Simon Raymond, Gilyoma Japhet M, Dass Ramesh M, Mchembe Mabula D, Chalya Phillipo L
Department of Surgery, Catholic University of Health and Allied Sciences - Bugando, Mwanza, Tanzania.
Department of Orthopaedic & Trauma, Catholic University of Health and Allied Sciences - Bugando, Mwanza, Tanzania.
J Trauma Manag Outcomes. 2013 Nov 13;7(1):10. doi: 10.1186/1752-2897-7-10.
Injuries continue to be the leading cause of death and disability for children. The is a paucity of published data on paediatric injuries in our local environment. This study describes the etiological spectrum, injury characteristics and treatment outcome of paediatric injuries in our local setting and provides baseline data for establishment of prevention strategies as well as treatment guidelines.
This was a descriptive cross-sectional study involving paediatric injury patients admitted to Bugando Medical Centre from August 2011 to April 2012. Statistical data analysis was done using SPSS version 17.0 and STATA version 12.0.
A total of 150 patients were studied. The age of patients ranged from 1 month to 10 years with a median age of 5 years. The male to female ratio was 2.3:1. Road traffic accident was the most common cause of injury (39.3%) and motorcycle (71.2%) was responsible for the majority of road traffic accidents. Only 11 (7.3%) patients received pre-hospital care. The head /neck (32.7%) and musculoskeletal (28.0%) were the most frequent body region injured. Open wounds (51.4%), foreign bodies (31.3%) and fractures (17.3%) were the most common type of injuries sustained. The majority of patients 84 (56.0%) were treated surgically. Complication rate was 3.9%. The mean duration of hospitalization was 9.7 ± 13.1 days. Mortality rate was 12.7%. Age of the patient (< 5 years), late presentation and presence of complications were the main predictors of length of hospital stay (P < 0.001), whereas burn injuries, severe head injuries and severity of injury (Paediatric trauma score = 0-5) significantly predicted mortality (P < 0.0001).
Paediatric injuries resulting from road traffic accidents (RTAs) remain a major public health problem in this part of Tanzania. Urgent preventive measures targeting at reducing the occurrence of RTAs is necessary to reduce the incidence of paediatric injuries in this region.
伤害仍是儿童死亡和残疾的主要原因。在我们当地环境中，关于儿科伤害的已发表数据匮乏。本研究描述了我们当地环境中儿科伤害的病因谱、损伤特征和治疗结果，并为制定预防策略和治疗指南提供基线数据。
这是一项描述性横断面研究，涉及2011年8月至2012年4月入住布甘多医疗中心的儿科伤害患者。使用SPSS 17.0版和STATA 12.0版进行统计数据分析。
共研究了150例患者。患者年龄范围为1个月至10岁，中位年龄为5岁。男女比例为2.3:1。道路交通事故是最常见的伤害原因（39.3%），其中大多数道路交通事故（71.2%）是由摩托车导致的。只有11例（7.3%）患者接受了院前护理。头部/颈部（32.7%）和肌肉骨骼（28.0%）是最常受伤的身体部位。开放性伤口（51.4%）、异物（31.3%）和骨折（17.3%）是最常见的损伤类型。大多数患者84例（56.0%）接受了手术治疗。并发症发生率为3.9%。平均住院时间为9.7±13.1天。死亡率为12.7%。患者年龄（<5岁）、就诊延迟和并发症的存在是住院时间的主要预测因素（P<0.001），而烧伤、严重头部损伤和损伤严重程度（儿科创伤评分=0-5）显著预测死亡率（P<0.0001）。
在坦桑尼亚的这一地区，道路交通事故导致的儿科伤害仍然是一个主要的公共卫生问题。有必要采取紧急预防措施以减少道路交通事故的发生，从而降低该地区儿科伤害的发生率。
