Injury-related mortality among adolescents: findings from a teaching hospital's post mortem data.
BACKGROUND
Injuries are noted to be an important cause of death among adolescents. There is however limited data on the injury related deaths among adolescents in Ghana.


RESULTS
Using data from post-mortem records derived from the Department of Pathology of the Korle-Bu Teaching Hospital (KBTH), Accra Ghana from 2001 to 2003, the causes of injury related deaths among adolescents 10 to 19 years were analyzed by gender and age groups 10 to 14 and 15 to 19 years. There were 151 injury-related deaths constituting 17% of the autopsies performed among adolescents in the study period. The male-to-female ratio was 2.1:1. Drowning was the most common cause of death (37%) in the study population. This was followed by road traffic accidents (RTA) (33%). Over 70% of the RTA victims were pedestrians knocked downed by a vehicle. Deaths from electrocution, poisoning, burns, stab/gunshot, hanging and other miscellaneous causes (example blast injury, traumatic injury from falling debris, fall from height) made up the remaining 30% of the injury related mortality. Among males and in both age categories, drowning was the leading cause of death. In females, the highest mortality was from road traffic accidents accounting for almost half (49%) of the deaths; significantly more than that occurring in males (25%, p = .004).


CONCLUSIONS
Findings from Korle-Bu Teaching Hospital post-mortem data on adolescents show that drowning and road traffic accidents are the leading causes of injury-related mortality. Appropriate injury reducing interventions are needed to facilitate a decrease in these preventable deaths.
Ohene
Sally-Ann
SA
World Health Organization Country Office in Ghana, Accra, Ghana. salohene@yahoo.com.
Tettey
Yao
Y
Kumoji
Robert
R
Bull World Health Organ. 2002;80(5):357-64
12077610
J Adolesc Health. 2004 Nov;35(5):402-18
15488435
J Forensic Leg Med. 2007 Oct;14(7):410-5
17720592
BMC Pediatr. 2009 Apr 07;9:26
19351386
J Forensic Sci. 2008 May;53(3):699-702
18471218
Am J Public Health. 1987 Jul;77(7):830-2
3592036
Inj Prev. 2008 Dec;14(6):381-8
19074244
J Trauma. 2008 Jun;64(6):1600-7
18545130
Am J Public Health. 1995 Jul;85(7):927-31
7604915
J Adolesc Health. 2007 Jul;41(1):84-92
17577538
Med Sci Law. 2008 Jul;48(3):232-6
18754210
Pediatrics. 2000 Feb;105(2):E27
10654987
J Adolesc Health. 2002 Jan;30(1):29-34
11755798
J Forensic Sci. 2005 Nov;50(6):1444-9
16382843
Inj Prev. 2001 Mar;7(1):74-5
11289541