International Study of the Epidemiology of Paediatric Trauma: PAPSA Research Study

Catherine J Bradshaw1,2, Ashwath S Bandi3, Zahid Muktar3

  • 1Department of Paediatric Surgery, Oxford University Hospitals NHS Foundation Trust, Headley Way, Oxford, OX3 9DU, UK. catherinebradshaw@doctors.net.uk.

World Journal of Surgery
|December 29, 2017
PubMed

Insights

Paediatric trauma epidemiology differs significantly between low- and middle-income countries (LMICs) and high-income countries (HICs). LMICs experience higher admission rates and in-hospital mortality for paediatric trauma, highlighting the need for trauma registries.

Area of Science:

  • Global Health
  • Paediatric Surgery
  • Trauma Epidemiology

Background:

  • Trauma is a major global cause of child morbidity and mortality.
  • Limited data exists on paediatric trauma epidemiology in low- and middle-income countries (LMICs).

Purpose of the Study:

  • To gather and analyze epidemiological data on paediatric trauma admissions.
  • To compare paediatric trauma patterns between LMICs and high-income countries (HICs).

Main Methods:

  • A multicentre prospective cohort study involving 15 paediatric surgery centres across 11 countries.
  • Data collected over one month included epidemiology, injury mechanisms, management, morbidity, and mortality.
  • Statistical analysis compared outcomes between LMICs and HICs.

Main Results:

  • 1377 paediatric trauma admissions were recorded; 1295 in LMICs and 84 in HICs.
  • Road traffic accidents and falls were common mechanisms in both settings.
  • In-hospital morbidity was 4.0% and mortality was 0.8% in LMICs, with no reported mortality in HICs.

Conclusions:

  • Significant differences in paediatric trauma mechanisms and injury patterns exist between LMICs and HICs.
  • Healthcare structure and prevention strategies likely contribute to these disparities.
  • Establishing trauma registries in LMICs is crucial for future research and policy development.
Abstract

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