The spectrum and burden of in-patient paediatric musculoskeletal diseases in Northern Tanzania.

Autor: Walsh RB; Institute of Ageing and Health, Newcastle University, Newcastle upon Tyne, UK., Mwingwa A; Department of Microbiology and Immunology, Kilimanjaro Christian Medical University College, Moshi, Tanzania.; Department of Research, Kilimanjaro Clinical Research Institute, Kilimanjaro Christian Medical Centre, Moshi, Tanzania., Yongolo NM; Department of Research, Kilimanjaro Clinical Research Institute, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.; Department of Internal Medicine, Kilimanjaro Christian Medical University College, Moshi, Tanzania., Biswaro SM; Department of Research, Kilimanjaro Clinical Research Institute, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.; Department of Internal Medicine, Kilimanjaro Christian Medical University College, Moshi, Tanzania., Mwanswila MJ; Department of Health Management Systems, Kilimanjaro Christian Medical University College, Moshi, Tanzania., Kelly C; Institute of Ageing and Health, Newcastle University, Newcastle upon Tyne, UK., Mmbaga BT; Department of Research, Kilimanjaro Clinical Research Institute, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.; Department of Paediatrics and Child Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania., Mosha F; Department of Paediatrics and Child Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania., Gray WK; Institute of Ageing and Health, Newcastle University, Newcastle upon Tyne, UK., McIntosh E; Health Economics and Health Technology Assessment, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK., Walker RW; Institute of Ageing and Health, Newcastle University, Newcastle upon Tyne, UK.
Jazyk: angličtina
Zdroj: Paediatrics and international child health [Paediatr Int Child Health] 2022 Feb; Vol. 42 (1), pp. 12-21. Date of Electronic Publication: 2022 Apr 22.
DOI: 10.1080/20469047.2022.2062561
Abstrakt: Background: Musculoskeletal diseases (MSD) are a major contributor to the global burden of disease and disability, and disproportionally affect low- and middle-income countries; however, there is a dearth of epidemiological data. Affected children often face increased morbidity, social isolation and economic hardship.
Aim: To assess the spectrum and burden of paediatric MSD in children aged 5-18 years admitted to a major referral hospital in Tanzania.
Methods: This was a retrospective cohort study of children aged 5-18 years admitted to Kilimanjaro Christian Medical Centre (KCMC) whose initial diagnosis was recognised as a musculoskeletal condition by the International Classification of Diseases-10 between 1 January and 31 December 2017.
Results: During 2017, 163 cases of confirmed paediatric MSD were admitted to KCMC, representing 21.2% of all admissions of children aged 5-18 years ( n =  769). Bone disease was the most common diagnosis. They comprised 106 (65.0%) traumatic fractures, 31 (19.0%) osteo-articular infections, 9 (5.5%) malunions and 3 (1.8%) pathological fractures. Congenital defects and rheumatic disease were relatively uncommon, accounting for only 6 (3.7%) and 4 (2.5%) MSD admissions, respectively.
Conclusion: The majority of cases of MSD were related to fractures, followed by osteo-articular infections, while recognised cases of rheumatic disease were rare. The study, although small, identified the sizeable burden and spectrum of paediatric MSD admitted to a hospital in Tanzania over a 12-month period and highlights the need for larger studies to inform the optimal allocation of health resources.
Abbreviation: CI: confidence interval; HIC: high-income countries; HIV: human immunodeficiency virus; ICD-10: International Classification of Diseases 10; IQR: interquartile range; JIA: juvenile idiopathic arthritis; KCMC: Kilimanjaro Christian Medical Centre; LMIC: low- and middle-income countries; MSD: musculoskeletal diseases: NAI: non-accidental injury; NIHR: National Institute for Health Research; PAFLAR: Paediatric Society of the African League Against Rheumatism; RTA: road traffic accidents; SCD: sickle cell disease; SLE: systemic lupus erythematosus; SSA: sub-Saharan Africa.
Databáze: MEDLINE
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