Department of Surgery, College of Medicine, University of Lagos, Idi-Araba, and Department of Orthopaedic and Traumatology, Lagos University Teaching Hospital, Idi-Araba, Lagos State, Nigeria.
Department of Surgery, College of Medicine, University of Lagos, Idi-Araba, and Department of Accident and Emergency, Lagos University Teaching Hospital, Idi-Araba, Lagos State, Nigeria.
West Afr J Med. 2022 Mar 30;39(3):306-313.
Paediatric trauma remains a major health challenge worldwide. It remains a major reason for hospitalization among children and adolescents around the world, with resultant death or disability. This study was aimed to determine the epidemiology, pattern and outcomes of paediatric injuries presenting at a teaching hospital in Lagos, South-west Nigeria.
This was a prospective observational hospital based study conducted on all paediatric trauma patients below 18 years, who presented at the accident and emergency room of the Lagos University Teaching Hospital (LUTH) over a period of thirteen months. Data analysis was done with Stata v13 (StataCorp. Texas. USA).
A total of 154 patients sustained 250 documented injuries. The mean age was 6.8 ± 4.6 years. Male to female ratio was 1.5:1. Children aged 8 years were mostly affected. There was significant statistical association between age of child at injury and the place of injury. (p = 0.021) Most injuries (51.3%) occurred at home followed by the road. Falls accounted for 72 cases (46.8%). Traumatic brain injury was the most common injury sustained. Injuries at home peaked at 5pm and extended to 7pm while injuries from road traffic accidents peaked at two periods; between 7am and 8am and 4pm. Paediatric trauma score predicted death accurately. The crude mortality rate was 5.8%.
Paediatric trauma scourge is still a health concern. School age children are mostly affected by trauma. Falls were the most common cause of trauma in children and most falls occurred in the home environment. Injuries from road traffic accidents accounted for majority of deaths. The paediatric trauma score predicts mortality in injured children and should be routinely used.
儿科创伤仍然是全球范围内的一个主要健康挑战。它仍然是全球儿童和青少年住院的主要原因，导致死亡或残疾。本研究旨在确定在尼日利亚西南部拉各斯的一所教学医院就诊的儿科创伤的流行病学、模式和结果。
这是一项前瞻性观察性医院研究，对在拉各斯大学教学医院（LUTH）急症室就诊的所有 18 岁以下儿科创伤患者进行了研究。数据分析使用 Stata v13（StataCorp. Texas. USA）进行。
共有 154 名患者遭受了 250 处有记录的损伤。平均年龄为 6.8 ± 4.6 岁。男女比例为 1.5:1。8 岁的儿童受影响最大。受伤时儿童的年龄与受伤地点之间存在显著的统计学关联。（p = 0.021）大多数伤害（51.3%）发生在家庭，其次是道路。跌倒占 72 例（46.8%）。最常见的损伤是创伤性脑损伤。家庭中的伤害在下午 5 点达到高峰，并持续到下午 7 点，而道路交通伤害的伤害在两个时间段达到高峰；上午 7 点至 8 点和下午 4 点。儿科创伤评分准确预测死亡。粗死亡率为 5.8%。
儿科创伤仍然是一个健康问题。学龄儿童受创伤影响最大。跌倒仍然是儿童创伤的最常见原因，而且大多数跌倒发生在家庭环境中。道路交通伤害造成的伤害导致大多数死亡。儿科创伤评分可预测受伤儿童的死亡率，应常规使用。
