{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T04:12:17Z","timestamp":1772251937128,"version":"3.50.1"},"reference-count":54,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,1,16]],"date-time":"2024-01-16T00:00:00Z","timestamp":1705363200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Rehabil. Sci."],"abstract":"\n Background<\/jats:title>\n Road traffic injuries (RTIs) leading to long-term disability present a significant public health challenge, causing immense personal and societal consequences. Every year, 50 million people are hurt, 1.2 million die, 30% are permanently disabled, and 14% cannot return to work due to road traffic accidents. However, in many developing countries, information on the social integration of patients post-RTI remains limited. This study aimed to identify factors contributing to social integration following road traffic-related orthopedic injuries (RTOI) in Rwanda.<\/jats:p>\n <\/jats:sec>\n \n Methodology<\/jats:title>\n \n A multicenter, cross-sectional study included 369 adult Road traffic orthopedic injuries (RTOI) victims from five Rwandan referral hospitals. Participants completed the IMPACT-S Questionnaire between 2 June 2022, and 31 August 2022, two years after the injury. It measured social integration in terms of activities and paricipation. We used logistic regression statistical analysis with a significance level of\n p<\/jats:italic>\n \u2009&lt;\u20090.05 to estimate odds ratios (OR) and 95% confidence intervals (CI). The Institutional Review Board for Health Sciences and Medicine at the University of Rwanda College of Medicine ethically authorized this study. Participants signed a written consent form before participating in the study. The data was kept private and was used only for this study.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The study's findings indicated that the mean age of RTOI victims was 37.5\u2009\u00b1\u200911.26 years, with a notable male predominance over females. Of the participants, 5.69% were unable to resume normal life activities. The overall mean score on the IMPACT-S scale was moderate, at 77\u2009\u00b1\u200917. Specifically, participants achieved an average score of 76\u2009\u00b1\u200916 for \u201cactivities\u201d and a higher average of 84\u2009\u00b1\u200916 for \u201cparticipation.\u201d Certain factors were associated with poor social integration compared to others, including belonging to the age group above 65 years (OR\u2009=\u20098.25,\n p<\/jats:italic>\n \u2009=\u20090.02), female sex (OR\u2009=\u20093.26,\n p<\/jats:italic>\n \u2009=\u20090.02), lack of rehabilitation (OR\u2009=\u20093.82,\n p<\/jats:italic>\n \u2009=\u20090.01), and length of hospital stay &gt;15 days (OR\u2009=\u20094.44,\n p<\/jats:italic>\n \u2009=\u20090.02).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The majority of RTOI victims in Rwanda achieved successful reintegration into society; nevertheless, their mobility and community engagement were more significantly impacted compared to other aspects assessed by the IMPACT-S scale. The study emphasized the importance of early management, effective rehabilitation, and prompt patient discharge from the hospital in facilitating a successful return to everyday life after road traffic-related orthopedic injuries.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fresc.2023.1287980","type":"journal-article","created":{"date-parts":[[2024,1,16]],"date-time":"2024-01-16T04:13:34Z","timestamp":1705378414000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Factors affecting social integration after road traffic orthopaedic injuries in Rwanda"],"prefix":"10.3389","volume":"4","author":[{"given":"JC","family":"Allen 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