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A cohort of pediatric injury patients from a hospital-based trauma registry in Northern Tanzania.

Publication ,  Journal Article
Keating, EM; Sakita, F; Mmbaga, BT; Nkini, G; Amiri, I; Tsosie, C; Fino, N; Watt, MH; Staton, CA
Published in: Afr J Emerg Med
September 2022

INTRODUCTION: 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. METHODS: 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)©. RESULTS: 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. CONCLUSION: 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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Published In

Afr J Emerg Med

DOI

EISSN

2211-4203

Publication Date

September 2022

Volume

12

Issue

3

Start / End Page

208 / 215

Location

Netherlands

Related Subject Headings

  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Keating, E. M., Sakita, F., Mmbaga, B. T., Nkini, G., Amiri, I., Tsosie, C., … Staton, C. A. (2022). A cohort of pediatric injury patients from a hospital-based trauma registry in Northern Tanzania. Afr J Emerg Med, 12(3), 208–215. https://doi.org/10.1016/j.afjem.2022.04.008
Keating, Elizabeth M., Francis Sakita, Blandina T. Mmbaga, Getrude Nkini, Ismail Amiri, Chermiqua Tsosie, Nora Fino, Melissa H. Watt, and Catherine A. Staton. “A cohort of pediatric injury patients from a hospital-based trauma registry in Northern Tanzania.Afr J Emerg Med 12, no. 3 (September 2022): 208–15. https://doi.org/10.1016/j.afjem.2022.04.008.
Keating EM, Sakita F, Mmbaga BT, Nkini G, Amiri I, Tsosie C, et al. A cohort of pediatric injury patients from a hospital-based trauma registry in Northern Tanzania. Afr J Emerg Med. 2022 Sep;12(3):208–15.
Keating, Elizabeth M., et al. “A cohort of pediatric injury patients from a hospital-based trauma registry in Northern Tanzania.Afr J Emerg Med, vol. 12, no. 3, Sept. 2022, pp. 208–15. Pubmed, doi:10.1016/j.afjem.2022.04.008.
Keating EM, Sakita F, Mmbaga BT, Nkini G, Amiri I, Tsosie C, Fino N, Watt MH, Staton CA. A cohort of pediatric injury patients from a hospital-based trauma registry in Northern Tanzania. Afr J Emerg Med. 2022 Sep;12(3):208–215.

Published In

Afr J Emerg Med

DOI

EISSN

2211-4203

Publication Date

September 2022

Volume

12

Issue

3

Start / End Page

208 / 215

Location

Netherlands

Related Subject Headings

  • 3202 Clinical sciences