CHILDHOOD INJURIES IN AN URBAN AREA OF GHANA - A HOSPITAL-BASED STUDYOF 677 CASES

To the best of our knowledge, there has not been any recent available study of trauma-related hospitalisation of paediatric patients in an u rban area of the sub-Saharan countries. Accidental injury, especially among children, has become one of the most serious major health proble ms facing developing countries, including those in sub-Saharan Africa. We reviewed 677 children admitted to the Komfo Anokye Teaching Hospit al in Kumasi. Ghana, from August 1995 to July 1996 to elicit the incid ence of various injuries, causes, rates of injury, and survival of chi ldren aged 0 to 14 years who had sustained trauma during this period. The most common mechanisms of injury were pedestrian knockdowns (40.0% ), falls (27.2%), and burns (17.6%). The annual rate of injury was 230 /100 000 children. Boys sustained higher injury rates in all age group s than girls, with an overall rate of, 136/100 000 children as compare d to 92/100 000 for girls. Rates of injury were higher for children ov er 5 years of age in six of the seven specific causes of injury studie d. When analysing the region of principal injury, for severe injuries (abbreviated injury scale 3-5) the extremities suffered most, followed by the skin and head. There was increased mortality for patients with an injury severity score > 20. The overall mortality for this study w as 5.5%. There is, therefore, a need to establish prevention prioritie s and to design effective prevention strategies for children of school -going age, who are most at risk of sustaining trauma.