kingston, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,4,16]]},"reference":[{"key":"2025082410145683000_9.1.e001209.1","doi-asserted-by":"crossref","first-page":"i12","DOI":"10.1136\/injuryprev-2019-043296","article-title":"Burden of injury along the development spectrum: associations between the socio-demographic index and disability-adjusted life year estimates from the global burden of disease study 2017","volume":"26","author":"Haagsma","year":"2020","journal-title":"Inj Prev"},{"key":"2025082410145683000_9.1.e001209.2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3233\/HAB-190363","article-title":"Prevalence, pattern, magnitude and associated factors of trauma in the emergency department at health institutes in Ethiopia: a systematic review","volume":"27","author":"Gebru","year":"2019","journal-title":"Hum Antibodies"},{"key":"2025082410145683000_9.1.e001209.3","doi-asserted-by":"crossref","DOI":"10.2471\/BLT.19.240440","article-title":"Ethiopia\u2019s quest to champion emergency care systems","volume":"97","author":"Hagos","year":"2019","journal-title":"Bull World Health Organ"},{"key":"2025082410145683000_9.1.e001209.4","doi-asserted-by":"crossref","DOI":"10.1136\/tsaco-2020-000609","article-title":"Pattern of trauma admission and outcome among patients presented to Jimma University specialized hospital, South-Western Ethiopia","volume":"6","author":"Bayissa","year":"2021","journal-title":"Trauma Surg Acute Care Open"},{"key":"2025082410145683000_9.1.e001209.5","doi-asserted-by":"crossref","DOI":"10.1186\/s12995-020-00265-0","article-title":"The prevalence of occupational injury and its associated factors in Ethiopia: a systematic review and meta-analysis","volume":"15","author":"Alamneh","year":"2020","journal-title":"J Occup Med Toxicol"},{"key":"2025082410145683000_9.1.e001209.6","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.afjem.2020.01.001","article-title":"Patterns of injury at an Ethiopian referral hospital: using an institutional trauma registry to inform injury prevention and systems strengthening","volume":"10","author":"Laytin","year":"2020","journal-title":"Afr J Emerg Med"},{"key":"2025082410145683000_9.1.e001209.7","unstructured":"CSA, ICF . 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