Evaluation of Trauma in Children in Aba Nigeria

Samuel Chidi Ekpemo; Nneka Okoronkwo

doi:doi:10.11648/j.js.20190702.13

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Evaluation of Trauma in Children in Aba Nigeria

Samuel Chidi Ekpemo, Nneka Okoronkwo

Published in Journal of Surgery (Volume 7, Issue 2)

Received: 4 March 2019 Accepted: 9 April 2019 Published: 6 May 2019

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Abstract

Background: Trauma is a leading cause of morbidity and mortality in children. The incidence has been on the increase in our sub-region in recent years. The aim of this study is to present the clinical presentation, management and outcome of children involved in trauma in at the Abia State University Teaching Hospital. Methods: A prospective study of children managed for trauma in our centre from January 2018 to December 2018. A Proforma was designed to include demographic data, clinical presentation, investigation, treatment and outcome. These data was collated and analysed using SPSS version 17.0. Results: A total of 300 patients presented to our trauma centre during the study period. There were 200 boys and 100 girls. The median age was 6 years (range 1 month to 15 years). The median duration of presentation was 4 hours (40 minutes to 7 days). 100 patients presented between 12 am and 7pm while 200 patients were seen between 7pm and 12 midnight. At presentation 250 patients were in pain, 150 bleeding, 120 had a swelling of part of the body, 20 were unconscious, and 10 had polytrauma. The cause of the trauma were Tricycle accident 100, motor vehicle 80 patients, burns 40, fall from height 20, gunshot injuries 10and others 10. The investigations include X-rays, FAST, CT-scan, haematological and biochemical test. The diagnosis at presentation revealed; 40 head injury, 100 lacerations, 10chest injuries, 30 blunt abdominal injuries, 20 pelvic injuries, 40 burns, 40 limb fractures, 20 poly-traumatised patients. There were 30 (10%) mortalities. Conclusion: The result in this series shows good outcome in children managed for trauma in our centre. There may therefore be the need for training, procurement of equipment and the establishment of paediatric trauma centres in the various sub-regions in the country. This will help in reducing morbidity and mortality.

Published in	Journal of Surgery (Volume 7, Issue 2)
DOI	10.11648/j.js.20190702.13
Page(s)	38-40
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Trauma, Children, Evaluation

References

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[8]	Schmidt B, Schimpl G, Hollwarth ME. Blunt liver trauma in children. Pediatr Surg Int. 2004; 20(11-12):846-50.
[9]	Nance ML, Sing RF, Branas CC, Schwab CW. Shotgun wounds in children. Not just accidents. Arch Surg. 1997; 132(1):58-61.
[10]	Tataria M, Nance ML, Holmes JH 4th, et al. Pediatric blunt abdominal injury: age is irrelevant and delayed operation is not detrimental. J Trauma. 2007; 63(3):608-14.
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Samuel Chidi Ekpemo, Nneka Okoronkwo. (2019). Evaluation of Trauma in Children in Aba Nigeria. Journal of Surgery, 7(2), 38-40. https://doi.org/10.11648/j.js.20190702.13

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Samuel Chidi Ekpemo; Nneka Okoronkwo. Evaluation of Trauma in Children in Aba Nigeria. J. Surg. 2019, 7(2), 38-40. doi: 10.11648/j.js.20190702.13

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Samuel Chidi Ekpemo, Nneka Okoronkwo. Evaluation of Trauma in Children in Aba Nigeria. J Surg. 2019;7(2):38-40. doi: 10.11648/j.js.20190702.13

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@article{10.11648/j.js.20190702.13,
  author = {Samuel Chidi Ekpemo and Nneka Okoronkwo},
  title = {Evaluation of Trauma in Children in Aba Nigeria},
  journal = {Journal of Surgery},
  volume = {7},
  number = {2},
  pages = {38-40},
  doi = {10.11648/j.js.20190702.13},
  url = {https://doi.org/10.11648/j.js.20190702.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190702.13},
  abstract = {Background: Trauma is a leading cause of morbidity and mortality in children. The incidence has been on the increase in our sub-region in recent years. The aim of this study is to present the clinical presentation, management and outcome of children involved in trauma in at the Abia State University Teaching Hospital. Methods: A prospective study of children managed for trauma in our centre from January 2018 to December 2018. A Proforma was designed to include demographic data, clinical presentation, investigation, treatment and outcome. These data was collated and analysed using SPSS version 17.0. Results: A total of 300 patients presented to our trauma centre during the study period. There were 200 boys and 100 girls. The median age was 6 years (range 1 month to 15 years). The median duration of presentation was 4 hours (40 minutes to 7 days). 100 patients presented between 12 am and 7pm while 200 patients were seen between 7pm and 12 midnight. At presentation 250 patients were in pain, 150 bleeding, 120 had a swelling of part of the body, 20 were unconscious, and 10 had polytrauma. The cause of the trauma were Tricycle accident 100, motor vehicle 80 patients, burns 40, fall from height 20, gunshot injuries 10and others 10. The investigations include X-rays, FAST, CT-scan, haematological and biochemical test. The diagnosis at presentation revealed; 40 head injury, 100 lacerations, 10chest injuries, 30 blunt abdominal injuries, 20 pelvic injuries, 40 burns, 40 limb fractures, 20 poly-traumatised patients. There were 30 (10%) mortalities. Conclusion: The result in this series shows good outcome in children managed for trauma in our centre. There may therefore be the need for training, procurement of equipment and the establishment of paediatric trauma centres in the various sub-regions in the country. This will help in reducing morbidity and mortality.},
 year = {2019}
}

