Rehabilitation and management outcomes of musculoskeletal injuries in a major referral hospital in Ghana

BMC Musculoskelet Disord. 2019 Jan 24;20(1):40. doi: 10.1186/s12891-019-2423-5.

Abstract

Background: The devastating impact of musculoskeletal injury (MSI) on human lives, the economy, and health services cannot be overemphasised. This has ignited discussion at international fora, as countries have been exhorted to prioritise management of MSI in order to maintain a healthy society. In the Ghanaian context, the knowledge base management of MSI is very low, which has provided the impetus to explore the management of MSI and the rehabilitation systems at a tertiary hospital in Ghana.

Methods: The study was a retrospective cross-sectional study, using the consecutive sampling method to recruit patients who were discharged after admission at the accident and emergency unit, as well as patients undergoing orthopaedic review, at the St. Joseph's Orthopaedic Hospital in Koforidua over a six-month period.

Results: A total of 269 musculoskeletal injury patients were recruited for the study. Half of the participants (51%) had had surgery in addition to pain medication. The overall mean recovery days were 26.81 ± 33.94 days, and the average disability days spent in the hospital were estimated at 16.54 ± 27.97 days. Individuals reported financial constraints as a major challenge to their full participation in rehabilitation.

Conclusion: The findings of this study have implications for policymaking in Ghana. Particularly, the need to improve health facilities to enable MSI patients to seek treatment is highlighted. Also, the need to train health professionals who will be able to administer appropriate medication for MSI patients is discussed extensively.

Keywords: Diagnosis; Epidemiology; Ghana; Musculoskeletal injuries; Pain management; Retrospective studies.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Disability Evaluation
  • Emergency Service, Hospital / statistics & numerical data
  • Female
  • Ghana
  • Humans
  • Infant
  • Length of Stay / economics
  • Length of Stay / statistics & numerical data*
  • Male
  • Middle Aged
  • Musculoskeletal Pain / drug therapy*
  • Musculoskeletal Pain / etiology
  • Musculoskeletal System / injuries*
  • Referral and Consultation / statistics & numerical data
  • Retrospective Studies
  • Tertiary Care Centers / economics
  • Tertiary Care Centers / statistics & numerical data*
  • Wounds and Injuries / complications
  • Wounds and Injuries / therapy*
  • Young Adult