Chigblo, Pascal Teaching hospital of Cotonou - Trauma, orthopedy and restorative surgery department, Bénin , Allodé, Salako Alexandre Teaching hospital of Parakou - General surgery department, Bénin , Lantonkpodé, Precilia Teaching hospital of Cotonou - Trauma, orthopedy and restorative surgery department, Bénin , Bara, Jerry District hospital of Kandi - Surgery department, Bénin , Dzemta, Corinne Teaching hospital of Porto-Novo - Surgery department, Bénin , Moevi, Aristote Hans Teaching hospital of Cotonou - Trauma, orthopedy and restorative surgery department, Bénin

Pediatric Traumatic Lesions in a District Hospital of Benin and Determinants of the Attendance of Children at the Follow up Visits

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Objective. To describe the factors affecting the attendance of children consulting for physical trauma at the follow-up visits in Benin. Methods. This was a prospective, longitudinal, descriptive and analytical study conducted over a 10-month period starting from the 1st of November 2014 to the 31st of August 2015. Criteria of inclusion were age below 15 years, consultation at the emergency department for physical trauma severe enough to justify hospitalization or in patient observation. The presence of the child at the monthly monitoring visits was evaluated for three months and the reasons for absence were studied. Results. 41 children were recruited. The mean age was 8 years. Sex ratio male/female was 1.6. Children came mainly from the commune of Kandi (68.3). Distribution of lesion was head injury (12 cases; 29.30%), spine or limb fractures (9 cases; 22%), burns (5 cases; 12.2%) and polytrauma (3 cases; 7.30%). The average hospital stay was 2.81 days. Presence of children at the first follow up visit was generally low ( 50%) and it was strongly related to the residence of the parents and the severity of the initial lesion. The presence of children dropped significantly at the 2nd and 3rd controls. Nevertheless, the outcome was good for most patients. Conclusion: in Benin, the presence of children consulting for trauma at follow up visits is related mainly to the distance from the hospital, but also to the severity of the initial lesions.

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pediatric trauma , follow up , district hospital , Benin

Health Sciences an‎d Diseases

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