Evaluation of Trauma in Children in Aba Nigeria
Journal of Surgery
Volume 7, Issue 2, April 2019, Pages: 38-40
Received: Mar. 4, 2019; Accepted: Apr. 9, 2019; Published: May 6, 2019
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Samuel Chidi Ekpemo, Department of Surgery, Abia State University, Aba, Nigeria
Nneka Okoronkwo, Department of Paediatrics, Abia State University, Aba, Nigeria
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Background: Trauma is a leading cause of morbidity and mortality in children. The incidence has been on the increase in our sub-region in recent years. The aim of this study is to present the clinical presentation, management and outcome of children involved in trauma in at the Abia State University Teaching Hospital. Methods: A prospective study of children managed for trauma in our centre from January 2018 to December 2018. A Proforma was designed to include demographic data, clinical presentation, investigation, treatment and outcome. These data was collated and analysed using SPSS version 17.0. Results: A total of 300 patients presented to our trauma centre during the study period. There were 200 boys and 100 girls. The median age was 6 years (range 1 month to 15 years). The median duration of presentation was 4 hours (40 minutes to 7 days). 100 patients presented between 12 am and 7pm while 200 patients were seen between 7pm and 12 midnight. At presentation 250 patients were in pain, 150 bleeding, 120 had a swelling of part of the body, 20 were unconscious, and 10 had polytrauma. The cause of the trauma were Tricycle accident 100, motor vehicle 80 patients, burns 40, fall from height 20, gunshot injuries 10and others 10. The investigations include X-rays, FAST, CT-scan, haematological and biochemical test. The diagnosis at presentation revealed; 40 head injury, 100 lacerations, 10chest injuries, 30 blunt abdominal injuries, 20 pelvic injuries, 40 burns, 40 limb fractures, 20 poly-traumatised patients. There were 30 (10%) mortalities. Conclusion: The result in this series shows good outcome in children managed for trauma in our centre. There may therefore be the need for training, procurement of equipment and the establishment of paediatric trauma centres in the various sub-regions in the country. This will help in reducing morbidity and mortality.
Trauma, Children, Evaluation
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Samuel Chidi Ekpemo, Nneka Okoronkwo, Evaluation of Trauma in Children in Aba Nigeria, Journal of Surgery. Vol. 7, No. 2, 2019, pp. 38-40. doi: 10.11648/j.js.20190702.13
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Okoro P. E. Paediatric Abdominal Trauma in Sub Saharan Africa. Ely J Surg 2018; 1(1): 101.
Bartlett SN. The problem of children's injuries in low-income countries: a review. Health policy and planning. 2002; 17(1):1-13.
Stafford PW, Blinman TA, Nance ML. Practical points in evaluation and resuscitation of the injured child. Surg Clin North Am. 2002; 82(2):273-301
Lukong CS, Mfuh AY. Childhood Trauma: A Preliminary Study from A Trauma Centre In Northwestern, Nigeria. Imperial Journal of Interdisciplinary Research (IJIR) 2016 Vol-2, Issue-10.
Alnasser, M. et al. 2013. “Patterns of Pediatric Trauma in Ramadan: An Observational Study.”Annals of Paediatric Surgery 8(1): 9–1
Chirdan LB, Uba f, Chirdan OO Gastrointestinal injuries following blunt trauma in children. Nigerian Journal of Clinical Practice Sept. 2008 Vol11(3):250
Ameh EA Major injuries from "domestic" animals in children. Pediatr Surg Int. 2000; 16(8):589-91.
Schmidt B, Schimpl G, Hollwarth ME. Blunt liver trauma in children. Pediatr Surg Int. 2004; 20(11-12):846-50.
Nance ML, Sing RF, Branas CC, Schwab CW. Shotgun wounds in children. Not just accidents. Arch Surg. 1997; 132(1):58-61.
Tataria M, Nance ML, Holmes JH 4th, et al. Pediatric blunt abdominal injury: age is irrelevant and delayed operation is not detrimental. J Trauma. 2007; 63(3):608-14.
Stafford PW, Nance ML. Managing pediatric solid organ injury. J Am Coll Surg. 2002;194(3):394.
Ansari, S., F. Akhdar, M. Mandoorah, and K. Moutaery. “Causes and Effects of Road Traffic Accidents in Saudi Arabia.” Public Health2000 114(1):37–39
Alghnam, Suliman et al. “In-Hospital Mortality among Patients Injured in Motor Vehicle Crashes in a Saudi Arabian Hospital Relative to Large U.S. Trauma Centers.” Injury Epidemiology2014 1(1): 21.
Abantanga FA, Mock CN. Childhood injuries in an urban area of Ghana: a hospital-based study of 677 cases. Pediatr Surg Int 1998; 13:515–518.
Dowd MD, Keenan HT, Bratton SL. Epidemiology and prevention of childhood injuries. Critical Care Medicine 2002; 30(11):S385–S392.
Spady, Donald William, Duncan Leslie Saunders, Donald Peter Schopflocher, and Lawrence Walter Svenson. “Patterns of Injury in Children: A Population-Based Approach.” Pediatrics 2004; 113:522–29.
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