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TY - JOUR
T1 - Evaluation of Trauma in Children in Aba Nigeria
AU - Samuel Chidi Ekpemo
AU - Nneka Okoronkwo
Y1 - 2019/05/06
PY - 2019
N1 - https://doi.org/10.11648/j.js.20190702.13
DO - 10.11648/j.js.20190702.13
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 38
EP - 40
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20190702.13
AB - Background: Trauma is a leading cause of morbidity and mortality in children. The incidence has been on the increase in our sub-region in recent years. The aim of this study is to present the clinical presentation, management and outcome of children involved in trauma in at the Abia State University Teaching Hospital. Methods: A prospective study of children managed for trauma in our centre from January 2018 to December 2018. A Proforma was designed to include demographic data, clinical presentation, investigation, treatment and outcome. These data was collated and analysed using SPSS version 17.0. Results: A total of 300 patients presented to our trauma centre during the study period. There were 200 boys and 100 girls. The median age was 6 years (range 1 month to 15 years). The median duration of presentation was 4 hours (40 minutes to 7 days). 100 patients presented between 12 am and 7pm while 200 patients were seen between 7pm and 12 midnight. At presentation 250 patients were in pain, 150 bleeding, 120 had a swelling of part of the body, 20 were unconscious, and 10 had polytrauma. The cause of the trauma were Tricycle accident 100, motor vehicle 80 patients, burns 40, fall from height 20, gunshot injuries 10and others 10. The investigations include X-rays, FAST, CT-scan, haematological and biochemical test. The diagnosis at presentation revealed; 40 head injury, 100 lacerations, 10chest injuries, 30 blunt abdominal injuries, 20 pelvic injuries, 40 burns, 40 limb fractures, 20 poly-traumatised patients. There were 30 (10%) mortalities. Conclusion: The result in this series shows good outcome in children managed for trauma in our centre. There may therefore be the need for training, procurement of equipment and the establishment of paediatric trauma centres in the various sub-regions in the country. This will help in reducing morbidity and mortality.
VL - 7
IS - 2
ER -

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Author Information

Samuel Chidi Ekpemo

Department of Surgery, Abia State University, Aba, Nigeria
Nneka Okoronkwo

Department of Paediatrics, Abia State University, Aba, Nigeria

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Samuel Chidi Ekpemo, Nneka Okoronkwo. (2019). Evaluation of Trauma in Children in Aba Nigeria. Journal of Surgery, 7(2), 38-40. https://doi.org/10.11648/j.js.20190702.13

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ACS Style

Samuel Chidi Ekpemo; Nneka Okoronkwo. Evaluation of Trauma in Children in Aba Nigeria. J. Surg. 2019, 7(2), 38-40. doi: 10.11648/j.js.20190702.13

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AMA Style

Samuel Chidi Ekpemo, Nneka Okoronkwo. Evaluation of Trauma in Children in Aba Nigeria. J Surg. 2019;7(2):38-40. doi: 10.11648/j.js.20190702.13

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@article{10.11648/j.js.20190702.13,
  author = {Samuel Chidi Ekpemo and Nneka Okoronkwo},
  title = {Evaluation of Trauma in Children in Aba Nigeria},
  journal = {Journal of Surgery},
  volume = {7},
  number = {2},
  pages = {38-40},
  doi = {10.11648/j.js.20190702.13},
  url = {https://doi.org/10.11648/j.js.20190702.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190702.13},
  abstract = {Background: Trauma is a leading cause of morbidity and mortality in children. The incidence has been on the increase in our sub-region in recent years. The aim of this study is to present the clinical presentation, management and outcome of children involved in trauma in at the Abia State University Teaching Hospital. Methods: A prospective study of children managed for trauma in our centre from January 2018 to December 2018. A Proforma was designed to include demographic data, clinical presentation, investigation, treatment and outcome. These data was collated and analysed using SPSS version 17.0. Results: A total of 300 patients presented to our trauma centre during the study period. There were 200 boys and 100 girls. The median age was 6 years (range 1 month to 15 years). The median duration of presentation was 4 hours (40 minutes to 7 days). 100 patients presented between 12 am and 7pm while 200 patients were seen between 7pm and 12 midnight. At presentation 250 patients were in pain, 150 bleeding, 120 had a swelling of part of the body, 20 were unconscious, and 10 had polytrauma. The cause of the trauma were Tricycle accident 100, motor vehicle 80 patients, burns 40, fall from height 20, gunshot injuries 10and others 10. The investigations include X-rays, FAST, CT-scan, haematological and biochemical test. The diagnosis at presentation revealed; 40 head injury, 100 lacerations, 10chest injuries, 30 blunt abdominal injuries, 20 pelvic injuries, 40 burns, 40 limb fractures, 20 poly-traumatised patients. There were 30 (10%) mortalities. Conclusion: The result in this series shows good outcome in children managed for trauma in our centre. There may therefore be the need for training, procurement of equipment and the establishment of paediatric trauma centres in the various sub-regions in the country. This will help in reducing morbidity and mortality.},
 year = {2019}
}

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