Onyemaechi Ndubuisi O, Bisi-Onyemaechi Adaobi I, Nduagubam Obinna C
Department of Surgery, College of Medicine, University of Nigeria Ituku-Ozalla Enugu, Nigeria.
Department of Paediatrics, College of Medicine, University of Nigeria Ituku-Ozalla Enugu, Nigeria.
Malawi Med J. 2020 Jun;32(2):95-100. doi: 10.4314/mmj.v32i2.7.
Paediatric injuries have significant physical, psychological and socioeconomic consequences. This study aimed to determine the epidemiology and pattern of paediatric injuries presenting at a teaching hospital in Enugu South-East Nigeria.
A retrospective study of injured patients less than 18 years who presented to the Accident and Emergency department of University of Nigeria Teaching Hospital Ituku/Ozalla, in Enugu Nigeria, was conducted from 1st January to 31st December 2015. Analysis of data was done using Statistical Package for the Social Sciences version 22.0.
A total of 1191 children presented to the hospital within the study period and 120 injured paediatric patients (10.1%) with 170 injuries were attended to in the A & E. Adolescents (12 - 17 years) accounted for 34.2% of injuries and males (70%) were more affected than the females. Road traffic crashes and falls were the most common causes of paediatric injuries. There was a significant correlation between age of the children and the aetiology of the injuries (X2 = 28.08, p = 0.001). Bruises/lacerations/abrasions (27.6%) and fractures (27.1%) were the most common types of injuries sustained. The injury severity score (ISS) of the patients ranged from 1-25 with a mean of 6.4 + 2.8. Roadside/street (35%), school (23.3%) and home (21.7%) were the main locations where injuries occurred. Mean injury-arrival interval was 1.2 + 0.7 days. Majority (67.5%) of children had full recovery and the mortality rate was 5.8%.
Road traffic crashes and falls were the most common cause of paediatric injuries. Soft tissue trauma and fractures were the predominant types of injuries. Roadside, school and home were the leading locations of childhood injuries. Prevention of road traffic crashes and falls, prompt treatment of injuries, and rehabilitation of injured children will reduce the negative impact of paediatric injuries.
儿科损伤会产生重大的身体、心理和社会经济后果。本研究旨在确定尼日利亚东南部埃努古一家教学医院中儿科损伤的流行病学情况和模式。
对2015年1月1日至12月31日期间前往尼日利亚埃努古伊图库/奥扎拉的尼日利亚大学教学医院急诊科就诊的18岁以下受伤患者进行回顾性研究。使用社会科学统计软件包第22.0版进行数据分析。
在研究期间，共有1191名儿童到该医院就诊，急诊科诊治了120名受伤的儿科患者（占10.1%）共170处损伤。青少年（12 - 17岁）占损伤患者的34.2%，男性（70%）比女性受影响更大。道路交通事故和跌倒为儿科损伤最常见的原因。儿童年龄与损伤病因之间存在显著相关性（X2 = 28.08，p = 0.001）。擦伤/撕裂伤/磨损（27.6%）和骨折（27.1%）是最常见的损伤类型。患者的损伤严重程度评分（ISS）范围为1 - 25，平均为6.4 + 2.8。路边/街道（35%）、学校（23.3%）和家中（21.7%）是损伤发生的主要地点。损伤到达医院的平均间隔时间为1.2 + 0.7天。大多数（67.5%）儿童完全康复，死亡率为5.8%。
道路交通事故和跌倒是儿科损伤最常见的原因。软组织创伤和骨折是主要的损伤类型。路边、学校和家中是儿童受伤的主要地点。预防道路交通事故和跌倒、及时治疗损伤以及对受伤儿童进行康复治疗将减少儿科损伤的负面影响。
