Trauma Outcomes in Pediatric Nonfatal Road Traffic Accidents.

Autor: Popa Ș; 2nd Department of Surgery-Pediatric Surgery and Orthopedics, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iași, Romania., Bulgaru-Iliescu D; 3rd Department of Medical Specialities-Legal Medicine, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iași, Romania., Ciongradi CI; 2nd Department of Surgery-Pediatric Surgery and Orthopedics, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iași, Romania., Surd AO; Department of Pediatric Surgery, 'Iuliu Hațieganu' University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania., Candussi IL; Clinical Surgery Department, Faculty of Medicine and Pharmacy, 'Dunărea de Jos' University, 800008 Galați, Romania., Popa IP; Department of Physiology, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iași, Romania., Sârbu I; 2nd Department of Surgery-Pediatric Surgery and Orthopedics, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iași, Romania.
Jazyk: angličtina
Zdroj: Children (Basel, Switzerland) [Children (Basel)] 2024 Apr 03; Vol. 11 (4). Date of Electronic Publication: 2024 Apr 03.
DOI: 10.3390/children11040425
Abstrakt: Background: By 2025, road traffic injuries are projected to rank third in the global burden of disease, posing a significant challenge that affects health, social well-being, and economic aspects. According to data from the Romanian Police National Statistics Center, there have been an average of 342 traffic accidents per year involving pediatric patients over the past 10 years.
Materials and Methods: A retrospective research study was conducted, encompassing 358 cases of road traffic accidents identified for the study, with data collected over a span of eight years, and with the aim of analyzing the types of injury and treatment methods in relation to age and sex, while also focusing on the duration of hospitalization and the occurrence of complications.
Results: An oscillating trend is observed from 2015 to 2020, with its lowest value recorded in 2017 at around 6.8% and its peak in 2019 at 20.1%. Notably, post-pandemic (COVID-19), the cases underwent a substantial decline of approximately 60%. At least 78.7% of those who did not undergo orthopedic reduction required surgery, whereas among those who underwent orthopedic reduction, only 23.4% needed surgery. Regarding the frequency of complications 17.3% of the total cases experienced complications.
Conclusions: According to our findings, age has a significant effect on the type of accident ( p < 0.05). Complications occurred in 17.3% of patients, most commonly surgical (24 cases, 38.7%), orthopedic (17 cases, 27.4%), and neurological (15 cases, 24.2%).
Databáze: MEDLINE