BACKGROUND: Pediatric trauma is a significant public health problem in resource-constrained settings; however, the epidemiology of injuries is poorly defined in Rwanda. This study describes the characteristics of pediatric trauma patients transported to the emergency department (ED) of the Centre Hospitalier Universitaire de Kigali by emergency medical services in Kigali, Rwanda. METHODS: This cohort study was conducted at the Centre Hospitalier Universitaire de Kigali from December 2012 to February 2015. Patients 15 years or younger brought by emergency medical services for injuries to the ED were included. Prehospital and hospital-based data on demographics, injury characteristics, treatments, and outcomes were gathered. RESULTS: Data from 119 prehospital patients were accrued, with corresponding hospital data for 64 cases. The median age was 9.5 years, with most patients being male (67.2%). Injured children were most frequently brought from a street setting (69.6%). Road traffic injuries accounted for 69.4% of all mechanisms, with more than two thirds due to pedestrians being struck. Extremity trauma was the most common region of injury (53.1%), followed by craniofacial (46.8%). The most frequent ED interventions were analgesia (66.1%) and intravenous fluids (43.6%). Half of the 16 obtained head computed tomography scans demonstrated acute pathology. Twenty-eight patients (51.9%) were admitted, with 57.1% requiring surgery and having a median in-hospital care duration of 9 days (range, 1-122 days). CONCLUSIONS: In this cohort of Rwandan pediatric trauma patients, injuries to the extremities and craniofacial regions were most common. Theses traumatic patterns were predominantly due to road traffic injury, suggesting that interventions addressing the prevention of this mechanism, and treatment of the associated injury patterns, may be beneficial in the Rwandan setting.
BACKGROUND:Pediatric trauma is a significant public health problem in resource-constrained settings; however, the epidemiology of injuries is poorly defined in Rwanda. This study describes the characteristics of pediatric traumapatients transported to the emergency department (ED) of the Centre Hospitalier Universitaire de Kigali by emergency medical services in Kigali, Rwanda. METHODS: This cohort study was conducted at the Centre Hospitalier Universitaire de Kigali from December 2012 to February 2015. Patients 15 years or younger brought by emergency medical services for injuries to the ED were included. Prehospital and hospital-based data on demographics, injury characteristics, treatments, and outcomes were gathered. RESULTS: Data from 119 prehospital patients were accrued, with corresponding hospital data for 64 cases. The median age was 9.5 years, with most patients being male (67.2%). Injured children were most frequently brought from a street setting (69.6%). Road traffic injuries accounted for 69.4% of all mechanisms, with more than two thirds due to pedestrians being struck. Extremity trauma was the most common region of injury (53.1%), followed by craniofacial (46.8%). The most frequent ED interventions were analgesia (66.1%) and intravenous fluids (43.6%). Half of the 16 obtained head computed tomography scans demonstrated acute pathology. Twenty-eight patients (51.9%) were admitted, with 57.1% requiring surgery and having a median in-hospital care duration of 9 days (range, 1-122 days). CONCLUSIONS: In this cohort of Rwandan pediatric traumapatients, injuries to the extremities and craniofacial regions were most common. Theses traumatic patterns were predominantly due to road traffic injury, suggesting that interventions addressing the prevention of this mechanism, and treatment of the associated injury patterns, may be beneficial in the Rwandan setting.
Authors: Adam R Aluisio; Stephanie Garbern; Tess Wiskel; Zeta A Mutabazi; Olivier Umuhire; Chin Chin Ch'ng; Kristina E Rudd; Jeanne D'Arc Nyinawankusi; Jean Claude Byiringiro; Adam C Levine Journal: Am J Emerg Med Date: 2018-03-10 Impact factor: 2.469
Authors: Corrado Cancedda; Phil Cotton; Joseph Shema; Stephen Rulisa; Robert Riviello; Lisa V Adams; Paul E Farmer; Jeanne N Kagwiza; Patrick Kyamanywa; Donatilla Mukamana; Chrispinus Mumena; David K Tumusiime; Lydie Mukashyaka; Esperance Ndenga; Theogene Twagirumugabe; Kaitesi B Mukara; Vincent Dusabejambo; Timothy D Walker; Emmy Nkusi; Lisa Bazzett-Matabele; Alex Butera; Belson Rugwizangoga; Jean Claude Kabayiza; Simon Kanyandekwe; Louise Kalisa; Faustin Ntirenganya; Jeffrey Dixson; Tanya Rogo; Natalie McCall; Mark Corden; Rex Wong; Madeleine Mukeshimana; Agnes Gatarayiha; Egide Kayonga Ntagungira; Attila Yaman; Juliet Musabeyezu; Anne Sliney; Tej Nuthulaganti; Meredith Kernan; Peter Okwi; Joseph Rhatigan; Jane Barrow; Kim Wilson; Adam C Levine; Rebecca Reece; Michael Koster; Rachel T Moresky; Jennifer E O'Flaherty; Paul E Palumbo; Rashna Ginwalla; Cynthia A Binanay; Nathan Thielman; Michael Relf; Rodney Wright; Mary Hill; Deborah Chyun; Robin T Klar; Linda L McCreary; Tonda L Hughes; Marik Moen; Valli Meeks; Beth Barrows; Marcel E Durieux; Craig D McClain; Amy Bunts; Forrest J Calland; Bethany Hedt-Gauthier; Danny Milner; Giuseppe Raviola; Stacy E Smith; Meenu Tuteja; Urania Magriples; Asghar Rastegar; Linda Arnold; Ira Magaziner; Agnes Binagwaho Journal: Int J Health Policy Manag Date: 2018-11-01
Authors: Adam R Aluisio; Meagan A Barry; Kyle D Martin; Gabin Mbanjumucyo; Zeta A Mutabazi; Naz Karim; Rachel T Moresky; Jeanne D'Arc Nyinawankusi; Jean Claude Byiringiro; Adam C Levine Journal: Afr J Emerg Med Date: 2018-10-13
Authors: Peter Mattson; Ezechiel Nteziryayo; Adam R Aluisio; Michael Henry; Noah Rosenberg; Zeta A Mutabazi; Jeanne D'Arc Nyinawankusi; Jean Claude Byiringiro; Adam C Levine; Naz Karim Journal: West J Emerg Med Date: 2019-10-14
Authors: Oliver Y Tang; Catalina González Marqués; Vincent Ndebwanimana; Chantal Uwamahoro; Doris Uwamahoro; Zachary W Lipsman; Sonya Naganathan; Naz Karim; Menelas Nkeshimana; Adam C Levine; Andrew Stephen; Adam R Aluisio Journal: West J Emerg Med Date: 2021-01-22
Authors: Naz Karim; Lise Mumporeze; Vizir J P Nsengimana; Ashley Gray; Alexis Kearney; Adam R Aluisio; Zeta Mutabazi; Janette Baird; Camille M Clancy; Derek Lubetkin; Jean Eric Uwitonze; Jeanne D'Arc Nyinawankusi; Menelas Nkeshimana; Jean Claude Byiringiro; Adam C Levine Journal: West J Emerg Med Date: 2021-11-05
Authors: Maria Lisa Odland; John Whitaker; Dmitri Nepogodiev; Carolyn Achieng' Aling'; Irene Bagahirwa; Theophile Dushime; Darius Erlangga; Christophe Mpirimbanyi; Severien Muneza; Menelas Nkeshimana; Martin Nyundo; Christian Umuhoza; Eric Uwitonze; Jill Steans; Alison Rushton; Antonio Belli; Jean Claude Byiringiro; Abebe Bekele; Justine Davies Journal: World J Surg Date: 2020-09 Impact factor: 3.282