TY - JOUR PY - 1995// TI - Admissions for injury at a rural hospital in Ghana: implications for prevention in the developing world JO - American journal of public health A1 - Rivara, Frederick P. A1 - Conklin, E. A1 - Denno, D. A1 - Adzotor, Ellis S. A1 - Mock, Charles N. SP - 927 EP - 931 VL - 85 IS - 7 N2 - OBJECTIVES. Strategies for injury prevention have been extensively studied in developed nations but not in the developing world. This study sought to determine which mechanisms of injury were common in a rural developing area and which were important contributors to mortality and disability. METHODS. All 614 patients admitted for injuries to a rural African hospital between 1987 and 1991 were analyzed retrospectively for mechanism of injury and outcome, as assessed by mortality and long-term functional status. RESULTS. The leading mechanisms of injury were transport related (29%) and burns (16%). Burns accounted for 61% of injuries in children under 5 years. Mortality was 7.3% in the series, with 24% of deaths owing to transport injuries. Disability developed in 103 (22%) of the 462 survivors available for assessment, with most disability resulting from transport injuries (26% of all disabilities), burns (13%), and agricultural injuries (14%). CONCLUSIONS. Among injured patients who presented for treatment in this rural developing area, the largest burden of mortality and disability was from burns and transport-related injuries. Population-based studies are needed to substantiate whether these should be priorities for injury prevention efforts. LA - SN - 0090-0036 UR - http://dx.doi.org/ ID - ref1 ER -