Pediatric Trauma Society

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Characteristics of Pediatric Traumatic Injury in Abuja Nigeria: Analysis of the First Trauma Registry in Nigeria
Abdul Shour, MSP,BS1; Benjamin Holmes, DC1; Emmanuel Ameh, MBBS, FWACS, FACS2; Oluwole Olaomi, MBBS, FWACS3; Ronald Anguzu, MD,MPH1; Laura Cassidy, MS, PHD4
1Medical College of Wisconsin Institute for Health and Equity, Milwaukee, WI; 2Division of Paediatric Surgery, Department of Surgery, Abuja, Federal Capital Territory, Nigeria; 3National Hospital Abjuja, Abuja, Federal Capital Territory, Nigeria; 4Division of Epidemiology, Public and Commmunity Health PhD Program, Institute for Health and Equity Medical College of Wisconsin, Milwaukee, WI

Background: Pediatric traumatic injury is a major public health concern that is poorly documented in developing countries. This study analyzed data on pediatric injuries from a unique hospital trauma registry in Abuja Nigeria.

Methods: A descriptive analysis was conducted on 220 traumatically injured patients aged 21 years or less to describe injuries characteristics between the years 2014-2015. Bivariate analysis using chi-square tests and adjusted logistic regression were conducted using STATA v15.1.

Results: Pediatric patients were 60.9% male. Mean age (SD) was 12.5 6.9 years and 47.7% were between ages 1521 years. Head injuries were most common (49.6%), followed by chest (14.1%), abdomen (12.3%) and back (7.7%). Mechanism of injury was statistically significantly associated with head injury (p=0.027) with 63% of children injured in a motor vehicle accident (MVA) sustaining a head injury. After adjusting for age and gender, the odds of head injury were 3.8 times higher for children injured in MVA's compared to those with falls (95% CI 1.40 10.40).

Conclusions: This analysis reveals that MVA is a risk factor for traumatic head injury among children in Nigeria. Therefore, efforts should be made to address MVA involving children. These data will help to inform age related prevention and treatment strategies. The results of this study highlight the importance of collecting pediatric trauma data in developing countries.

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