Are falls more common than road traffic accidents in pediatric trauma? Experience from a Level 1 trauma centre in New Delhi, India
| Autor: | Biplab Mishra, Amit Gupta, Subodh Kumar, Maneesh Singhal, Amulya Rattan, Piyush Ranjan, Annu Babu, Sushma Sagar |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Adolescent Databases Factual 030231 tropical medicine India Poison control Risk Assessment 03 medical and health sciences Injury Severity Score 0302 clinical medicine Trauma Centers Epidemiology Injury prevention medicine Humans Orthopedics and Sports Medicine Registries 030212 general & internal medicine Child Developing Countries business.industry Incidence Wounds and injuries Accidents Traffic Length of Stay medicine.disease Polytrauma Survival Rate Child Preschool Cohort Accidental Falls Female Original Article Surgery business Trauma surgery Pediatric trauma |
| Zdroj: | Chinese Journal of Traumatology |
| ISSN: | 1008-1275 |
| Popis: | PURPOSE: The epidemiology of pediatric trauma is different in different parts of the world. Some re- searchers suggest falls as the most common mechanism, whereas others report road traffic accidents (RTAs) as the most common cause. The aim of this study is to find out the leading cause of pediatric admissions in Trauma Surgery in New Delhi, India. METHODS: Inpatient data from January 2012 to September 2014 was searched retrospectively in Jai Prakash Narayan Apex Trauma Centre Trauma Registry. All patients aged 18 years or less on index presentation admitted to surgical ward/ICU or later taken transfer by the Department of Trauma Surgery were included. Data were retrieved in predesigned proformas. Information thus compiled was coded in unique alphanumeric codes for each variable and subjected to statistical analysis using SPSS version 21. RESULTS: We had 300 patients over a 33 month period. Among them, 236 (78.6%) were males and 64 (21.3%) females. Overall the predominant cause was RTAs in 132 (43%) patients. On subgroup analysis of up to 12 years age group (n = 147), the most common cause was found to be RTAs again. However, falls showed an incremental upward trend (36.05% in up to 12 age group versus 27% overall), catching up with RTAs (44.89%). Pediatric Trauma Score (PTS) ranged from 0 to 12 with a mean of 8.12 ± 2.022. 223 (74.33%) patients experienced trauma limited to one anatomic region only, whereas 77 (25.66%) patients suffered polytrauma. 288 patients were discharged to home care. Overall, 12 patients expired in the cohort. Median hospital stay was 6 days (range 1-182). CONCLUSION: Pediatric trauma is becoming a cause of increasing concern, especially in the developing countries. The leading cause of admissions in Trauma Surgery is RTAs (43%) as compared to falls from height (27%); however, falls from height are showing an increasing trend as we move to younger age groups. Enhancing road safety alone may not be a lasting solution for prevention of pediatric trauma and local injury patterns must be taken into account when formulating policies to address this unique challenge. Language: en |
| Databáze: | OpenAIRE |
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