Pediatric blunt and penetrating trauma deaths in Ontario: a population-based study
| Autor: | David E. Wesson, Evelyn H. Dykes, Ivan R. Diamond, Barry A. McLellan, Paul W. Wales, Patricia C. Parkin, Margaret A. Kreller, Desmond Bohn |
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| Rok vydání: | 2009 |
| Předmět: |
Male
Adolescent Poison control Wounds Penetrating Wounds Nonpenetrating Suicide prevention Occupational safety and health Blunt Cause of Death Injury prevention Humans Trauma Nervous System Medicine Child Ontario business.industry Incidence Incidence (epidemiology) Accidents Traffic Infant Newborn Infant Human factors and ergonomics General Medicine medicine.disease Suicide Child Preschool Pediatrics Perinatology and Child Health Female Surgery Medical emergency Homicide business Penetrating trauma |
| Zdroj: | Journal of Pediatric Surgery. 44:981-986 |
| ISSN: | 0022-3468 |
| DOI: | 10.1016/j.jpedsurg.2009.01.039 |
| Popis: | The purpose of the study was to describe the mechanisms of injury and causes of death in children dying in a modern, integrated trauma system.Records of all children (16 years of age) who died in Ontario from 2001 through 2003 after blunt or penetrating trauma were obtained from the Chief Coroner. Demographics and the nature and causes of injury and the causes of death were recorded. Estimates of the mortality rate were determined using census data.There were 234 injury deaths (222 blunt, 12 penetrating) over the 3 years. Thirty (13%) resulted from intentional injury. The median age was 10 (range, 0-15.9) years; 62% were male. Sixty-eight percent resulted from incidents involving motor vehicles (passenger, pedestrian, or cyclist). Most (74%) died at the scene; only 5% survived for more than 24 hours. Devastating craniocervical injury (Abbreviated Injury Scale 5 or 6) was present in 84% and was the only life-threatening injury in 40%. The annual mortality rate averaged 3.2 per 100,000 children.In a modern, integrated trauma system, most pediatric injury deaths occur at the scene from severe head injuries. In this population, strategies to reduce the death rate from pediatric trauma must focus on primary and secondary injury prevention. |
| Databáze: | OpenAIRE |
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