Epidemiology of childhood injury. Commentary.
A review of childhood injuries at the Wesley Guild Hospital, a component of Obafemi Awolowo University Teaching Hospital Complex, lle-lfe, Nigeria, showed that 1,471 patients seen in the children's emergency room during a period of 4 years (1992-1995) were there as a result of trauma, representing 9% of all patients seen.
The case notes and accident and emergency cards of 1,224 were available for review.
Ages ranged from 2 months to 15 years, with a mean of 6.9 years, and 40% of the patients were between 5 and 10 years of age.
More males were affected than females, with a ratio of 1.5 : 1. Road traffic crashes were the most common causal factor, responsible for 324 injuries (26.5%). About 90% of these were pedestrians knocked down by automobiles and motorcycles.
Passengers accounted for about 10% of the cases.
Falls occurred in 305 patients (25%) ; 229 patients fell while on level ground either playing or running, accounting for 75%. There were 122 patients (10%) with misplaced foreign bodies ; about 60% of these were recovered from the ears, and 26.3% from the nostrils.
Edible seeds were the most common foreign bodies, followed by beads.
Injuries from bites occurred in 108 patients, with dog and snake bites taking the lead.
Burns, mainly from scalding, occurred in 89 patients.
Other rare injuries were knife wounds, gunshot wounds, and injuries resulting from assaults.
The home was the most common site of injury (570 patients, 46. (...)
Mots-clés Pascal : Accident, Indication, Service urgence, Distribution, Localisation, Etiologie, Traitement, Temps séjour, Epidémiologie, Enfant, Homme, Nigéria, Afrique, Traumatisme
Mots-clés Pascal anglais : Accident, Indication, Emergency department, Distribution, Localization, Etiology, Treatment, Residence time, Epidemiology, Child, Human, Nigeria, Africa, Trauma
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0218495
Code Inist : 002B30A01A2. Création : 11/09/1998.