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Journal Article


Shour AR, Holmes B, Ameh EA, Olaomi OO, Anguzu R, Cassidy LD. Pan. Afr. Med. J. 2019; 33: e215.


Institute for Health and Equity, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.


(Copyright © 2019, African Field Epidemiology Network)








INTRODUCTION: Pediatric traumatic injury is a major public health concern that is poorly documented in lower and middle-income countries. This study analyzed data on pediatric injuries from a unique hospital trauma registry in Abuja, Nigeria.

METHODS: Data were analyzed on 220 traumatically injured patients aged 21 years/less to describe injury characteristics and to determine the association between mechanism of injury and pediatric head injuries in Abuja, Nigeria, between 2014 and 2015. Bivariate analysis using Pearson's chi-square and adjusted logistic regression were conducted to characterize the population and identify risk factors for head injury. P-values<0.05 were considered statistically significant. All statistical analyses were performed using STATA v.15.1.

RESULTS: The majority of patients were male (60.9%) with a mean age (SD) of 12.5±6.9 years. Head injuries were most common (49.6%), followed by chest (14.1%), abdomen (12.3%) and back (7.7%). The mechanism of injury was statistically significantly associated with head injury (p=0.027) with 63% of children in a motor vehicle accident sustaining a head injury. After adjusting for covariates, the odds of head injury were 3.8 times higher for children injured in a motor vehicle accidents (MVA) compared to those with falls (95%CI 1.40-10.40).

CONCLUSION: This analysis reveals that motor vehicle accident is a risk factor for traumatic head injury among children in Nigeria. Therefore, efforts should be made to address motor vehicle accidents involving children. These data will help to inform age-related prevention and treatment strategies. The results of this study highlight the importance of collecting pediatric trauma data in developing countries.

© Abdul Rahman Shour et al.

Language: en


Nigeria trauma registry; Pediatric trauma; head injuries; lower and middle-income countries; mechanism of injury; motor vehicle accident


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