尼日利亚西南部一家三级医院儿童非意外伤害概况。

Profile of non-accidental childhood injury at a tertiary hospital in south-west Nigeria.

作者信息

Olatunya Oladele Simeon, Isinkaye Ayodeji Olusola, Oluwadiya Kehinde Sunday

机构信息

Department of Paediatrics, Ekiti State University, Ado Ekiti, Nigeria.

Community Medicine, Federal Medical Centre.

出版信息

J Trop Pediatr. 2015 Jun;61(3):174-81. doi: 10.1093/tropej/fmv009. Epub 2015 Mar 29.

DOI:10.1093/tropej/fmv009

PMID:25825341

Abstract

BACKGROUND

Injury threatens children lives worldwide. Most studies from Nigeria have been on accidental injuries in children.

OBJECTIVES

To study the profile of non-accidental injuries among children receiving care at a tertiary hospital in Nigeria.

METHODS

Children with non-accidental injuries were serially recruited and studied. The Paediatrics Trauma Score (PTS) was tested against the outcome.

RESULTS

Non-accidental injuries accounted for 0.84% of all 5264 patients and 21.3% of the 207 injured. The case fatality rate was 6.8%. Physical abuse, sexual assault, drowning/near drowning, gunshot, poisoning and human bite caused the injuries in 68.2, 13.6, 6.8, 4.5, 4.5 and 2.3%, respectively. One-way analysis of variance and Tukey post hoc analysis showed that the mean PTS score of patients who died was significantly lower than the scores of those who were either discharged home or who discharged against medical advice (p < 0.001).

CONCLUSION

The burden of non-accidental childhood injuries was high in the study area.

摘要

背景

伤害威胁着全球儿童的生命。尼日利亚的大多数研究都集中在儿童意外伤害方面。

目的

研究在尼日利亚一家三级医院接受治疗的儿童中非意外伤害的情况。

方法

连续招募并研究患有非意外伤害的儿童。对儿科创伤评分（PTS）与结果进行了测试。

结果

非意外伤害占所有5264例患者的0.84%，占207例受伤患者的21.3%。病死率为6.8%。身体虐待、性侵犯、溺水/接近溺水、枪击、中毒和人类咬伤分别导致68.2%、13.6%、6.8%、4.5%、4.5%和2.3%的伤害。单因素方差分析和Tukey事后分析表明，死亡患者的平均PTS评分显著低于出院回家或自行出院患者的评分（p<0.001）。