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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Trends and outcomes following intentional injuries in pediatric patients in a resource-limited setting
Pediatric Surgery International, Volume 37, No. 5, Year 2021
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Description
Introduction: Intentional injuries pose a significant, yet underreported threat to children in sub-Saharan Africa. We sought to evaluate intentional injuries trends and compare outcomes between unintentional and intentional injuries in pediatric patients presenting to a tertiary care facility in Malawi. Methods: We performed a review of pediatric (≤15 years old) trauma patients presenting to Kamuzu Central Hospital, Lilongwe, Malawi, from 2009 to 2018. Patient characteristics and outcomes were compared based on the injury intent, using bivariate and multivariate regression analysis. Results: We included 42,600 pediatric trauma patients in the study. Intentional injuries accounted for 5.9% of all injuries. Children with intentional injuries were older (median, 10 vs. 6 years, p < 0.001), more likely to be male (68.4% vs. 63.9%, p < 0.001), and had significantly lower mortality (0.8% vs. 1.4%, p = 0.02) than those with unintentional injuries There was no significant change in the incidence of or mortality associated with intentional injuries. On multivariable regression, increasing age, head and cervical spine injury, night-time presentation, penetrating injury, and alcohol use were associated with increased risk of intentional harm. Conclusion: Intentional injury remains a significant cause of pediatric trauma in Malawi without decreasing hospital presentation incidence or mortality. In sub-Saharan Africa, there is a need to develop comprehensive plans and policies to protect children. Level of evidence: II. © 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature.
Authors & Co-Authors
Akinkuotu, Adesola C.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Purcell, Laura N.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Kayange, Linda
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Phillips, Michael R.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Hayes-Jordan, Andrea A.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Charles, Anthony G.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Statistics
Authors: 6
Affiliations: 1
Identifiers
Doi:
10.1007/s00383-020-04849-z
ISSN:
01790358
Research Areas
Health System And Policy
Maternal And Child Health
Substance Abuse
Violence And Injury
Study Design
Cohort Study
Study Approach
Quantitative
Study Locations
Malawi
Participants Gender
Male