Systematic media review: A novel method to assess mass-trauma epidemiology in absence of databases-A pilot-study in Rwanda.

<h4>Objective</h4>Surge capacity refers to preparedness of health systems to face sudden patient inflows, such as mass-casualty incidents (MCI). To strengthen surge capacity, it is essential to understand MCI epidemiology, which is poorly studied in low- and middle-income countries lacki...

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Autores principales:	Lotta Velin, Mbonyintwari Donatien, Andreas Wladis, Menelas Nkeshimana, Robert Riviello, Jean-Marie Uwitonze, Jean-Claude Byiringiro, Faustin Ntirenganya, Laura Pompermaier
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d309a89333584af08946aa30b93586c9
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spelling	oai:doaj.org-article:d309a89333584af08946aa30b93586c92021-12-02T20:19:15ZSystematic media review: A novel method to assess mass-trauma epidemiology in absence of databases-A pilot-study in Rwanda.1932-620310.1371/journal.pone.0258446https://doaj.org/article/d309a89333584af08946aa30b93586c92021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258446https://doaj.org/toc/1932-6203<h4>Objective</h4>Surge capacity refers to preparedness of health systems to face sudden patient inflows, such as mass-casualty incidents (MCI). To strengthen surge capacity, it is essential to understand MCI epidemiology, which is poorly studied in low- and middle-income countries lacking trauma databases. We propose a novel approach, the "systematic media review", to analyze mass-trauma epidemiology; here piloted in Rwanda.<h4>Methods</h4>A systematic media review of non-academic publications of MCIs in Rwanda between January 1st, 2010, and September 1st, 2020 was conducted using NexisUni, an academic database for news, business, and legal sources previously used in sociolegal research. All articles identified by the search strategy were screened using eligibility criteria. Data were extracted in a RedCap form and analyzed using descriptive statistics.<h4>Findings</h4>Of 3187 articles identified, 247 met inclusion criteria. In total, 117 MCIs were described, of which 73 (62.4%) were road-traffic accidents, 23 (19.7%) natural hazards, 20 (17.1%) acts of violence/terrorism, and 1 (0.09%) boat collision. Of Rwanda's 30 Districts, 29 were affected by mass-trauma, with the rural Western province most frequently affected. Road-traffic accidents was the leading MCI until 2017 when natural hazards became most common. The median number of injured persons per event was 11 (IQR 5-18), and median on-site deaths was 2 (IQR 1-6); with natural hazards having the highest median deaths (6 [IQR 2-18]).<h4>Conclusion</h4>In Rwanda, MCIs have decreased, although landslides/floods are increasing, preventing a decrease in trauma-related mortality. By training journalists in "mass-casualty reporting", the potential of the "systematic media review" could be further enhanced, as a way to collect MCI data in settings without databases.Lotta VelinMbonyintwari DonatienAndreas WladisMenelas NkeshimanaRobert RivielloJean-Marie UwitonzeJean-Claude ByiringiroFaustin NtirenganyaLaura PompermaierPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258446 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Lotta Velin Mbonyintwari Donatien Andreas Wladis Menelas Nkeshimana Robert Riviello Jean-Marie Uwitonze Jean-Claude Byiringiro Faustin Ntirenganya Laura Pompermaier Systematic media review: A novel method to assess mass-trauma epidemiology in absence of databases-A pilot-study in Rwanda.
description	<h4>Objective</h4>Surge capacity refers to preparedness of health systems to face sudden patient inflows, such as mass-casualty incidents (MCI). To strengthen surge capacity, it is essential to understand MCI epidemiology, which is poorly studied in low- and middle-income countries lacking trauma databases. We propose a novel approach, the "systematic media review", to analyze mass-trauma epidemiology; here piloted in Rwanda.<h4>Methods</h4>A systematic media review of non-academic publications of MCIs in Rwanda between January 1st, 2010, and September 1st, 2020 was conducted using NexisUni, an academic database for news, business, and legal sources previously used in sociolegal research. All articles identified by the search strategy were screened using eligibility criteria. Data were extracted in a RedCap form and analyzed using descriptive statistics.<h4>Findings</h4>Of 3187 articles identified, 247 met inclusion criteria. In total, 117 MCIs were described, of which 73 (62.4%) were road-traffic accidents, 23 (19.7%) natural hazards, 20 (17.1%) acts of violence/terrorism, and 1 (0.09%) boat collision. Of Rwanda's 30 Districts, 29 were affected by mass-trauma, with the rural Western province most frequently affected. Road-traffic accidents was the leading MCI until 2017 when natural hazards became most common. The median number of injured persons per event was 11 (IQR 5-18), and median on-site deaths was 2 (IQR 1-6); with natural hazards having the highest median deaths (6 [IQR 2-18]).<h4>Conclusion</h4>In Rwanda, MCIs have decreased, although landslides/floods are increasing, preventing a decrease in trauma-related mortality. By training journalists in "mass-casualty reporting", the potential of the "systematic media review" could be further enhanced, as a way to collect MCI data in settings without databases.
format	article
author	Lotta Velin Mbonyintwari Donatien Andreas Wladis Menelas Nkeshimana Robert Riviello Jean-Marie Uwitonze Jean-Claude Byiringiro Faustin Ntirenganya Laura Pompermaier
author_facet	Lotta Velin Mbonyintwari Donatien Andreas Wladis Menelas Nkeshimana Robert Riviello Jean-Marie Uwitonze Jean-Claude Byiringiro Faustin Ntirenganya Laura Pompermaier
author_sort	Lotta Velin
title	Systematic media review: A novel method to assess mass-trauma epidemiology in absence of databases-A pilot-study in Rwanda.
title_short	Systematic media review: A novel method to assess mass-trauma epidemiology in absence of databases-A pilot-study in Rwanda.
title_full	Systematic media review: A novel method to assess mass-trauma epidemiology in absence of databases-A pilot-study in Rwanda.
title_fullStr	Systematic media review: A novel method to assess mass-trauma epidemiology in absence of databases-A pilot-study in Rwanda.
title_full_unstemmed	Systematic media review: A novel method to assess mass-trauma epidemiology in absence of databases-A pilot-study in Rwanda.
title_sort	systematic media review: a novel method to assess mass-trauma epidemiology in absence of databases-a pilot-study in rwanda.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/d309a89333584af08946aa30b93586c9
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Systematic media review: A novel method to assess mass-trauma epidemiology in absence of databases-A pilot-study in Rwanda.

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