Evidence map›Paper›PMID 30976820›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020

Epidemiology and cost of pediatric injury in Yaoundé, Cameroon: a prospective study.

Obieze Nwanna-Nzewunwa, Marquise Kouo Ngamby, Jacob Cox, Isabelle Feldhaus, Girish Motwani, Martin Ekeke Monono, Georges Alain Etoundi, Rochelle A Dicker, Adnan A Hyder, Catherine Juillard

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 3 countries.

Obieze Nwanna-NzewunwaCenter for Global Surgical Studies, Department of Surgery, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, San Francisco, USA.
Marquise Kouo NgambyMinistry of Public Health, Yaoundé, Cameroon.
Jacob CoxSchool of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Isabelle FeldhausDepartment of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Girish MotwaniCenter for Global Surgical Studies, Department of Surgery, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, San Francisco, USA.
Martin Ekeke MononoWorld Health Organization (WHO) Regional Office, Brazzaville, Republic of the Congo.
Georges Alain EtoundiMinistry of Public Health, Yaoundé, Cameroon.
Rochelle A DickerDepartment of Surgery, University of California, Los Angeles, 10833 Le Conte Ave, 72-215 CHS, Los Angeles, CA, 90095, USA.
Adnan A HyderInternational Injury Research Unit, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Catherine JuillardDepartment of Surgery, University of California, Los Angeles, 10833 Le Conte Ave, 72-215 CHS, Los Angeles, CA, 90095, USA. c.juillard@gmail.com.
Ministry of Public Health · CMUniversity of California, Los Angeles · USUniversity of California, San Francisco · USHarvard Global Health Institute · USJohns Hopkins Medicine · USJohns Hopkins University · USWorld Health Organization Regional Office for Africa · CG

Funding

World Health Organization 001
6 · The paper itself

Abstract

purposeUnintentional injury is the leading cause of death among children aged 10-19 years and over 95% of injury deaths occur in low- and middle-income countries (LMICs). As patterns of injury in the pediatric population may differ from those in adults, risks specific to children in LMICs need to be identified for effective injury prevention and treatment. This study explores patterns of pediatric injury epidemiology and cost in Yaoundé, Cameroon to inform injury prevention and resource allocation.

methodsPediatric (age < 20 years) trauma patient data were collected at the emergency department (ED) of Central Hospital of Yaoundé (CHY) from April through October 2009. Univariate, bivariate, and multivariate analyses were used to explore injury patterns and relationships between variables. Regression analyses were conducted to identify predictors of receiving surgical care.

resultsChildren comprised 19% (544) of trauma cases. About 54% suffered road traffic injuries (RTIs), which mostly affected the limbs and pelvis (37.3%). Half the RTI victims were pedestrians. Transportation to CHY was primarily by taxi or bus (69.4%) and a preponderance (71.1%) of the severely and profoundly injured patients used this method of transport. Major or minor surgical intervention was necessary for 17.9% and 20.8% of patients, respectively. Patients with an estimated injury severity score ≥ 9 (33.2%) were more likely to need surgery (p < 0.01). The median ED cost of pediatric trauma care was USD12.71 [IQR 12.71, 23.30].

conclusionsInjury is an important child health problem that requires adequate attention and funding. Policies, surgical capacity building, and health systems strengthening efforts are necessary to address the high burden of pediatric injuries in Cameroon. Pediatric injury prevention efforts in Cameroon should target pedestrian RTIs, falls, and burns and consider school-based interventions.

Indexed as

AdolescentCameroonChildChild, PreschoolEmergency Service, HospitalFemaleHumansInfantInfant, NewbornInjury Severity ScoreMaleProspective StudiesResource AllocationWounds and InjuriesYoung AdultCameroonPediatric injuryPediatric surgeryTrauma

Identifiers

PMID30976820
OpenAlexW2937206437

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.