Trauma admissions among street children at a tertiary care hospital in north-western Tanzania: a neglected public health problem

Autor: Wemaeli Mweteni, Neema Kayange, Sospatro E. Ngallaba, Anthony Kapesa, Phillipo L Chalya, Kiyeti A. Hauli
Přispěvatelé: None
Rok vydání: 2016
Předmět:
Zdroj: Tanzania Journal of Health Research; Vol 18, No 3 (2016)
ISSN: 1821-9241
1821-6404
DOI: 10.4314/thrb.v18i3.x
Popis: Background: Trauma among street children is an emerging but neglected public health problem in most low and middle income countries. This study was conducted to determine the incidence, etiological spectrum, injury characteristics and treatment outcome among street children and to identify the predictors of the outcome of these patients at Bugando Medical Centre in Mwanza, Tanzania.Methods: The study included street children aged 24 hours) after injury. Blunt injuries were the most common (76.0%) mechanism of injuries. Musculoskeletal (30.8%) and head (25.3%) were the most frequent body regions affected. Soft tissue injuries were the most common type of injuries affecting 322 (94.2%) cases. Majority of patients (96.5%) underwent surgical treatment of which wound debridement (97.6%) was the most common surgical procedure performed. Complication rate was 39.5%. The median hospital stay was 6 days. Mortality rate was 13.5% and it was significantly associated with injury-arrival time (OR =2.4, 95%CI (1.3-5.6), p = 0.002), severe injury (Kampala Trauma Score
Databáze: OpenAIRE