PTS Home  |  Past & Future Meetings
Pediatric Trauma Society

Back to 2021 Abstracts


Epidemiology Of Pediatric Trauma At A National Kenyan Referral Hospital
Manisha B Bhatia1, Helen Li1, Anna Gillio1, Eunice Chepkimoi2, Emmy Jepkurui Rutto2, Kyle Carpenter1, Jessica Hogan3, Connie Keung1, Joshua Kisorio2
1Indiana University, Indianapolis, IN;2Moi Teaching and Referral Hospital, Eldoret, Kenya3University of Alberta, Edmonton, AB, Canada

Background (issue):
Although a significant cause of morbidity, trauma epidemiology in low- and middle-income countries (LMICs) is often inadequate. LMIC prehospital and transport systems, particularly the pediatric trauma systems, are frequently limited. This study assessed the patterns of pediatric traumatic injuries using hospital-based trauma surveillance data at the only public children’s hospital in East Africa. Methods:
We created a prospective pediatric trauma registry in Eldoret, Kenya. All trauma patients from September 2018 to March 2019 were included from this national referral center. Patient demographics, injuries, and outcomes were collected. Initial presentation was compared by gender, age, time to care, length of stay and injury area with descriptive analyses. Findings:
The 425 patients had a median age of 5.14 years (IQR 2.42, 8.73). Average time to care was 267.5 minutes (IQR 134.0, 625.0). Most common injury mechanisms were falls (32.71%) and burns (17.65%). Time to definitive care was significantly longer (133 vs 374 minutes, p %lt 0.0001) and patients were more likely to have head/neck/face (83 vs 26, p =0.002) and extremity (130 vs 92, p=0.026) injuries if presenting to a referral facility first. Conclusions (implications for practice):
A majority of our patients presented with significantly longer time to definitive care after presenting to another facility. Detailed epidemiological data on this population may help define and prioritize components of a prehospital system in Western Kenya.

Trauma Injuries Compared by Facility of Presentation
MTRH (n=154)Referring Facility (n=267)P-value
Time to Care in minsMedian (IQR)133 (105,240)374 (225, 940)<0.0001
Number of areas injured by patient0.913
None3862
Single System99174
Multi-System1834


Back to 2021 Abstracts