title: Non-fatal injuries among pediatric patients seeking care in an urban Ghanaian emergency department.
abstract: BACKGROUND
  According to the World Health Organization (WHO), injuries represent the largest cause of death among people ages 140 -and contribute to a large burden of disease worldwide. The aims of this study were to characterize the prevalence and relative mechanism of injury among children seeking emergency care and describe the demographics at time of presentation among these children to inform further research in Ghana and sub-Saharan Africa.
  
  
  METHODS
  A prospective cross-sectional survey of pediatric patients (n = 176) was conducted between 13 July 2009 and 30 July 2009 in the Accident and Emergency Center at Komfo Anoche Teaching Hospital (KATH) in Kumasi, Ghana. Participants were asked questions regarding demographics, insurance status, overall health, and chief complaint.
  
  
  RESULTS
  Of the 176 patients surveyed, 66% (n = 116) presented for injuries. The mean age was 4.7 years (range 1.5 months to 17 years), and 68% (n = 120) were male. Of those presenting with injury, 43% (n = 50) had road traffic injuries (RTI). Of the RTIs, 58% (n = 29) were due to being an occupant in a car crash, 26% (n = 13) were pedestrian injuries, and 14% (n = 7) were from motorcycles. There was no significant difference in demographics, health status or indicators of socioeconomic status between injured and non-injured patients.
  
  
  CONCLUSIONS
  Among pediatric patients presenting for acute care at KATH during the study time frame, the majority (n = 116, 66%) presented for injuries. To date, there are no studies that characterize pediatric patients that present for acute care in Ghana. Identifying injury patterns and collecting epidemiologic data are important to guide future research and educational initiatives for Emergency Medicine.
authors.affiliation: Department of Emergency Medicine, University of Michigan, UM Injury Center 24 Frank Lloyd Wright Drive Suite H3200, Ann Arbor, MI, 48105, United States of America. laurenkw@u.washington.edu.
authors.forename: Lauren K
authors.initials: LK
authors.lastname: Whiteside
authors.forename: Rockefeller
authors.initials: R
authors.lastname: Oteng
authors.forename: Patrick
authors.initials: P
authors.lastname: Carter
authors.forename: John
authors.initials: J
authors.lastname: Amuasi
authors.forename: Ekua
authors.initials: E
authors.lastname: Abban
authors.forename: Sarah
authors.initials: S
authors.lastname: Rominski
authors.forename: Michelle
authors.initials: M
authors.lastname: Nypaver
authors.forename: Rebecca M
authors.initials: RM
authors.lastname: Cunningham