Prehospital Factors Associated with Injury Severity of Motorcycle Related Femoral Fractures at Mbarara and Kampala International University Teaching Hospitals in Uganda
Prehospital determinants of motorcycle related femoral fracture injury severity remain a poorly documented trauma entity in Uganda. Knowledge of most at risk of poor injury outcome in resource limited settings with no formal prehospital care system is not only mandatory for evidence based preventive policy formulation but also guidance of clinical practice. This cross sectional descriptive and analytical hospital based study determines prehospital factors associated with injury severity of motorcycle related femoral fractures at the accident and emergency departments of two university teaching hospitals in Uganda, using the Kampala Trauma Score II (KTSII). Ethical clearance was obtained from Mbarara University of Science and Technology Research and Ethics Committee (IRB No.19/10-16). We consecutively recruited patients between December 2016 and June 2017, using investigator-administered questionnaire, to obtain data including history, clinical examination and radiological findings. Multiple logistic regression analysis and Odds ratios were computed using IBM SPSS 20.0. statistics for windows (Armonk. NY: IBM Corp) at 95% Confidence Interval and P