Pattern and Outcome of Non-Incidental Injuries in Children: Reports from a Tertiary Hospital
Main Article Content
Keywords
Children, Domestic Accident, Traumatic Brain Injury, Trauma
Abstract
Domestic accidents and the resulting injuries are major global health concerns, especially when children are affected. Household accidents result in morbidity and mortality in children but are often neglected compared to the attention given to other childhood illnesses. This is a case series of 6 children involved in domestic accidents due to the caregivers' negligence. The patients presented at the Accident and Emergency Department of the University of Port Harcourt Teaching Hospital, Nigeria. Domestic accidents can result from falls from height leading to traumatic brain injury, which can be mild, moderate or severe. All the falls in this case series were preventable. Therefore, it is recommended that safety measures should be instituted at home and wherever children are to prevent any accident which can lead to physical injury and indirectly impact the parents, guardians and family.
References
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31.Kocak S, Dundar ZD, Yavuz K, Onal MA, Dikmetas C, Girisegin AS et al. Etiologic factors in falls from height in paediatric cases. Eur J Trauma Emerg Surg. 2012;38:313-317.
2.Esin IAR, Alabi S, Lawal OAR. Childhood injuries in a tertiary institution in North-East Nigeria. Afr J Paed Surg. 2013; 10:367-370.
3.Obiorah CC, Offia SAU. Autopsy study of accidental mortality in Rivers State, Nigeria. Ann Trop Path. 2013; 4:23-31.
4.Onyemachi NO, Nwankwo OE. Epidemiology of injuries seen in a Nigerian Tertiary Hospital. Niger J ClinPract. 2018;216:742 -757.
5.Qwushi JS, Ohm R, Rajala H, Mabechi C, Sadr-Azodi O, Andren-Sandberg A, et al. Head injury triage in a sub-Saharan African urban population. Inter J Surg. 2013; 11: 265-269.
6.Ekpemo SC, Okoronkwo N. Evaluation of trauma in children in Aba. Niger J. Surg. 2019; 7: 38-40.
7.Eke CB, Igbokwe OO, Onkwuli VO. Caregivers' perception of the unintentional child and adolescent injuries in Enugu, Nigeria. Open J Paed. 2019;9:218-231.
8.Siva MF, Funtinale DRS, Oliveria AVS, Bezerra MAR, Rocha SS. Determining factors of domestic accidents in early childhood. JHum Growth Dev. 2017;27:10-15.
9.Shour AR, Holmes B, Amah EA, Olaoni OO, Anguzu R, Cassidy LD. Motor Vehicle accident is a risk factor for traumatic head injury among children in Abuja: analysis of the first traumaRegistry in Nigeria.Pan African MedJ. 2 019:33:215.[doi:10.11604/pamj.2019.33.215.19289].
10.United Nations Children's Fund. Innocenti Research Centre, Florence, Italy. A league table of child deaths by injury in rich nations. 2001, Issue No, 1. Retrieved from www.unicef-icdc.org.
11.Tripura K, Das R, Datta SS, Bhattacharjee P, Singh B. Prevalence and management of domestic injuries among under-five children in a peri-urban area of Agartula, Tripura. Health Agenda. 2015;3:41-45.
12.Ndungu A, Sun J, Musan J, Ndirangu E. Patterns and outcomes of paediatric trauma at aTertiaryteachinghospitalin Kenya.2 0 1 9;9 (Suppl):S47 - S51 .d o i:10.1016/j.afjem.2018.12.004.
13.Ahmed SS, Ahmed HAF, Mohammed HM, Shelil AE, Ebomer H. Prevention of home accident among children with retinoblastoma. Inter J Novel Res Healthcare Nurs. 2019;6:1059-1075.
14.Somad B, Khagula B, Faou ZRM, Sadlock B, Chookhtar H. Domestic accidents: Intelligent analysis and prevention in Setif Region, Algeria. Inter J Adv Res Publications.2018; 2:15-19.
15.Al-Bshri SA, Jahan S. Prevalence of home-related injuries among children under 5 years old and practice of mother towards first aid in Buraidah, Qassim. J Fam Med Prim Care.2021; 10:1234-40.
