TY  - JOUR
PY  - 2018//
TI  - International study of the epidemiology of paediatric trauma: PAPSA Research Study
JO  - World journal of surgery
A1  - Bradshaw, Catherine J.
A1  - Bandi, Ashwath S.
A1  - Muktar, Zahid
A1  - Hasan, Muhammad A.
A1  - Chowdhury, Tanvir K.
A1  - Banu, Tahmina
A1  - Hailemariam, Mesay
A1  - Ngu, Florence
A1  - Croaker, David
A1  - Bankolé, Rouma
A1  - Sholadoye, Tunde
A1  - Olaomi, Oluwole
A1  - Ameh, Emmanuel
A1  - Di Cesare, Antonio
A1  - Leva, Ernesto
A1  - Ringo, Yona
A1  - Abdur-Rahman, Lukman O.
A1  - Salama, Ramy
A1  - Elhalaby, Essam
A1  - Perera, Helen
A1  - Parsons, Christopher
A1  - Cleeve, Stewart
A1  - Numanoglu, Alp
A1  - van As, Sebastian
A1  - Sharma, Shilpa
A1  - Lakhoo, Kokila
SP  - 1885
EP  - 1894
VL  - 42
IS  - 6
N2  - OBJECTIVES: Trauma is a significant cause of morbidity and mortality worldwide. The literature on paediatric trauma epidemiology in low- and middle-income countries (LMICs) is limited. This study aims to gather epidemiological data on paediatric trauma. <br><br>METHODS: This is a multicentre prospective cohort study of paediatric trauma admissions, over 1 month, from 15 paediatric surgery centres in 11 countries. Epidemiology, mechanism of injury, injuries sustained, management, morbidity and mortality data were recorded. Statistical analysis compared LMICs and high-income countries (HICs). <br><br>RESULTS: There were 1377 paediatric trauma admissions over 31 days; 1295 admissions across ten LMIC centres and 84 admissions across five HIC centres. Median number of admissions per centre was 15 in HICs and 43 in LMICs. Mean age was 7 years, and 62% were boys. Common mechanisms included road traffic accidents (41%), falls (41%) and interpersonal violence (11%). Frequent injuries were lacerations, fractures, head injuries and burns. Intra-abdominal and intra-thoracic injuries accounted for 3 and 2% of injuries. The mechanisms and injuries sustained differed significantly between HICs and LMICs. Median length of stay was 1 day and 19% required an operative intervention; this did not differ significantly between HICs and LMICs. No mortality and morbidity was reported from HICs. In LMICs, in-hospital morbidity was 4.0% and mortality was 0.8%. <br><br>CONCLUSION: The spectrum of paediatric trauma varies significantly, with different injury mechanisms and patterns in LMICs. Healthcare structure, access to paediatric surgery and trauma prevention strategies may account for these differences. Trauma registries are needed in LMICs for future research and to inform local policy.<p />  <p>Language: en</p>
LA  - en
SN  - 0364-2313
UR  - http://dx.doi.org/10.1007/s00268-017-4396-6
ID  - ref1
ER  -