Pediatric trauma at a government referral hospital in The Gambia.
Pediatric trauma at a government referral hospital in The Gambia.
复制标题
冈比亚一家政府转诊医院的小儿创伤。
DOI：
10.4314/wajm.v22i4.28048
复制
发表时间：
2004
影响因子：
--
通讯作者：
S. Bickler
中科院分区：
文献类型：
--
作者：
C. Shen;Boto Sanno;S. Bickler
目的
确定撒哈拉以南非洲一家政府转诊医院儿童受伤的模式。
方法
在冈比亚班珠尔的皇家维多利亚医院（RVH）进行了为期29个月的基于医院的研究。从预先记录的小儿外科数据库中确定受伤儿童。计算了居住在医院25公里范围内的270540名城市人口（0 - 14岁占32.3%）中到RVH就诊的儿童创伤发生率。
结果
1996年1月至1998年6月，798名0 - 14岁儿童因受伤入院治疗。受伤占所有儿科入院病例的4.8%。烧伤（38.7%）、骨折（20.9%）、头部受伤（16.2%）和软组织损伤（9.4%）是最常见的损伤——它们共同占入院病例的85%和总住院天数的74%。平均住院时间为20.6天，受伤导致的总住院天数为16696天。17%的受伤儿童需要进行手术。最常见的手术是烧伤挛缩松解术（20%）、骨折和脱位复位（20%）以及皮肤移植（18.7%）。住院死亡率为5.5%，其中71%的死亡与烧伤有关。大班珠尔地区每年到RVH就诊的创伤病例为每10万0 - 14岁儿童中有181例入院、3317天住院、28例手术和7例死亡。
结论
儿童受伤，特别是烧伤，给住院服务带来了沉重负担。虽然在儿科入院病例中所占比例较小，但受伤导致住院时间长和需要手术。
OBJECTIVE
To determine the pattern of childhood injuries at a government referral hospital in sub-Saharan Africa.
METHODS
Twenty-nine month hospital based study at the Royal Victoria Hospital (RVH) in Banjul, The Gambia. Children with injuries were identified from a prospectively recorded pediatric surgery database. Rate of pediatric trauma presenting to RVH was calculated for an urban population of 270,540 (32.3% aged 0-14 years) living within 25 km of the hospital.
RESULTS
From January 1996 to June 1998, 798 children aged 0-14 years were admitted for treatment of injuries. Injuries accounted for 4.8% of all pediatric admissions. Burns (38.7%), fractures (20.9%), head injuries (16.2%) and soft tissue injuries (9.4%) were the most common injuries--together responsible for 85% of admissions and 74% of total hospital days. Average length of stay was 20.6 days, with injuries accounting for 16,696 total hospital days. Seventeen percent of injured children required a surgical procedure. The most common surgical procedures were burn contracture release (20%), reduction of fracture and dislocations (20%) and skin grafts (18.7%). In hospital mortality was 5.5%, with 71% of deaths related to burns. The annual cases of trauma presenting to RVH from the Greater Banjul Area was 181 admissions, 3317 hospital days, 28 surgical procedures and 7 deaths per 100,000 children aged 0-14 years.
CONCLUSION
Childhood injuries, particularly burns place a significant burden on inpatient services. While accounting for a small fraction of pediatric admissions, injuries account for long hospital stays and surgical procedures.