16.Bartleft SN. The problem of children's injuries in low-income countries; a review. Health Policy Planning. 2002; 17:1-13.
17.Rehman T, Sulgante S, Sekhar SK. Prevalence and pattern of domestic accidents in the field practice area of Jawaharlal Institute of Urban Health Centre, Puducherry: a cross-sectional analytical study. J Inj Violence Res. 2020;12:1-10.
18.Perez-Suarez E, Jimene -Garcia R, Iglesias-Bouzas M, Serrano A, Porto-Abad R, Casado-Flores J. Falls from heights in Paediatrics, epidemiology, and evaluation of 54 patients. Medicina Intensiva. 2012;36:89-94.
19.Emejulu JRC, Isiguzo CM, Agbasoga CE, Ogbuagu CN. Traumatic brain injury in the Accident and Emergency department of a tertiary hospital in Nigeria. East Central Afr JSurg. 2010; 15: 28-38.
20.Ogolodom MP, David LK, Erondu OF, Okeji MC, Mbaba AN. Patterns of traumatic head injury among patients that underwent craniofacial computed tomography scan in Port Harcourt metropolis, Rivers State, Nigeria. Health Sci J. 2019; 13:615.
21.Onwuchekwa RC, Echem RC. An epidemiologic study of traumatic head injuries in the emergency department of a tertiary health institution. J Med Trop. 2018; 20:24-9.
22.Nnadi MON, Bankole OB, Fente BG. Epidemiology and treatment outcome of head injury in children: A prospective study. JPaed Neurosci. 2014;9:237-241.
23.Onyemaechi NO, Bis-Onyemachi Al, Nduagubam OV. Epidemiology and pattern of paediatric injuries in a developing country; an analysis of 170 injuries. Malawi Med J.2020; 362:95-100.
24.Azubuike SO, Onyemaka EO. Epidemiology of non-fatal injuries among adolescents in an urban Niger Delta community in Nigeria. InterJ Critical Illness Injury Sci. 2012;2:180-185.
25.Divya BV, Jayasree TM, Felix AJW. A study on occurrence and risk factors of domestic accidents in south India. Inter J Comm MedPublic Health. 2016; 3:2387-2392.
26.Adeolu A, Malomo A, Shokunbi M, Komolafe E, Abiona T. Etiology of head injuries in southwestern Nigeria: a public health perspective. Internet J Epid. 2004; 2: doi.10.5580/21012
27.Rhine T, Wade SL, Zhang N, Zang H, Kennebeck S, Babcock l. factors influencing ED care of young children at-risk for clinically important traumatic brain injury. Am J Emerg Med. 2018; 36: 1027-1031.
28.Anwar MM, Mostafa ZM, Elareed HR. Maternal knowledge and attitude about home-related injuries in children under the age of five years. Egyptian Fam Med J. 2022; 5: http://efmj.journals.ekb.eg
29.Terkimbi AI, Mohammed H, Msuega CD, Lorpaghar KP, Ayoughur N. Pattern of traumatic head injury in Makurdi, north central Nigeria: accident and emergency experience. J Med Sci Clin res. 2020;8:193-201.
30.Rumba DA, Awisi HH, Buwaiqui MA, RabaaniSA. Home accidents among children: a retrospective study at a tertiary centre in Oman. Oman Med J. 2020;35:e85.doi:10.5001/omj.2020.03
31.Kocak S, Dundar ZD, Yavuz K, Onal MA, Dikmetas C, Girisegin AS et al. Etiologic factors in falls from height in paediatric cases. Eur J Trauma Emerg Surg. 2012;38:313-317.
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Published
Feb 24, 2023
Article Details
How to Cite
Buowari, D., & Ikpae, E. B. (2023). Pattern and Outcome of Non-Incidental Injuries in Children: Reports from a Tertiary Hospital. Nigerian Medical Journal, 63(6), 474. Retrieved from https://nigerianmedjournal.org/index.php/nmj/article/view/109
Section
Case reports or Series
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