ArticleInjury epidemiology2022
Pediatric trauma burden in Tanzania: analysis of prospective registry data from thirteen health facilities.
Article in Injury epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Transfer dynamics of pediatric thoracic trauma patients across Türkiye.Pediatric surgery international · 2026Article
- Article
- Demographics of paediatric trauma at a zonal referral hospital for northwestern Tanzania: A cross-sectional study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Article
- Evaluation of the Patient-Specific Functional Scale for monitoring paediatric injury patients at a zonal referral hospital in Northern Tanzania.BMJ paediatrics open · 2025Article
- Incidence and patterns of pediatric fractures at selected hospitals in Addis Ababa, Ethiopia, 2024: a multi-center cross-sectional study.Frontiers in pediatrics · 2025Article
- Describing trauma patient characteristics and care provided at a referral hospital in Mwanza, Tanzania: a prospective cross-sectional study.International journal of emergency medicine · 2024Article
- Epidemiological analysis of a 10-year retrospective study of pediatric trauma in intensive care.Scientific reports · 2024Article
- Characteristics of paediatric injuries as predictors of 24-hour disposition from the Emergency Department of a teaching hospital in Southwestern Uganda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Fall-Related Injuries in Malawi: Outcomes and Trends Over Time.World journal of surgery · 2023Article
- Fall injuries in Sub-Saharan Africa: analysis of prospective injury registry from 23 health facilities in Malawi and Tanzania.BMC emergency medicine · 2023Article
- Enhancing pre-school teachers' competence in managing pediatric injuries in Pemba Island, Zanzibar.BMC pediatrics · 2022Article
- Estimation of Disability Adjusted Life Years in Pediatric Injury Patients at a Zonal Referral Hospital in Northern Tanzania.Sage open pediatricsArticle
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundTrauma is among the leading causes of morbidity and mortality among pediatric and adolescent populations worldwide, with over ninety percent of childhood injuries occurring in low-income and middle-income countries. Lack of region-specific data on pediatric injuries is among the major challenges limiting the ability of health systems to implement interventions to prevent injuries and improve outcomes. We aim to characterize the burden of pediatric health injuries, initial healthcare interventions and outcomes seen in thirteen diverse healthcare facilities in Tanzania.
methodsThis was a prospective cohort study of children aged up to 18 years presenting to emergency units (EUs) of thirteen multi-level health facilities in Tanzania from 1
resultsAmong 18,553 trauma patients seen in all thirteen-health facilities, 4368 (23.5%) were children, of whom 2894 (66.7%) were male. The overall median age was 8 years (Interquartile range 4-12 years). Fall 1592 (36.5%) and road traffic crash (RTC) 840 (19.2%) were the top mechanisms of injury. Most patients 3748 (85.8%) arrived at EU directly from the injury site, using motorized (two or three) wheeled vehicles 2401 (55%). At EU, 651 (14.9%) were triaged as an emergency category. Multiple superficial injuries (14.4%), fracture of forearm (11.7%) and open wounds (11.1%) were the top EU diagnoses, while 223 (5.2%) had intracranial injuries. Children aged 0-4 years had the highest proportion (16.3%) of burn injuries. Being referred and being triaged as an emergency category were associated with high likelihood of serious injuries with adjusted odds ratio (AOR) 4.18 (95%CI 3.07-5.68) and 2.11 (95%CI 1.75-2.56), respectively. 1095 (25.1%) of patients were admitted to inpatient care, 14 (0.3%) taken to operation theatre, and 25 (0.6%) died in the EU.
conclusionsIn these multilevel health facilities in Tanzania, pediatric injuries accounted for nearly one-quarter of all injuries. Over half of injuries occurred at home. Fall from height was the leading mechanism of injury, followed by RTC. Most patients sustained fractures of extremities. Future studies of pediatric injuries should focus on evaluating various preventive strategies that can be instituted at home to reduce the incidence and associated impact of such injuries.
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