Being Children and Delayed presentation are risk factors for Complications following Traditional bone setting in southern Ethiopia: Finding from facility-based study

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  • Submited: January 5, 2024
  • Published: April 18, 2024

Abstract

Aims: Traditional bone-setting (TBS) is associated with many life- and limb-threatening complications. The aim of this study was to explore risk factors for complications among trauma patients who presented to our institution after traditional bone setting.

Methods: Prospective institutional-based study was conducted from July 2020 to June 2021.  All 230 patients who first visited TBS and presented to hospital were included. A structured, pre-tested questionnaire was used to collect data. The data were collected by trained health professional through face-to-face interviews which was uploaded to the website developed for this purpose and exported to SPSS version 24 for analysis. Descriptive statistics were used to summarize and present the data. Binary logistic regression analysis used to measure the association between independent and dependent variables. The presence of a statistically significant association was declared using a 95% confidence interval (CI) and a P-value less than 0.05.

Results: Over two-thirds, or 62.6%, of the patients had a complication during presentation to the hospital. In the multivariable logistic regression model, younger age (AOR = 2.43, 95% CI = 1.21, 4.92), longer time interval between initial injury and arrival at the hospital (AOR = 7.40, 95% CI = 3.86, 14.20), and the region where the patients live (AOR = 2.05, 95% CI = 1.06, 3.40) were significantly associated with complications.

Conclusions: The magnitude of complications among trauma patients who first visited TBS was unacceptably high. The risk factors for complications were younger age, delayed presentation to the hospital, and the region where the patients live.

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References

  1. References
  2. Nwokeke C, Igwillo U, Abdullahi M, Ihekorom C, Nwokeke C, Chukwu U, et al. A review of factors influencing patronage of traditional bone setters (TBS) in Nigeria. Altern Integr Med 2018; 7:46–9.
  3. Ngohi BU, Aliyu U, Jibril UN, Lawal A, Ngohi MB. Causes of bone injuries and patronage of traditional bone setters in Maiduguri, Nigeria. Sierra Leone J Biomed Res 2009;1(1):50–4.
  4. Aderibigbe SA, Agaja SR, Bamidele JO. Determinants of utilization of traditional bone setters in Ilorin, north central Nigeria. J Prev Med Hyg 2013;54(1):35.
  5. Mbada CE, Ojoawo AO, Owoola SO, Okonji AM, Odetunde MO, Adigwe KC, et al. Knowledge and attitude about the practice of traditional bone setters and its use for musculoskeletal disorders in rural areas in Nigeria. Middle East J Rehabil Health Stud 2020;7(2).
  6. Card EB, Obayemi JE, Shirima O, Lazaro M, Massawe H, Stanifer JW, et al. Practices and perspectives of traditional bone setters in northern Tanzania. Ann Glob Health 2020;86(1).
  7. Agarwal A, Agarwal R. The practice and tradition of bonesetting. Educ Health. 2010;23(1):225.
  8. Bassey R, Aquaisua A, Edagha I, Peters I, Bassey E. The practice of traditional bone setting in the south-south region of Nigeria. Internet J Altern Med. 2009;8(2):2–7.
  9. Omololu AB, Ogunlade SO, Gopaldasani VK. The practice of traditional bonesetting: training algorithm. Clin Orthop. 2008;466(10):2392–8.
  10. Odatuwa-Omagbemi DO, Enemudo RE, Enamine SE, Esezobor EE. Traditional bone setting in the Niger Delta region of Nigeria. Niger J Med. 2014;23(2):157–61.
  11. Udosen AM, Otei OO, Onuba O. Role of traditional bone setters in Africa: experience in Calabar, Nigeria. 2007; Available from: http://muellers-software.org:3080/http://tspace.library.utoronto.ca/handle/1807/44257
  12. Payyappallimana U. Role of traditional medicine in primary health care: an overview of perspectives and challenging. Yokohama J Soc Sci 2010;14(6):57–77.
  13. Kuubiere CB, Abass A, Majeed SF. Patients preference for traditional bonesetters in Northern Ghana. Religion. 2015; 2:2–5.
  14. Odatuwa-Omagbemi DO, Adiki TO, Elachi CI, Bafor A. Complications of traditional bone setters (TBS) treatment of musculoskeletal injuries: experience in a private setting in Warri, South-South Nigeria. Pan Afr Med J 2018. Available from: https://www.ajol.info/index.php/pamj/article/view/209655
  15. Endeshaw BA, Belay W, Gete A, Bogale KA, Wubeshet B, Azene AG, et al. Traditional bone setting service users and associated factors among people with trauma in Mecha district, Ethiopia. BMC Complement Med Ther 2023 May 3;23(1):142.
  16. Owumi BE, Taiwo PA, Olorunnisola AS. Utilization of traditional bone-setters in the treatment of bone fracture in Ibadan North Local Government. Int J Humanit Soc Sci Invent. 2013;2(5):47–57.
  17. Kumma WP, Kabalo BY, Woticha EW. Complications of fracture treatment by traditional bone setters in Wolaita Sodo, southern Ethiopia. J Biol 2013;3(12):1.
  18. Worku N, Tewelde T, Abdissa B, Merga H. Preference of Traditional Bone Setting and associated factors among trauma patients with fracture at Black Lion Hospital in Addis Ababa, Ethiopia: institution based cross sectional study. BMC Res Notes 2019 Dec;12(1):590.
  19. Pettigrew LE, Wilson JL, Teasdale GM. Assessing disability after head injury: improved use of the Glasgow Outcome Scale. J Neurosurg 1998;89(6):939–43.
  20. Memon FA, Saeed G, Fazal B, Bhutto I, Laghari M, Siddique KA, et al. Complications of fracture treatment by traditional bone setters at Hyderabad. J Pak Ortho Asso 2009;21(2):58–64.
  21. Ekere AU, Echem RC. Complications of fracture and dislocation treatment by traditional bone setters: a private practice experience. Niger Health J 2011;11(2):59–66.
  22. Dada A, Giwa SO, Yinusa W, Ugbeye M, Gbadegesin S. Complications of treatment of musculoskeletal injuries by bone setters. West Afr J Med 2009 [cited 2023 Dec 27];28(1). Available from: https://www.ajol.info/index.php/wajm/article/view/48426
How to Cite
G Mengesha, M., G Adem, E., Gari, T., Bussa, S., Alemu, E., Zerihun, Y., Wude, Z., Marthin, C., & Harrison, J. (2024). Being Children and Delayed presentation are risk factors for Complications following Traditional bone setting in southern Ethiopia: Finding from facility-based study . Ethiopian Medical Journal, 62(Supplement 1). Retrieved from https://emjema.org/index.php/EMJ/article/view/2562

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