Mechanisms, Pattern and Outcome of Pediatrics Trauma At Agaro General Hospital, Southwest Ethiopia, 2021

IF 1.5 Q3 HEALTH POLICY & SERVICES Health Services Research and Managerial Epidemiology Pub Date : 2022-01-01 DOI:10.1177/23333928221101975
Y. Dagnaw, Belete Fenta, A. Yetwale, Tsegaw Biyazin, Alemayehu Sayih, Nigatu Dessalegn, Emebet Adugnaw, F. Ali, Yitbarek Tesfa
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Abstract

Introduction Over 80% of trauma related deaths in children occur in low income and middle-income countries including Ethiopia. Trauma affects several aspects of child life and is still a major concern. Despite the Ethiopian federal ministry of health (FMoH) conducting away different trials, there was an increased burden and high projection of pediatric trauma. In Ethiopia, There is insufficient evidence about the mechanisms, patterns and outcomes of pediatric trauma including this study area, Therefore this study aimed to assess the mechanisms, patterns, and outcomes of pediatric trauma in Agaro General Hospital, Southwest Ethiopia, 2021. Methods and Materials This cross-sectional study was study conducted on randomly selected 405pediatric patients who visited the Agaro General Hospital between 1/1/2018 and 30/8/2021. Data were extracted from each medical chart using a structured checklist. Data were entered into Epi-data 4.4.2.1for cleaning and analyzed using SPSS version 24. Tables, charts, and text are used to report the results. Results A total of 405 patients were included in the study. This study revealed that majority 271 (66.9%) of injured children were males. Most 188 (46.4%) of the traumas were occurred on the street. Fall down injury were the most common 151(37.3%) cause of trauma, followed by road traffic accidents 98 (24.2%). Trauma caused by falls accounted for 43.7% and 34.4% % of all traumas in the 5–12 year and the <5 year age groups respectively. Most 126 (31.1%) of the subjects were exposed to head and face trauma. Majority 256 (63.2%) of children were discharged with improvement, while12 (3.0%) of them have died. Conclusions Pediatric trauma remains a major public health concern. Most of trauma occurred among boys and falldown injury was the most frequent trauma, and the majority of the subjects were exposed to head and face trauma. Therefore, children should receive safety precautions, more supervision, and identification of specific risk factors for these injuries, and should be prohibited from risky practices by concerned bodies including families and traffic officers.
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2021年,埃塞俄比亚西南部阿加罗总医院儿科创伤的机制、模式和结果
超过80%的儿童创伤相关死亡发生在包括埃塞俄比亚在内的低收入和中等收入国家。创伤影响儿童生活的几个方面,仍然是一个主要问题。尽管埃塞俄比亚联邦卫生部(FMoH)开展了不同的试验,但儿童创伤的负担和预测都在增加。在埃塞俄比亚,关于包括本研究领域在内的儿科创伤的机制、模式和结局的证据不足,因此本研究旨在评估2021年埃塞俄比亚西南部Agaro总医院儿科创伤的机制、模式和结局。方法与材料本横断面研究随机选取2018年1月1日至2021年8月30日在Agaro综合医院就诊的405例儿科患者。使用结构化检查表从每张医疗图表中提取数据。数据输入Epi-data 4.4.2.1进行清洗,使用SPSS version 24进行分析。表格、图表和文本用于报告结果。结果共纳入405例患者。结果显示,271例(66.9%)受伤儿童为男性。其中有188例(46.4%)发生在街头。跌落伤是造成创伤最常见的151例(37.3%),其次是道路交通事故98例(24.2%)。在5 - 12岁年龄组和<5岁年龄组中,由跌倒引起的创伤分别占43.7%和34.4%。126名(31.1%)受试者暴露于头部和面部创伤。256例(63.2%)患儿好转出院,12例(3.0%)患儿死亡。结论:儿童创伤仍然是一个主要的公共卫生问题。创伤以男孩为主,以跌倒伤为主,且以头部和面部外伤为主。因此,儿童应该接受安全预防措施,更多的监督,并确定这些伤害的具体风险因素,并应由包括家庭和交通官员在内的有关机构禁止危险行为。
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来源期刊
CiteScore
1.60
自引率
6.20%
发文量
32
审稿时长
12 weeks
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