An epidemiological study of the burden of trauma in Makurdi, Nigeria

Elachi, I C; Yongu, W T; Odoyoh, Odatuwa-Omagbemi D; Mue, D D; Ogwuche, EI; Ahachi, Chukwukadibia N.

doi:10.4103/2229-5151.158404

Cited by 18 publications

(22 citation statements)

References 7 publications

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“…The patients in this study were predominantly male 65.3% (n = 94). This finding is similar to previously done studies such as those by Botchey et al in Kenya in 2017 [12] , Elachi et al in Nigeria in 2015 [13] , and Chokotho et al in Malawi in 2014 [14] . Differences in playtime behaviour between genders may be one reason for such findings, as well as higher activity levels, greater freedom to play alone, and increased involvement in risky sports among males.…”

Section: Discussionsupporting

confidence: 93%

Patterns and outcomes of paediatric trauma at a tertiary teaching hospital in Kenya

Ndung'u

Sun

Musau

et al. 2019

African Journal of Emergency Medicine

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Introduction Trauma continues to be a major cause of morbidity and mortality especially in the paediatric population of low- and middle-income countries such as Kenya. The aim of this study was to establish the profile and outcomes of admitted paediatric trauma cases at the Aga Khan University Hospital, Nairobi. Methods This retrospective, descriptive study involved a 12-month chart review (January 2016–December 2016). A total of 218 records were identified of which 144 were reviewed. Results Most injuries were amongst boys (65.3%) and the very young (mean age 6), occurred in private residences (42.4% homes, 25.7% residential institutions), were typically caused by falls (56.3%) or penetrating trauma (13.2%), mostly resulted in extremity fractures (45.8% closed, 4.9% open) and burn or head injuries (in infants and small children), and got very little or no pre-hospital care (51.4% no care). Additionally, children with burns, brain injuries, or poly-trauma had the longest hospital stays and highest rates of mortality. A more detailed description of the patterns and outcomes seen are included in the study. Discussion Paediatric injuries remain a major public health problem and contribute a substantial proportion of all paediatric surgical admissions at the Aga Khan University Hospital in Nairobi. Based on the patterns and outcomes seen in this study, we therefore recommend for Nairobi (and possibly Kenya) to establish greater supervision and safety measures for children; targeting safety interventions at all children but particularly at boys, the very young, at home and in residential buildings; building pre-hospital emergency care that can accommodate children; and equipping paediatric trauma hospitals to especially handle bony fractures, burns, head injuries, and poly-traumas. A bespoke trauma registry would benefit the hospital, and likely the country as a whole.

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Section: Discussionsupporting

confidence: 93%

Patterns and outcomes of paediatric trauma at a tertiary teaching hospital in Kenya

Ndung'u

Sun

Musau

et al. 2019

African Journal of Emergency Medicine

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“…In agreement with many previously published studies, our study also shows male predilection for injuries, males 67.9 %( n=595) and females 32.1 %( n=276). 21,22,23 The present study revealed that 3-5 years age group is the most common victim of trauma,39%(n=340). 6-10.9 years 20.7%(n=2038) has been reported as the most frequently injured age group 10 A study conducted in India reported that 11-15 years comprised the most common age group involved in trauma.…”

Section: Discussionsupporting

confidence: 49%

Study of the characteristics and burden of pediatric trauma in low resource settings.

