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小儿损伤模式:在加纳塔马利塔马利教学医院进行的一项前瞻性横断面研究。

Patterns of pediatric injuries: a prospective cross-sectional study at the Tamale Teaching Hospital, Tamale, Ghana.

作者信息

Gyabaah Emmanuel Yeboah, Bondzie Hezron, Alatiiga John Abanga, Mock Charles

机构信息

School of Medicine, University for Development Studies, Tamale, Ghana.

Department of Surgery, Tamale Teaching Hospital, Tamale, Ghana.

出版信息

Pan Afr Med J. 2025 Feb 13;50:52. doi: 10.11604/pamj.2025.50.52.42929. eCollection 2025.

DOI:10.11604/pamj.2025.50.52.42929
PMID:40567437
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12188007/
Abstract

INTRODUCTION

childhood injuries account for more deaths than all other diseases combined in children between the ages of 5-14. Despite underreporting, morbidity and mortality from injuries are highest in low- and middle-income countries. Data on injury patterns can influence policy and help implement preventive measures. This study aims to determine the pattern of pediatric injuries at the Tamale Teaching Hospital.

METHODS

data were prospectively collected from February 2023 to August 2023 at the Tamale Teaching Hospital on all patients below 17 years who sustained injuries resulting in admission for at least 24 hours. Injury severity was graded using the Kampala and Pediatric Trauma Scores. Data on patient demography, type of injury, mechanism of injury, treatment, and mortality were collected and analyzed.

RESULTS

of 147 participants, 96 were males, with a mean age of 7.9 (± 4.8) years. The top three injuries were isolated head injuries (n=62, 42.2% of all patients), isolated fractures (n=25, 17%) and isolated burns (n=18, 12.2%). There were 12 (8.2%) participants with multiple injuries. Isolated head injuries were the most common type of injury for all ages above one year. The majority (n=110, 62.6%) was treated conservatively.

CONCLUSION

commonest injury patterns among children at the Tamale Teaching Hospital are head injuries, fractures, and burns. Improvements in capacity for neurosurgery and burn care should be prioritized.

摘要

引言

在5至14岁的儿童中,儿童期受伤导致的死亡人数超过所有其他疾病导致的死亡人数总和。尽管报告不足,但低收入和中等收入国家的受伤发病率和死亡率最高。伤害模式的数据可以影响政策并有助于实施预防措施。本研究旨在确定塔马利教学医院小儿伤害的模式。

方法

于2023年2月至2023年8月在塔马利教学医院前瞻性收集所有17岁以下因受伤入院至少24小时的患者的数据。使用坎帕拉评分和小儿创伤评分对损伤严重程度进行分级。收集并分析患者人口统计学、损伤类型、损伤机制、治疗和死亡率的数据。

结果

在147名参与者中,96名是男性,平均年龄为7.9(±4.8)岁。前三大损伤是单纯头部损伤(n = 62,占所有患者的42.2%)、单纯骨折(n = 25,17%)和单纯烧伤(n = 18,12.2%)。有12名(8.2%)参与者有多处损伤。单纯头部损伤是所有一岁以上年龄组最常见的损伤类型。大多数(n = 110,62.6%)接受了保守治疗。

结论

塔马利教学医院儿童中最常见的损伤模式是头部损伤、骨折和烧伤。应优先提高神经外科和烧伤护理能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68c5/12188007/6648b932d344/PAMJ-50-52-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68c5/12188007/6648b932d344/PAMJ-50-52-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68c5/12188007/6648b932d344/PAMJ-50-52-g001.jpg

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