ArticleWorld journal of surgery2018
International Study of the Epidemiology of Paediatric Trauma: PAPSA Research Study.
Article in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06075108 (P-KIDs CARE), which is not on this map. Cited by 35 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
P-KIDs CARE: An Intervention to Address Health Systems Delays to Care for Injured Children in Tanzania
Who cites it
35 citing papers in PubMed.
- Designing and Implementing a Simulation-Based Pediatric Trauma Training Program in a Resource-Limited Setting: The PRACTICE Study.Pediatric reports · 2026Article
- Lactate/albumin ratio as an independent predictor of mortality in pediatric trauma patients admitted to a pediatric intensive care unit.European journal of pediatrics · 2026Article
- Trauma team activation for pediatric patients in Denmark: a multicenter study of criteria, organization, and injury severity.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Pediatric trauma management in low-resource emergency departments: from first contact to safe disposition - a narrative review.International journal of emergency medicine · 2026Review
- Social drivers and pediatric injury outcomes in Northern Tanzania: A prospective pediatric injury registry secondary analysis.PLOS global public health · 2026Article
- Management of Polytraumatized Patients: Challenges and Insights into Air Transfer.Healthcare (Basel, Switzerland) · 2025Article
- Article
- What Is the Need for and Access to Trauma Surgery in Low- and Middle-Income Countries? A Scoping Review.World journal of surgery · 2025Article
- Patterns of pediatric injuries: a prospective cross-sectional study at the Tamale Teaching Hospital, Tamale, Ghana.The Pan African medical journal · 2025Article
- Pediatric trauma patients in Swedish ambulance services -a retrospective observational study of assessments, interventions, and clinical outcomes.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Observational
- Global Initiative for Children's Surgery (GICS) Pediatric Trauma Care Initiative: A Call for a Comprehensive Approach to a Global Problem.Children (Basel, Switzerland) · 2024Review
- A review of twenty-first century developments in paediatric surgery in Africa.Pediatric surgery international · 2024Review
- Article
- Pediatric Trauma - A Silent Epidemic.Current pediatric reviews · 2024Review
- A Prospective Epidemiological Survey of Paediatric Trauma in Africa: A Cross-Sectional Study.African journal of paediatric surgery : AJPS · 2024Article
- Epidemiology and outcomes of traumatic chest injuries in children: a nationwide study in the Netherlands.European journal of pediatrics · 2023Article
- Road Traffic Accidents, Climbing Frames, or Trampolines: What Harms Children in the 2020s?Cureus · 2023Article
- Providing paediatric surgery in low-resource countries.BMJ paediatrics open · 2023Article
- Effect of the COVID-19 pandemic on emergency department attendances for pediatric injuries in Mozambique's central hospitals: an interrupted time series and a comparison within the restriction periods between 2019 and 2020.Trauma surgery & acute care open · 2023Article
- Switching from Sucrose-Formulated rFVIII to Octocog Alfa (BAY 81-8973) Prophylaxis Improves Bleed Outcomes in the LEOPOLD Clinical Trials.Journal of blood medicine · 2023Article
Corrections and comments
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Authors and funding
26 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTrauma is a significant cause of morbidity and mortality worldwide. The literature on paediatric trauma epidemiology in low- and middle-income countries (LMICs) is limited. This study aims to gather epidemiological data on paediatric trauma.
methodsThis is a multicentre prospective cohort study of paediatric trauma admissions, over 1 month, from 15 paediatric surgery centres in 11 countries. Epidemiology, mechanism of injury, injuries sustained, management, morbidity and mortality data were recorded. Statistical analysis compared LMICs and high-income countries (HICs).
resultsThere were 1377 paediatric trauma admissions over 31 days; 1295 admissions across ten LMIC centres and 84 admissions across five HIC centres. Median number of admissions per centre was 15 in HICs and 43 in LMICs. Mean age was 7 years, and 62% were boys. Common mechanisms included road traffic accidents (41%), falls (41%) and interpersonal violence (11%). Frequent injuries were lacerations, fractures, head injuries and burns. Intra-abdominal and intra-thoracic injuries accounted for 3 and 2% of injuries. The mechanisms and injuries sustained differed significantly between HICs and LMICs. Median length of stay was 1 day and 19% required an operative intervention; this did not differ significantly between HICs and LMICs. No mortality and morbidity was reported from HICs. In LMICs, in-hospital morbidity was 4.0% and mortality was 0.8%.
conclusionThe spectrum of paediatric trauma varies significantly, with different injury mechanisms and patterns in LMICs. Healthcare structure, access to paediatric surgery and trauma prevention strategies may account for these differences. Trauma registries are needed in LMICs for future research and to inform local policy.
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