Rehman¹,

Makki²,

Fazal

et al. 2020

TPMJ

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Objectives: Purpose of the study is to identify the characteristics and burden of pediatric trauma in a hospital with limited resources and to compare the results with published literature and to formulate the effective injury prevention strategies. Study Design: Prospective, Descriptive, Cross-sectional study. Setting: Department of Pediatric Surgery, DHQ Teaching Hospital Sahiwal. Period: January 2019 to December 2019. Material & Methods: A total of 871 patients aged 12 years and below with a history of trauma were included. The patients were categorized into four age groups, 0-2 years, 3-5 years, 6-8 years, and 9-12 years. Data collected included, age, gender, area (rural/urban), type of injury, mechanism of injury, regional pattern of injury, any intervention required and final outcome. The data were compared in different age groups and both sexes. Results: Out of total 2609 admissions, 871(33.38%) patients were of trauma and burn. 699(80.3%) trauma patients and 172(19.7%) burn patients. The males were 595(67.9%) and females comprised 276(32.1%). Age ranged from 05 days to 12 years (mean5.07years). By age groups, distribution of patients was, 0-2years 201(23.1%), 3-5years 340(39.0%), 6-8years 213(24.5%), and 9-12years 117(13.4%). Blunt trauma was most common type of injury 688(95.56%) and penetrating trauma was 31(4.43%). Most common mechanisms of injury were, vehicle related incidents 380(54.4%) and fall 238(34.0%). The majority of injuries 432(61.8%), were seen in head, neck and face region. Scald was most common type of burn and seen in 125(14.4%) patients. Conclusion: This study clearly shows that pediatric injuries and burn contribute a substantial proportion of all pediatric surgical admissions. Pediatric trauma including burn is a significant burden on health care system. Vehicle related incidents, fall injuries and scald burns are most common type of injuries.

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“…This is similar to a report in Kenya where males constituted 73.5% of all trauma admissions and 57.6% were in the 21-60 year age-group [ 15 ]. Trauma predominantly occurs in the young adult male with road traffic accidents being the leading aetiological factor [ 4 , 5 ]. The young adults are very energetic and mobile.…”

Section: Discussionmentioning

confidence: 99%

“…Trauma predominantly occurs in the young adult males with road traffic accident being the leading aetiological factor [ 4 , 5 ]. Most deaths following trauma are associated with multiple injuries (60.9%) and head injuries (30.4%) [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Trauma: a major cause of death among surgical inpatients of a Nigerian tertiary hospital

Ekeke¹,

Okonta²

2017

Pan Afr Med J

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IntroductionTrauma presents a significant global health burden. Death resulting from trauma remains high in low income countries despite a steady decrease in developed countries. Analysis of the pattern of death will enable intervention to reduce these deaths from trauma in developing countries. This study aims to present the pattern of trauma-related deaths in the surgical wards of University of Port Harcourt Teaching Hospital (UPTH).MethodsThis was a retrospective study of all patients who died from trauma during admission into the surgical wards of UPTH from 2007 to 2012. Data on demography and traumatic events leading to death were collected from surgical wards, the emergency unit, and theatre records and analyzed using SPSS version 16.0.ResultsTrauma accounted for 219 (42.4%) of the 527 mortalities recorded. Most of the deaths (62.6 %) occurred between 20 and 59 years. There were 148 males (67.6 %). The yearly mortality rates were as follows: 2007(12.3 %); 2008 (16.9%); 2009 (9.1%), 2010 (12.8 %), 2011 (23.3%) and 2012 (25.6%). Most of the patients (91.3%) died within 1 month of admission. The major events leading to deaths were burns 105(47.9%), traumatic brain injuries were 63(28.8%), and spinal cord injuries 21(9.6%). The secondary causes of death were mainly septic shock 112(51.1%); Respiratory failure 60(27.4%); and Multiple organ dysfunction 44(20.1%).ConclusionTrauma is a leading cause of mortality in the surgical wards of our hospital. Trauma -related deaths continues to increase over the years. Safe keeping of petroleum products and adherence to traffic rules will reduce these avoidable deaths.

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An epidemiological study of the burden of trauma in Makurdi, Nigeria

Cited by 18 publications

References 7 publications

Patterns and outcomes of paediatric trauma at a tertiary teaching hospital in Kenya

Patterns and outcomes of paediatric trauma at a tertiary teaching hospital in Kenya

Study of the characteristics and burden of pediatric trauma in low resource settings.

Trauma: a major cause of death among surgical inpatients of a Nigerian tertiary hospital

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