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Publication . Article . 2020

Epidemiology of paediatric injuries in Rwanda using a prospective trauma registry

Robin T. Petroze; Allison N. Martin; Edmond Ntaganda; Patrick Kyamanywa; Etienne St-Louis; Sara K. Rasmussen; James Forrest Calland; +1 Authors
Open Access
Published: 01 Feb 2020 Journal: BJS Open, volume 4, pages 78-85 (eissn: 2474-9842, Copyright policy )
Publisher: Oxford University Press (OUP)

Background Child survival initiatives historically prioritized efforts to reduce child morbidity and mortality from infectious diseases and maternal conditions. Little attention has been devoted to paediatric injuries in resource‐limited settings. This study aimed to evaluate the demographics and outcomes of paediatric injury in a sub‐Saharan African country in an effort to improve prevention and treatment. Methods A prospective trauma registry was established at the two university teaching campuses of the University of Rwanda to record systematically patient demographics, prehospital care, initial physiology and patient outcomes from May 2011 to July 2015. Univariable analysis was performed for demographic characteristics, injury mechanisms, geographical location and outcomes. Multivariable analysis was performed for mortality estimates. Results Of 11 036 patients in the registry, 3010 (27·3 per cent) were under 18 years of age. Paediatric patients were predominantly boys (69·9 per cent) and the median age was 8 years. The mortality rate was 4·8 per cent. Falls were the most common injury (45·3 per cent), followed by road traffic accidents (30·9 per cent), burns (10·7 per cent) and blunt force/assault (7·5 per cent). Patients treated in the capital city, Kigali, had a higher incidence of head injury (7·6 per cent versus 2·0 per cent in a rural town, P < 0·001; odds ratio (OR) 4·08, 95 per cent c.i. 2·61 to 6·38) and a higher overall injury‐related mortality rate (adjusted OR 3·00, 1·50 to 6·01; P = 0·019). Pedestrians had higher overall injury‐related mortality compared with other road users (adjusted OR 3·26, 1·37 to 7·73; P = 0·007). Conclusion Paediatric injury is a significant contributor to morbidity and mortality. Delineating trauma demographics is important when planning resource utilization and capacity‐building efforts to address paediatric injury in low‐resource settings and identify vulnerable populations.

This study evaluated the demographics and outcomes of paediatric injury in Rwanda through a prospective trauma registry to inform capacity‐building for prevention and treatment. Patients treated in the capital city had a higher incidence of head injury and a higher overall injury‐related mortality than those in a rural town. Pedestrians had higher overall injury‐related mortality compared with other road‐users. Falls and road traffic accidents significant contributors to pediatric injury in Rwanda

Subjects by Vocabulary

Microsoft Academic Graph classification: medicine.medical_specialty Poison control Occupational safety and health Epidemiology Injury prevention medicine business.industry Mortality rate Incidence (epidemiology) Head injury Odds ratio medicine.disease Emergency medicine business

Library of Congress Subject Headings: lcsh:Surgery lcsh:RD1-811


Male, Emergency Medical Services, Adolescent, Humans, Prospective Studies, Registries, General, Child, Incidence, Infant, Newborn, Rwanda, Infant, Original Articles, General Medicine, Logistic Models, Child, Preschool, Multivariate Analysis, Wounds and Injuries, Original Article, Female

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Funded by
NIH| Surgical Infectious Diseses and Transplantation Training Grant
  • Funder: National Institutes of Health (NIH)
  • Project Code: 5T32AI078875-02
NIH| Fogarty International Clinical Research Scholars Support Center @ Vanderbilt-AAMC
  • Funder: National Institutes of Health (NIH)
  • Project Code: 5R24TW007988-04
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