Epidemiology of paediatric injury in low income environment: Value of hospital based data prior to the institution of a formal registration system

Background: Little attention is generally paid to paediatric injuries, especially in low income settings. The aim of this study is to provide an overview of the epidemiology of hospital-based paediatric injuries in a semi-urban area in Cameroon prior to the initiation of a formal registration system...

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Main Authors: Alain Chichom-Mefire, Marcus Fokou
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:African Journal of Paediatric Surgery
Subjects:
Online Access:http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2013;volume=10;issue=3;spage=265;epage=270;aulast=Chichom-Mefire
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author Alain Chichom-Mefire
Marcus Fokou
author_facet Alain Chichom-Mefire
Marcus Fokou
author_sort Alain Chichom-Mefire
collection DOAJ
description Background: Little attention is generally paid to paediatric injuries, especially in low income settings. The aim of this study is to provide an overview of the epidemiology of hospital-based paediatric injuries in a semi-urban area in Cameroon prior to the initiation of a formal registration system. Patients and Methods: A sixteen items data collection sheet derived from a newly instituted trauma registry is used to retrospectively gather hospital-based basic information about epidemiology of injuries in patients aged 15 years or below in a low income setting. Results: Two hundred and seventy seven cases representing 16% of all injury cases could be analysed. The frequency of injuries significantly increased with age with a peak between 11 and 15 years (P < 0.001). Children in school playgrounds carried a significantly higher risk of sustaining an injury (P < 0.001). Falls and interpersonal violence were the most frequent mechanisms. The face and locomotor systems were the most commonly involved. More than 60% of patients were discharged back home. Conclusions: The data from the present registration system seem to indicate a higher injury rate in pre-adolescent children and in the school playground. The institution of a formal registration system is likely to improve the quality of data recording system.
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spelling doaj.art-2c1cc762c2c144c1be7ce3e563302f872022-12-22T03:20:09ZengWolters Kluwer Medknow PublicationsAfrican Journal of Paediatric Surgery0189-67250974-59982013-01-0110326527010.4103/0189-6725.120909Epidemiology of paediatric injury in low income environment: Value of hospital based data prior to the institution of a formal registration systemAlain Chichom-MefireMarcus FokouBackground: Little attention is generally paid to paediatric injuries, especially in low income settings. The aim of this study is to provide an overview of the epidemiology of hospital-based paediatric injuries in a semi-urban area in Cameroon prior to the initiation of a formal registration system. Patients and Methods: A sixteen items data collection sheet derived from a newly instituted trauma registry is used to retrospectively gather hospital-based basic information about epidemiology of injuries in patients aged 15 years or below in a low income setting. Results: Two hundred and seventy seven cases representing 16% of all injury cases could be analysed. The frequency of injuries significantly increased with age with a peak between 11 and 15 years (P < 0.001). Children in school playgrounds carried a significantly higher risk of sustaining an injury (P < 0.001). Falls and interpersonal violence were the most frequent mechanisms. The face and locomotor systems were the most commonly involved. More than 60% of patients were discharged back home. Conclusions: The data from the present registration system seem to indicate a higher injury rate in pre-adolescent children and in the school playground. The institution of a formal registration system is likely to improve the quality of data recording system.http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2013;volume=10;issue=3;spage=265;epage=270;aulast=Chichom-Mefiree0 pidemiologyhospital-basedlow income settingpaediatric injuryregistration system
spellingShingle Alain Chichom-Mefire
Marcus Fokou
Epidemiology of paediatric injury in low income environment: Value of hospital based data prior to the institution of a formal registration system
African Journal of Paediatric Surgery
e0 pidemiology
hospital-based
low income setting
paediatric injury
registration system
title Epidemiology of paediatric injury in low income environment: Value of hospital based data prior to the institution of a formal registration system
title_full Epidemiology of paediatric injury in low income environment: Value of hospital based data prior to the institution of a formal registration system
title_fullStr Epidemiology of paediatric injury in low income environment: Value of hospital based data prior to the institution of a formal registration system
title_full_unstemmed Epidemiology of paediatric injury in low income environment: Value of hospital based data prior to the institution of a formal registration system
title_short Epidemiology of paediatric injury in low income environment: Value of hospital based data prior to the institution of a formal registration system
title_sort epidemiology of paediatric injury in low income environment value of hospital based data prior to the institution of a formal registration system
topic e0 pidemiology
hospital-based
low income setting
paediatric injury
registration system
url http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2013;volume=10;issue=3;spage=265;epage=270;aulast=Chichom-Mefire
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