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Pattern of childhood injury in a tertiary centre
Rotimi O Aderibigbe1, Tolulope O Ogunrewo2
1Department of Plastic, Aesthetic and Reconstructive Surgery, University College Hospital, Ibadan, Nigeria.
Insights
Childhood traumatic injuries are a significant public health concern in Nigeria. This study analyzed 3146 cases, revealing falls as the leading cause, with a higher incidence in males and children under five.
Area of Science:
- Pediatrics
- Public Health
- Trauma Surgery
Background:
- Childhood injury and death represent a growing public health challenge, particularly in developing nations.
- The specific trends of childhood traumatic injuries in Nigeria remain largely undocumented.
- Understanding these patterns is crucial for developing targeted prevention strategies.
Purpose of the Study:
- To investigate the epidemiological patterns of childhood traumatic injuries.
- To identify common injury mechanisms and demographic risk factors in pediatric trauma patients.
- To analyze patient outcomes following emergency department interventions.
Main Methods:
- Retrospective analysis of trauma registry data from University College Hospital, Ibadan.
- Inclusion criteria: patients aged 16 years and below presenting with trauma between 2015 and 2020.
- Statistical analysis using SPSS version 20.
Main Results:
- A total of 3146 pediatric trauma cases were recorded.
- Males (61.2%) and children under five (36.4%) were most affected.
- Falls accounted for the majority of injuries (41.8%), with machine hand injuries prevalent in older children (11-16 years).
- Outcomes included discharge (44.1%), admission (21.5%), death (6.0%), discharge against medical advice (5.0%), and referral (2.6%).
Conclusions:
- Childhood injuries constitute a substantial and increasing burden on public health systems.
- The findings underscore the need for enhanced attention and targeted interventions to mitigate childhood trauma.
- Further research into specific injury prevention measures is warranted.
Introduction:
Childhood injury and death have been projected to be a disease of public health significance, however, the trend in many developing countries of which Nigeria is one is still unknown. We, therefore, examine the pattern of childhood traumatic injury in our institution.
Materials And Methods:
The information of patients aged 16 years and below who presented with trauma was extracted from the trauma registry of the emergency units of University College Hospital, Ibadan, from 2015 to 2020. Data were analysed using the SPSS version 20.
Results:
A total of 3146 children were managed for trauma in the accident and emergency departments of the hospital. Most of them were males (61.2%) and within the under-five age group (36.4%). The majority of the injuries were secondary to fall (41.8%). Male child was more likely to be involved in any mechanism of injury and children between 11 and 16 years were commonly involved in machine hand injury (80%). Following intervention in the accident and emergency department, 44.1% were discharged in the emergency units, 21.5% required admission into the specialist ward, 6.0% died, 5.0% discharged against medical advice and 2.6% were referred.
Conclusion:
The burden of childhood injury is becoming significant thus demands more attention.
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