Head and Neck Trauma in Hospitalized Pediatric Patients
| Autor: | Lynne H.Y. Lim, Charles M. Myer, Manoj Kumar |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Soft Tissue Injuries Adolescent Poison control Suicide prevention Occupational safety and health Neck Injuries 03 medical and health sciences 0302 clinical medicine Injury prevention medicine Craniocerebral Trauma Humans Child 030223 otorhinolaryngology Retrospective Studies Mouth Base of skull business.industry Accidents Traffic Infant Retrospective cohort study medicine.disease Surgery Hospitalization Logistic Models Otorhinolaryngology Child Preschool 030220 oncology & carcinogenesis Accidental Falls Female Malocclusion business Pediatric trauma |
| Zdroj: | Otolaryngology–Head and Neck Surgery. 130:255-261 |
| ISSN: | 1097-6817 0194-5998 |
| DOI: | 10.1016/j.otohns.2003.11.010 |
| Popis: | BACKGROUND: The study goal was to determine the presentation of head and neck trauma (HNT) in hospitalized pediatric subjects.Study design and setting Retrospective review of 257 subjects admitted to a level I pediatric trauma center. RESULTS: The male/female ratio of the subjects was 2.5:1, with a median age of 9.3 years. Also, 35.0% of subjects had associated major non-HNT. HNT anatomic sites varied with age. The leading major HNT was facial/base of skull fractures (FBSF). Motor vehicle trauma was significant in subjects older than 3 years, and bite and falls were significant in subjects younger than 3 years. FBSF increased 3.7 times (P = 0.02) for subjects older than 10 years compared with subjects younger than 3 years. CONCLUSION: The most common major HNT was FBSF, with older age at higher risk. Associated major non-HNT is high. Mechanisms of injury and sites of HNT vary with age. SIGNIFICANCE: This information may improve prevention counseling and aid preparation for the management of pediatric HNT. |
| Databáze: | OpenAIRE |
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