Pattern of paediatric trauma in Sokoto, North West Nigeria

Oboirien, Muhammad

doi:10.4103/0189-6725.115047

Cited by 11 publications

(5 citation statements)

References 5 publications

(7 reference statements)

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“…For a closer comparison, one study in Nigeria showed that 71% of paediatric trauma cases involved boys, while 37.4% of all cases involved children younger than six years [11] . The study also showed 54.2% of all paediatric injuries were domestic injuries, followed by RTA and falls from heights at 38.7% and 1.4% respectively.…”

Section: Introductionmentioning

confidence: 99%

“…The type of injuries varied according to different age groups. Lacerations and fractures mostly occurred in children aged between six to ten years while children aged between zero to five years were more susceptible to head and burn injuries [11] . According to a study done by Naidoo and Muckart in 2015 in South Africa [6] , trauma accounted for 15.9% of all paediatric patients admitted during the study period.…”

Section: Introductionmentioning

confidence: 99%

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Patterns and outcomes of paediatric trauma at a tertiary teaching hospital in Kenya

Ndung'u

Sun

Musau

et al. 2019

African Journal of Emergency Medicine

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Introduction Trauma continues to be a major cause of morbidity and mortality especially in the paediatric population of low- and middle-income countries such as Kenya. The aim of this study was to establish the profile and outcomes of admitted paediatric trauma cases at the Aga Khan University Hospital, Nairobi. Methods This retrospective, descriptive study involved a 12-month chart review (January 2016–December 2016). A total of 218 records were identified of which 144 were reviewed. Results Most injuries were amongst boys (65.3%) and the very young (mean age 6), occurred in private residences (42.4% homes, 25.7% residential institutions), were typically caused by falls (56.3%) or penetrating trauma (13.2%), mostly resulted in extremity fractures (45.8% closed, 4.9% open) and burn or head injuries (in infants and small children), and got very little or no pre-hospital care (51.4% no care). Additionally, children with burns, brain injuries, or poly-trauma had the longest hospital stays and highest rates of mortality. A more detailed description of the patterns and outcomes seen are included in the study. Discussion Paediatric injuries remain a major public health problem and contribute a substantial proportion of all paediatric surgical admissions at the Aga Khan University Hospital in Nairobi. Based on the patterns and outcomes seen in this study, we therefore recommend for Nairobi (and possibly Kenya) to establish greater supervision and safety measures for children; targeting safety interventions at all children but particularly at boys, the very young, at home and in residential buildings; building pre-hospital emergency care that can accommodate children; and equipping paediatric trauma hospitals to especially handle bony fractures, burns, head injuries, and poly-traumas. A bespoke trauma registry would benefit the hospital, and likely the country as a whole.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patterns and outcomes of paediatric trauma at a tertiary teaching hospital in Kenya

Ndung'u

Sun

Musau

et al. 2019

African Journal of Emergency Medicine

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“…3 According to the WHO and United Nations Children's fund in 2008, child injury is a major health problem and projected this as number one disease by 2020. 4 The WHO estimates that injuries are the cause of death in one million children per year. 5 The most common cause of death in youth is trauma in developing countries and also pediatric trauma is a major cause of disability and health related economic losses in these developing countries.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of Pediatric Musculoskeletal Injuries and Their Pattern in a Tertiary Care Center of North India

Singh

Gupta

Darokhan

et al. 2018

IJOO

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Background:Trauma is emerging as an epidemic and a leading cause of morbidity and mortality in children. Children <15 years of age comprise about 32.8% or about 1/3rd of the total Indian population. In India, up to one fourth of hospital admissions and approximately 15% of deaths in children are due to injury. This study presents the epidemiology, various causes and pattern of musculoskeletal injuries in pediatric population of North India.Materials and Methods:This is an observational, prospective hospital-based study conducted in a tertiary care center of North India for 6 months from July to December 2016. All pediatric patients in the age group 0-15 years who presented to the orthopedic emergency and out patient department with a history of trauma were included in the study.Results:Children aged 6-15 years (58%) suffered more injuries than children under 5 years of age (42%). Male pediatric population (58.5%) had more musculoskeletal injuries as compared to female pediatric population of the same age group (41.5%) in both the groups. Urban pediatric population (68.78%) suffered more injuries as compared to rural population of the same age group. Right extremities were more commonly involved in both the age groups. Upper limb injuries (50.59% in 0-5 years age group and 47.42% in 6- 15 years age group) were most common followed by lower limb and pelvic injuries. Very few (2.9% in 0- 5 years age group and 4.8% in 6-15 years age group) patients sustained isolated spinal injuries. Out of the 3712 patients 59.40% of patients had a history of fall, followed by road traffic accident related injuries (32%). The most common injuries were superficial injuries i.e., abrasions and bruises. The second most common injury was cut or open wounds mostly seen on hand, forearm and legs.Conclusion:The high incidence of pediatric trauma on roads and falls indicates the need for more supervision during playing and identification of specific risk factors for these injuries in our setting. Injuries in pediatric age group by and large is a preventable condition. Therefore, injury prevention in children should be a priority.

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“…Trauma is an important cause of childhood morbidity and mortality globally. 1,2 About 5 million children die from trauma each year. 3 Fractures are a common occurrence in childhood constituting about 10 to 25 % of all paediatric injuries.…”

Section: Introductionmentioning

confidence: 99%

Characteristics and Outcome of Paediatric Long Bone Fractures Managed in a University Teaching Hospital

Elachi

Yongu

Kortor

et al. 2018

J BioMed Res Clin Pract

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Fractures constitute a significant component of paediatric trauma. Paediatric fractures account for significant morbidity. This study was set to elucidate the characteristics and outcome of paediatric fractures in a university teaching hospital. Case notes were reviewed for socio-demographic and clinical variables. Statistical analysis was carried out using the software Statistical Package for Social Sciences for Windows, Version 21.0. The correlation between development of complications and prior treatment by traditional bone setters was determined using chi-squared tests. Fifty four long bone fractures were studied in 52 children. Their ages ranged from 1 day to 16 years with a mean of 8.85 ± 3.86 years. There were 29 males (55.8%) and 23 females (44.2%). The aetiology of childhood fractures included road traffic crashes (n=30, 57.7%), falls (n=10, 19.3%), sports injuries (n=8, 15.4). The long bones fractured were tibia (n=19, 35.2%), femur (n=14, 25.9%), distal radius (n=14, 25.9%) and supracondylar part of the humerus (n=7, 13.0%). Non-operative treatment modalities were the most frequent means employed in treating children with fractures in this study. Limb gangrene following prior treatment by traditional bone setters was the most common complication. There was a statistically significant correlation between development of complications and prior traditional bone setters treatment (p<0.001). Paediatric fractures were more common in boys, caused mostly by road traffic crashes. Most were patients discharged without deformities. Public enlightenment on trauma prevention, enforcement of school bus transport system and reducing street hawking by expanding school feeding programmes may help reduce incidence of paediatric fractures.

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Pattern of paediatric trauma in Sokoto, North West Nigeria

Abstract: Road traffic accidents and domestic injuries as common causes of paediatric trauma need to be 'addressed by the authorities' so as to reduce the burden of trauma on the vulnerable children in our society.

Cited by 11 publications

References 5 publications

Patterns and outcomes of paediatric trauma at a tertiary teaching hospital in Kenya

Patterns and outcomes of paediatric trauma at a tertiary teaching hospital in Kenya

Epidemiology of Pediatric Musculoskeletal Injuries and Their Pattern in a Tertiary Care Center of North India

Characteristics and Outcome of Paediatric Long Bone Fractures Managed in a University Teaching Hospital

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