Epidemiology of Paediatric Injuries in Rwanda Using a Prospective Trauma Registry

dc.contributor.authorPetroze, RT
dc.contributor.authorMartin, AN
dc.contributor.authorNtaganda, E
dc.contributor.authorKyamanywa, Patrick
dc.contributor.authorSt-Louis, E
dc.contributor.authorRasmussen, SK
dc.contributor.authorCalland, JF
dc.contributor.authorByiringiro, JC
dc.date.accessioned2022-04-27T08:05:26Z
dc.date.available2022-04-27T08:05:26Z
dc.date.issued2020
dc.description.abstractBackground: Child survival initiatives historically prioritized efforts to reduce child morbidity and mortality from infectious diseases and maternal conditions. Little attention has been devoted to paediatric injuries in resource-limited settings. This study aimed to evaluate the demographics and outcomes of paediatric injury in a sub-Saharan African country in an effort to improve prevention and treatment. Methods: A prospective trauma registry was established at the two university teaching campuses of the University of Rwanda to record systematically patient demographics, prehospital care, initial physiology and patient outcomes from May 2011 to July 2015. Univariable analysis was performed for demographic characteristics, injury mechanisms, geographical location and outcomes. Multivariable analysis was performed for mortality estimates. Results: Of 11 036 patients in the registry, 3010 (27⋅3 per cent) were under 18 years of age. Paediatric patients were predominantly boys (69⋅9 per cent) and the median age was 8 years. The mortality rate was 4⋅8 per cent. Falls were the most common injury (45⋅3 per cent), followed by road traffic accidents (30⋅9 percent), burns (10⋅7 per cent) and blunt force/assault (7⋅5 per cent). Patients treated in the capital city, Kigali, had a higher incidence of head injury (7⋅6 per cent versus 2⋅0 per cent in a rural town, P < 0⋅001; odds ratio (OR) 4⋅08, 95 per cent c.i. 2⋅61 to 6⋅38) and a higher overall injury-related mortality rate (adjustedOR 3⋅00, 1⋅50 to 6⋅01; P = 0⋅019). Pedestrians had higher overall injury-related mortality compared withother road users (adjusted OR 3⋅26, 1⋅37 to 7⋅73; P = 0⋅007). Conclusion: Paediatric injury is a significant contributor to morbidity and mortality. Delineating trauma demographics is important when planning resource utilization and capacity-building efforts to address paediatric injury in low-resource settings and identify vulnerable populations.en_US
dc.identifier.citationPetroze, R.T., Martin, A.N., Ntaganda, E., Kyamanywa, P., St-Louis, E., Rasmussen, S.K., Calland, J.F. and Byiringiro, J.C. (2020). Epidemiology of paediatric injuries in Rwanda using a prospective trauma registry. BJS open, 4(1), pp.78-85.en_US
dc.identifier.issn2474-9842
dc.identifier.urihttp://hdl.handle.net/20.500.12280/2971
dc.language.isoenen_US
dc.publisherOxford Univ Press , Great Clarendon St, Oxford, England, Ox2 6dpen_US
dc.relation.ispartofseriesBJS open;4(1)
dc.subjectCraniocerebralen_US
dc.subjectEpidemiologyen_US
dc.subjectTraumaen_US
dc.subjectTraffic accidentsen_US
dc.subjectBurnsen_US
dc.subjectCommunicable diseasesen_US
dc.subjectChilden_US
dc.subjectDemographyen_US
dc.subjectGeographic areaen_US
dc.subjectMothersen_US
dc.subjectPediatricsen_US
dc.subjectRwandaen_US
dc.subjectWounds and injuriesen_US
dc.subjectMorbidityen_US
dc.subjectMortalityen_US
dc.subjectPhysiologyen_US
dc.subjectAssaulten_US
dc.subjectMechanism of injuryen_US
dc.subjectTownsen_US
dc.subjectPatient-focused outcomesen_US
dc.subjectPreventionen_US
dc.subjectPedestrianen_US
dc.subjectPre-hospital careen_US
dc.titleEpidemiology of Paediatric Injuries in Rwanda Using a Prospective Trauma Registryen_US
dc.typeArticleen_US

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