{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T11:22:27Z","timestamp":1777029747244,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"vor","delay-in-days":113,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000061","name":"Fogarty International Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000061","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Radiology Research and Practice"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Injuries constitute a global public health problem, with a higher disease burden in low\u2010 and middle\u2010income countries where disability and mortality are significantly high. Accessibility concerns nevertheless persist regarding computed tomography (CT) utilization, the imaging workhorse for the assessment of most injuries. This study aimed to contribute to understanding injury patterns in Cameroon and to assess delays in obtaining CT in a low human development index setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional hospital\u2010based study was conducted from July 2023 to December 2024 at a university\u2010affiliated referral hospital in the North Region of Cameroon. Data were collected from all patients aged 18\u2009years and above who were referred with moderate to severe injuries after consent was obtained. Logistic regression modeling was used to identify predictors of delays to CT utilization, and the threshold for statistical significance was set at 0.05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 511 participants were enrolled, with a sex ratio of 1.8:1 and a mean (SD) age of 30.6\u2009\u00b1\u20096.4\u2009years. Road traffic injuries (RTIs) accounted for 69.9% (275\/393) of injuries, followed by stab wounds (11.9%; 47\/393). Motorbike use was reported in 52.4% (144\/275) of the patients and was also the primary means of transportation to the referral hospital (55.3%; 213\/385). Overall, extremity fractures were the most common lesions (49.6%; 192\/387). Predictors of delays to obtaining CT were age &lt;\u200940\u2009years (\n                      <jats:italic>a<\/jats:italic>\n                      OR\u2009=\u20097.6, 95%CI: 2.4\u201323.9, and\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001), male sex (\n                      <jats:italic>a<\/jats:italic>\n                      OR\u2009=\u20094.9, 95%CI: 2.3\u201310.7, and\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), reporting financial difficulties (\n                      <jats:italic>a<\/jats:italic>\n                      OR\u2009=\u200913.8, 95%CI: 4.9\u201338.9, and\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), and sustaining an RTI (\n                      <jats:italic>a<\/jats:italic>\n                      OR\u2009=\u20093.9, 95%CI: 1.9\u20137.9, and\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RTIs are the predominant injury mechanism in the North Region of Cameroon, involving mostly motorbikes and young males for whom CT access is a challenge. Reinforcing policies that ensure the safety of all road users and that facilitate access to CT imaging would improve health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/rrp\/8575274","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T10:32:58Z","timestamp":1777026778000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Injury Patterns and Predictors of Delays to Obtaining Computed Tomography in the North Region of Cameroon"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7966-2637","authenticated-orcid":false,"given":"Joshua","family":"Tambe","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yannick","family":"Onana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Tendongfor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie-Jos\u00e9","family":"Essi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. Ariane","family":"Christie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alain","family":"Chichom-Mefire","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"e_1_2_15_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32279-7"},{"key":"e_1_2_15_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2015.12.011"},{"key":"e_1_2_15_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2019-208514"},{"key":"e_1_2_15_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13011-023-00542-1"},{"key":"e_1_2_15_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2024.07.050"},{"key":"e_1_2_15_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-023-05120-0"},{"key":"e_1_2_15_7_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0180784"},{"key":"e_1_2_15_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12873-024-01113-8"},{"key":"e_1_2_15_9_2","doi-asserted-by":"publisher","DOI":"10.7196\/AJTCCM.2021.v27i3.161"},{"key":"e_1_2_15_10_2","first-page":"159CT","article-title":"Whole-Body Computed Tomography Trauma Imaging","volume":"89","author":"Furlow B.","year":"2017","journal-title":"Radiologic Technology"},{"key":"e_1_2_15_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-05830-1"},{"key":"e_1_2_15_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2016.03.023"},{"key":"e_1_2_15_13_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0001951"},{"key":"e_1_2_15_14_2","volume-title":"Cameroon-Human Development Indicators","year":"2025"},{"key":"e_1_2_15_15_2","volume-title":"Injury Severity Scoring","year":"2025"},{"key":"e_1_2_15_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-025-02839-1"},{"key":"e_1_2_15_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/ans.70163"},{"key":"e_1_2_15_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/ans.15470"},{"key":"e_1_2_15_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/08977151251401545"},{"key":"e_1_2_15_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2023.08.004"},{"key":"e_1_2_15_21_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19052531"},{"key":"e_1_2_15_22_2","article-title":"Epidemiology and Pattern of Road Traffic Injuries in Ngaound\u00e9r\u00e9, Cameroon: a Retrospective Hospital Based Study Prior to the Implementation of a Formal Trauma Registry","volume":"15","author":"Ngaroua D.","year":"2014","journal-title":"Health Sciences and Disease"},{"key":"e_1_2_15_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2009.11.024"},{"key":"e_1_2_15_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-020-05632-w"},{"key":"e_1_2_15_25_2","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2016.24.116.5069"}],"container-title":["Radiology Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/rrp\/8575274","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/rrp\/8575274","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/rrp\/8575274","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T10:32:59Z","timestamp":1777026779000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/rrp\/8575274"}},"subtitle":[],"editor":[{"given":"Satabdi","family":"Datta Choudhury","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/rrp\/8575274"],"URL":"https:\/\/doi.org\/10.1155\/rrp\/8575274","archive":["Portico"],"relation":{},"ISSN":["2090-1941","2090-195X"],"issn-type":[{"value":"2090-1941","type":"print"},{"value":"2090-195X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-04-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"8575274"}}