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Childhood injuries in Ilesa, South-Western Nigeria: causes, pattern, and outcome
S A Adegoke1, A S Ademola, I O F Dedeke
1Department of Paediatrics and Child Health, Wesley Guild Hospital Unit, Obafemi Awolowo University Teaching Hospital Complex, Ilesa, Osun State, Nigeria. adegoke2samade@yahoo.com
Insights
Injuries are a significant cause of childhood death and illness in Nigeria, with road traffic accidents and falls being the most common. Improved supervision and safer environments are crucial for prevention.
Area of Science:
- Pediatrics
- Public Health
- Trauma Surgery
Background:
- Infections and undernutrition are primary causes of childhood mortality in Sub-Saharan Africa.
- Injuries are increasingly recognized as a major contributor to childhood morbidity and mortality in the region.
Purpose of the Study:
- To investigate the causes, associated morbidity, and mortality of injuries among children in South-Western Nigeria.
Main Methods:
- An observational, cross-sectional study was conducted over one year.
- Data on childhood injury attendances and admissions to the Children Emergency Room (CHER) were collected.
- Information gathered included socio-demographics, injury cause, site, risks, affected body parts, and outcomes.
Main Results:
- Injuries represented 10.6% of attendances, 11.9% of admissions, and 20.4% of deaths in the CHER.
- Road traffic accidents (34.0%) and falls (31.2%) were the leading causes of injury.
- Most injuries occurred at home (40.1%) and on the road (37.4%), with lack of supervision identified as a key risk factor.
Conclusions:
- Injuries are a substantial cause of mortality in children in South-Western Nigeria.
- Public awareness campaigns focusing on supervision in homes, schools, and roads are recommended.
- Enhancing safety measures in these environments is essential to reduce childhood injury burden.
Background:
In Sub-Saharan Africa, infections and undernutrition are the leading causes of childhood death; however injuries are now contributing significantly to childhood morbidity and mortality.
Objective:
To determine the aetiology, morbidity and mortality associated with injuries in children in South-Western Nigeria.
Methods:
This was an observational cross-sectional study of consecutive childhood injury attendances and admissions into the hospital's Children Emergency Room (CHER) over a one-year period. Socio-demographic data as well as the data on the cause, site, and possible risks of injury; parts of the body affected and eventual outcome of the patients were documented.
Results:
Injury accounted for 382 (10.6%) of the 3,604 attendances, 142 (11.9%) of 1193 admissions and 11 (20.4%) of 54 deaths in CHER. Their ages ranged from six weeks to 15 years, with a mean (SD) of 6.7 (3.9) years, and a male:female ratio of 1.6:1. Road traffic accidents, 130 (34.0%), were the most common cause, followed by falls 119 (31.2%), cuts 44 (11.5%), bits 26 (6.8%), and burns 24 (6.3%). Injuries occurred mostly at home 154 (40.1%), on the road 142 (37.4%), and at school 59 (15.2%). Lack of supervision and/or poor anticipation of potential dangers were the leading risks associated with childhood injuries.
Conclusion:
Injuries contribute significantly to childhood deaths in South-Western Nigeria. A well-orchestrated public enlightenment programme to improve home, school, and road supervision of children as well as concerted efforts to make these places safer could help ameliorate the situation.
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