TY - JOUR
PY - 2018//
TI - Childhood injuries in Oman: retrospective review of a multicentre trauma registry data
JO - BMJ paediatrics open
A1 - Mehmood, Amber
A1 - Agrawal, Priyanka
A1 - Allen, Katharine A.
A1 - Al-Kashmiri, Ammar
A1 - Al-Busaidi, Ali
A1 - Hyder, Adnan Ali
SP - e000310
EP - e000310
VL - 2
IS - 1
N2 - OBJECTIVES: Injuries are among the top causes of hospital-based mortality for adults in Oman. However, little is known about the distribution and risk of injuries among children. This paper describes the epidemiology and risk factors for childhood injuries (0-15 years of age), in two hospitals of Oman.
METHODS: Data were collected between November 2014 and April 2015 at Khoula and Nizwa Hospitals. All patients between 0 and 15 years with a diagnosis of injury/trauma admitted to the hospital, and those who had trauma team activation in the emergency department were included in the analysis. Descriptive and multivariable Poisson regression analyses were conducted to generate sociodemographic risk factor profiles associated with the need for surgical management of injuries.
RESULTS: Out of 795 cases, 59% were under 5 years of age; 67% were males. Around 50% injuries were fall related, followed by exposure to inanimate mechanical forces and transport injuries. Burn injuries were more prevalent in females than males. Three-fourths of all injuries occurred in private residences. Almost 92% injuries were minor (Injury Severity Score <9). Of children with all types of injuries, 303 (40.9%) received surgical treatment. Patients suffering from head injuries (RR 8.8: 95% CI 4.9 to 15.3) or being involved in a burn injury (RR 1.5: 95% CI 0.3 to 7.5) were at increased risk of undergoing surgical treatment.
CONCLUSION: In this study, >30% of injury admissions were children 0-15 years of age. The high incidence of falls, home injuries and burns highlight the need for age-targeted interventions and injury control programmes. Although infrequent, transport injuries and head injuries put children in need of surgical management and prolonged hospital care.
Language: en
LA - en SN - 2399-9772 UR - http://dx.doi.org/10.1136/bmjpo-2018-000310 ID - ref1 ER -