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Estimation of Disability Adjusted Life Years in Pediatric Injury Patients at a Zonal Referral Hospital in Northern
Baraka Moshi1,2, Elizabeth M Keating3, Blandina T Mmbaga1,2,4,5
1Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania.
Insights
Pediatric injuries cause a significant health burden, with road traffic incidents being a major concern. This study quantifies the impact using Disability-Adjusted Life Years (DALYs) to inform targeted interventions.
Area of Science:
- Public Health
- Pediatric Medicine
- Epidemiology
Background:
- Pediatric injuries represent a substantial global health challenge.
- Estimating the burden of disease is crucial for resource allocation and intervention planning.
Purpose of the Study:
- To estimate the Disability-Adjusted Life Years (DALYs) for pediatric injury patients treated at a zonal referral hospital.
- To identify the leading causes and demographic factors contributing to the burden of pediatric injuries.
Main Methods:
- A retrospective cohort study utilizing a pediatric injury registry.
- DALYs were calculated by summing Years of Life Lost (YLL) and Years Lived with Disability (YLD).
- Standard epidemiological parameters including a 3% discounting rate were applied.
Main Results:
- The study analyzed 1000 pediatric injury patients (median age 7 years, 63.9% male).
- Road traffic injuries were the leading cause (34.1%), contributing significantly to the overall DALYs (1650 DALYs).
- Pediatric injuries resulted in over 4500 DALYs, with burns accounting for a notable proportion of deaths.
Conclusions:
- Pediatric injuries impose a high burden, disproportionately affecting males.
- Road traffic injuries are a primary driver of disability and mortality in children.
- Child-focused injury prevention strategies are urgently needed.
Objective:
This study aimed to estimates Disability-adjusted life years (DALYs) for pediatric injury patients at a zonal referral hospital.
Methods:
This is a retrospective cohort study using pediatric injury registry data, DALYs for pediatric injured patients was calculated by adding the Years of life lost (YLL) and Years lived with disability (YLD). Discounting rate of 3%, age weighting parameter of 0.04 and Constant 0.1658 were considered during analysis.
Results:
This study included 1000 pediatric injury patients with median age of 7 years, mostly male 639 (63.9%). Road traffic injuries were the leading cause 341 (34.1%), and 65 (6.5%) died, burns caused 27 (41.6%) of deaths. Pediatric injuries resulted in over 4500 DALYs, with road traffic injuries contributing the most (1650 DALYs).
Conclusion:
This study reveals the high burden of pediatric injuries, with males contributing most DALYs. Road traffic injuries significantly contribute to disabilities, highlighting the need for child-focused interventions.
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