Predictors of paediatric injury mortality
Aim. This study aimed to investigate factors predictive of childhood injury mortality.
Design. A prospective hospital-based cross-sectional study.
Methods. All attendances and admissions to the Children’s Emergency Room at the Wesley Guild Hospital, Ilesa, Osun State, Nigeria, over a period of 2 years (1 June 2007 - 30 May 2009) were serially documented and all patients with injury were recruited into the study. The socio-demographic variables, injury characteristics, Pediatric Trauma Score (PTS) and Glasgow Coma Score (GCS) were tested against outcome by binary logistic regression analysis.
Results. Five hundred and seventy-six children presented with injury during the study period with 22 deaths, giving an injury mortality rate of 3.8%. Logistic regression modelling found infancy (odds ratio (OR) 1.14, 95% confidence interval (CI) 0.04 - 0.37), head injury (OR 2.51, 95% CI 0.10 - 0.61), low PTS (≤8) (OR 8.95, 95% CI 0.86 - 0.94) and low GCS (<9) (OR 5.22, 95% CI 0.40 - 0.69) to be significant independent predictors of childhood injury mortality.
Conclusion. Prompt identification of the above factors in children with injury may prevent many deaths.
S A Adegoke, Department of Paediatrics and Child Health, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
L M Oginni,
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Date published: 2011-04-13
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