A cohort of pediatric injury patients from a hospital-based trauma registry in Northern Tanzania.
A cohort of pediatric injury patients from a hospital-based trauma registry in Northern Tanzania.
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DOI：
10.1016/j.afjem.2022.04.008
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发表时间：
2022-09
期刊：
影响因子：
--
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低收入和中等收入国家的儿科损伤是全世界发病率和死亡率的主要原因。实施以医院为基础的创伤登记可以减少医院护理和患者结局的知识差距，并导致质量改进举措。本研究的目的是建立一个儿科创伤登记处，以深入了解受伤儿童的流行病学，结局和与不良结局相关的因素。这是一项前瞻性观察性研究，在坦桑尼亚北方的一家大型区域转诊医院进行了儿科创伤登记。数据包括人口统计学、基于医院的护理以及包括发病率和死亡率在内的结局。将数据输入REDCap©中，并使用SAS（9.4版）©中的ANOVA和卡方检验进行分析。于2020年11月至2021年10月，登记研究共入组365例患者。大多数为男性（n=240，65.8%）。大多数为0-5岁儿童（41.7%，n=152），34.5%（n=126）为6-11岁，23.8%（n=87）为12-17岁。儿科损伤的主要原因是福尔斯（n=137，37.5%）和道路交通伤（n=125，34.5%）。死亡率为8.2%（n=30）。在住院死亡的儿童中，43.3%为烧伤儿童，其死亡率也高于其他损伤儿童（OR 8.72，p<0.001）。与住院死亡率和发病率相关的因素是生命体征异常、烧伤严重程度、异常格拉斯哥昏迷评分和ICU入院。在我们的队列中，受伤儿童的死亡率很高，尤其是烧伤儿童。为了降低发病率和死亡率，干预措施应优先考虑儿科受伤患者，目前与异常的生命体征，改变精神状态，严重烧伤。这些发现强调了卫生系统能力建设的必要性，以改善北方坦桑尼亚儿童损伤患者的预后。
Pediatric injuries in low- and middle-income countries are a leading cause of morbidity and mortality worldwide. Implementing hospital-based trauma registries can reduce the knowledge gap in both hospital care and patient outcomes and lead to quality improvement initiatives. The goal of this study was to create a pediatric trauma registry to provide insight into the epidemiology, outcomes, and factors associated with poor outcomes in injured children. This was a prospective observational study in which a pediatric trauma registry was implemented at a large zonal referral hospital in Northern Tanzania. Data included demographics, hospital-based care, and outcomes including morbidity and mortality. Data were input into REDCap© and analyzed using ANOVA and Chi-squared tests in SAS(Version 9.4)©. 365 patients were enrolled in the registry from November 2020 to October 2021. The majority were males (n=240, 65.8%). Most were children 0–5 years (41.7%, n=152), 34.5% (n=126) were 6–11 years, and 23.8% (n=87) were 12–17 years. The leading causes of pediatric injuries were falls (n=137, 37.5%) and road traffic injuries (n=125, 34.5%). The mortality rate was 8.2% (n=30). Of the in-hospital deaths, 43.3% were children with burn injuries who also had a higher odds of mortality than children with other injuries (OR 8.72, p<0.001). The factors associated with in-hospital mortality and morbidity were vital sign abnormalities, burn severity, abnormal Glasgow Coma Score, and ICU admission. The mortality rate of injured children in our cohort was high, especially in children with burn injuries. In order to reduce morbidity and mortality, interventions should be prioritized that focus on pediatric injured patients that present with abnormal vital signs, altered mental status, and severe burns. These findings highlight the need for health system capacity building to improve outcomes of pediatric injury patients in Northern Tanzania.
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影响因子：
3.7
作者：
Chichom-Mefire A;Nwanna-Nzewunwa OC;Siysi VV;Feldhaus I;Dicker R;Juillard C
通讯作者：
Juillard C
DOI：
10.1097/00005373-200003000-00022
发表时间：
2000-03-01
影响因子：
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作者：
Kobusingye, OC;Lett, RR
通讯作者：
Lett, RR
影响因子：
3.1
作者：
Petroze, R. T.;Martin, A. N.;Byiringiro, J. C.
通讯作者：
Byiringiro, J. C.
持续的伤害数量与12个月的残疾结局之间的关联：受伤 - 维伯斯研究的证据。
影响因子：
3.7
作者：
Gabbe BJ;Simpson PM;Lyons RA;Ameratunga S;Harrison JE;Derrett S;Polinder S;Davie G;Rivara FP
通讯作者：
Rivara FP
DOI：
10.9745/ghsp-d-19-00408
发表时间：
2020-09-30
期刊：
Global health, science and practice
影响因子：
--
作者：
Mann M;Musabyemariya I;Harding L;Braxley B
通讯作者：
Braxley B