Childhood injuries in a tertiary institution in north east Nigeria

Esin, Issa Abdul Razaq; Alabi, Sikiru; Lawal, Oluwagbemiga A

doi:10.4103/0189-6725.125450

Cited by 7 publications

(9 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study characterized the most common unintentional injuries in children presenting to three district hospitals in rural Rwanda. Consistent with other studies, burns were the most common type of unintentional injury among children aged 0-5 years [17][18][19][20][21][22]. This can be attributed to their exposures during cooking by their mothers and caregivers, given that portable stove and open fires are the main means for cooking in Rwanda and many other sub-Saharan African countries [20,[23][24][25].…”

Section: Discussionsupporting

confidence: 74%

Presentation of Pediatric Unintentional Injuries at Rural Hospitals in Rwanda: A Retrospective Study

Bagahirwa

Mukeshimana

Cherian

et al. 2020

Annals of Global Health

View full text Add to dashboard Cite

Background: Injuries are a leading cause of mortality among children globally, with children in low-and middle-income countries more likely to die if injured compared to children in high-income countries. Timely and high-quality care are essential to reduce injury-related morbidity and mortality. Objectives: This study describes patterns, management, and outcomes of children 0-15 years presenting with unintentional injuries at three district hospitals in rural Rwanda between January 1 and December 31, 2017. Methods: Using a retrospective cross-sectional study design, we assessed the demographic and clinical characteristics, care provided, and outcomes of the children using data extracted from patient medical charts. We describe the patient population using frequencies and proportions as well as median and interquartile ranges. Findings: Of the 449 injured children who sought care at the three rural district hospitals, 66.2% (n = 297) were boys. The main causes of injury were falls (n = 261, 58.1%), burns (n = 101, 22.5%), and road traffic injuries (n = 67, 14.9%). Burns were the most common injury among children aged 0-5 years while falls were the leading injury type among the 5-15 years age group. Vital signs were inconsistently completed ranging between 23.8-89.1% of vital sign items. Of the injured children, 37.0% (n = 166) received surgery at the district hospital, general practitioners performed 80.9% (n = 114) of surgeries, 87.4% (n = 145) of operated patients received no anesthesia, and 69.3% (n = 311) were admitted to the district hospital, while 2.7% (n = 12) were transferred to tertiary facilities for higher-level care. Conclusions: The presentation of child injuries-namely falls, burns, and road traffic accidents-is similar to what has been reported in other sub-Saharan African countries. However, more needs to be done to improve the completion and documentation of vital signs and increase availability of surgical specialists. Finally, targeted strategies to prevent burns and motorcycle-related injuries are recommended prevention interventions for this rural population.

show abstract

Section: Discussionsupporting

confidence: 74%

Presentation of Pediatric Unintentional Injuries at Rural Hospitals in Rwanda: A Retrospective Study

Bagahirwa

Mukeshimana

Cherian

et al. 2020

Annals of Global Health

View full text Add to dashboard Cite

show abstract

“…Studies have projected that injury cost per disability-adjusted life years is high [15]. Pediatric trauma has become a significant source of morbidity and mortality in sub-Saharan Africa (SSA) [16, 17]. More than 50% of all global injuries occurred in SSA, with 68.0 deaths per 100000 population, compared to 6.4 in Western Europe [16, 17].…”

Section: Introductionmentioning

confidence: 99%

“…Pediatric trauma has become a significant source of morbidity and mortality in sub-Saharan Africa (SSA) [16, 17]. More than 50% of all global injuries occurred in SSA, with 68.0 deaths per 100000 population, compared to 6.4 in Western Europe [16, 17]. This regional inequity between high and low-income countries is driven by the unequal distribution of wealth and risks, which undermines human productivity and opportunities for preventing pediatric unintentional injuries [5, 18].…”

Section: Introductionmentioning

confidence: 99%

“…Pediatric mortality in Nigeria has been reported to occur mainly from severe head injuries, abdominal and chest injury [16] and include injuries resulting from drowning, burns, assault and falls [5, 7, 16, 29, 30]. Previous studies have examined severe head injuries [31-33], childhood trauma [17] and injury-related deaths [16, 25] in Nigeria [17, 23]. However, due to poor data quality, these studies used limited categories of variables and were mainly descriptive data analysis [7, 17].…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have examined severe head injuries [31-33], childhood trauma [17] and injury-related deaths [16, 25] in Nigeria [17, 23]. However, due to poor data quality, these studies used limited categories of variables and were mainly descriptive data analysis [7, 17]. Additionally, these studies did not examine the risk factors of head injuries and correlates among Nigeria’s pediatric population.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Motor vehicle accident is a risk factor for traumatic head injury among children in Abuja: analysis of the first trauma registry in Nigeria

Shour¹,

Holmes²,

Ameh³

et al. 2019

Pan Afr Med J

View full text Add to dashboard Cite

IntroductionPediatric traumatic injury is a major public health concern that is poorly documented in lower and middle-income countries. This study analyzed data on pediatric injuries from a unique hospital trauma registry in Abuja, Nigeria.MethodsData were analyzed on 220 traumatically injured patients aged 21 years/less to describe injury characteristics and to determine the association between mechanism of injury and pediatric head injuries in Abuja, Nigeria, between 2014 and 2015. Bivariate analysis using Pearson's chi-square and adjusted logistic regression were conducted to characterize the population and identify risk factors for head injury. P-values<0.05 were considered statistically significant. All statistical analyses were performed using STATA v.15.1.ResultsThe majority of patients were male (60.9%) with a mean age (SD) of 12.5±6.9 years. Head injuries were most common (49.6%), followed by chest (14.1%), abdomen (12.3%) and back (7.7%). The mechanism of injury was statistically significantly associated with head injury (p=0.027) with 63% of children in a motor vehicle accident sustaining a head injury. After adjusting for covariates, the odds of head injury were 3.8 times higher for children injured in a motor vehicle accidents (MVA) compared to those with falls (95%CI 1.40-10.40).ConclusionThis analysis reveals that motor vehicle accident is a risk factor for traumatic head injury among children in Nigeria. Therefore, efforts should be made to address motor vehicle accidents involving children. These data will help to inform age-related prevention and treatment strategies. The results of this study highlight the importance of collecting pediatric trauma data in developing countries.

show abstract

Home environment and burns in children

Kawalec

Pawlas

2020

Burns Open

View full text Add to dashboard Cite

Childhood injuries in a tertiary institution in north east Nigeria

Cited by 7 publications

References 12 publications

Presentation of Pediatric Unintentional Injuries at Rural Hospitals in Rwanda: A Retrospective Study

Presentation of Pediatric Unintentional Injuries at Rural Hospitals in Rwanda: A Retrospective Study

Motor vehicle accident is a risk factor for traumatic head injury among children in Abuja: analysis of the first trauma registry in Nigeria

Home environment and burns in children

Contact Info

Product

Resources

About