Pediatric head and neck trauma in the United States: Trends, risk factors and outcomes using the National Trauma Data Bank

Autor: Ashwini Sarathy, Jamie Benson, Kenny Nguyen, Stas Amato, Mirabelle Sajisevi, Erin T. Ostby
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Laryngoscope Investigative Otolaryngology, Vol 9, Iss 4, Pp n/a-n/a (2024)
Druh dokumentu: article
ISSN: 2378-8038
DOI: 10.1002/lio2.1301
Popis: Abstract Introduction Pediatric head and neck (HN) trauma is an important contributor to pediatric morbidity, resulting in significant downstream consequences. Few studies provide epidemiological predictors of pediatric HN trauma on a national scale. The present study aims to identify risk factors of HN injury and mortality in the pediatric population. Methods A retrospective cohort study was conducted for patients (age 0. Logistic regression identified independent predictors of mortality following HN trauma. Results Of the 1.42 million pediatric patients analyzed, 44.05% had HN injury. In patients aged 0–4, the most common mechanism was falls (47.67% in this age group) while in ages 14–17, motor vehicle/transport accidents (MVTs) were the most common mechanism (56.06%). Controlling for demographics, comorbidities, and injury severity, HN injury was associated with increased odds of mortality (OR 2.404, 95% CI 1.530–3.778). HN injury mortality was strongly predicted by firearm exposure (OR 11.28, 95% CI 6.074–20.95), age
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