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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.
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.
Objectives:
Trauma is a significant cause of morbidity and mortality worldwide. The literature on paediatric trauma epidemiology in low- and middle-income countries (LMICs) is limited. This study aims to gather epidemiological data on paediatric trauma.
Methods:
This is a multicentre prospective cohort study of paediatric trauma admissions, over 1 month, from 15 paediatric surgery centres in 11 countries. Epidemiology, mechanism of injury, injuries sustained, management, morbidity and mortality data were recorded. Statistical analysis compared LMICs and high-income countries (HICs).
Results:
There were 1377 paediatric trauma admissions over 31 days; 1295 admissions across ten LMIC centres and 84 admissions across five HIC centres. Median number of admissions per centre was 15 in HICs and 43 in LMICs. Mean age was 7 years, and 62% were boys. Common mechanisms included road traffic accidents (41%), falls (41%) and interpersonal violence (11%). Frequent injuries were lacerations, fractures, head injuries and burns. Intra-abdominal and intra-thoracic injuries accounted for 3 and 2% of injuries. The mechanisms and injuries sustained differed significantly between HICs and LMICs. Median length of stay was 1 day and 19% required an operative intervention; this did not differ significantly between HICs and LMICs. No mortality and morbidity was reported from HICs. In LMICs, in-hospital morbidity was 4.0% and mortality was 0.8%.
Conclusion:
The spectrum of paediatric trauma varies significantly, with different injury mechanisms and patterns in LMICs. Healthcare structure, access to paediatric surgery and trauma prevention strategies may account for these differences. Trauma registries are needed in LMICs for future research and to inform local policy.
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