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First Spanish Trauma Registry: analysis of 1500 cases
J A Navascués del Río1, R M Romero Ruiz, J Soleto Martín
1Division of Pediatric Surgery, Hospital Infantil Gregorio Marañón, Madrid, Spain.
Insights
This study established the first Spanish Pediatric Trauma Registry, detailing injury patterns in children. Key findings include falls and traffic accidents as leading causes, with a 0.5% mortality rate.
Area of Science:
- Pediatric Trauma Care
- Injury Epidemiology
- Public Health
Background:
- Acute injuries are a significant concern in pediatric populations.
- Establishing comprehensive trauma registries is crucial for understanding injury patterns and improving care.
- The need for a dedicated Spanish Pediatric Trauma Registry was identified.
Purpose of the Study:
- To develop and implement the first Spanish Pediatric Trauma Registry.
- To collect and analyze data on pediatric injuries in Spain.
- To evaluate aspects of injury management and outcomes in children.
Main Methods:
- A retrospective analysis of 1500 pediatric patients (under 16) admitted for acute injuries from 1995-1998.
- Data collected included demographics, injury type, mechanism, pre-hospital care, severity scores (Pediatric Trauma Score, Injury Severity Score), diagnoses, treatments, and outcomes.
- The registry comprised 108 data points per patient.
Main Results:
- Males (68%) and the 12-15 age group (34%) were most affected.
- Street accidents (35.1%) and falls (39%) were the most common injury causes.
- Musculoskeletal (48.5%) and head trauma (42.0%) were prevalent; overall mortality was 0.5% (7 deaths).
Conclusions:
- The registry provides essential epidemiological data on pediatric injuries in Spain.
- It serves as a foundation for improving patient care and developing targeted prevention strategies.
- The data allows for comparison with other centers to identify and correct deficiencies.
Objectives:
To develop the first Spanish Pediatric Trauma Registry to collect and evaluate infomation concerning aspects of injuries in our pediatric population.
Methods:
From January 1995 to August 1998, 35,946 children younger than 16 years were treated in our hospital for acute injury: 1500 were admitted and included in our database. Our file registry consists of 108 data points including: patient identification, type, place and mechanism of injury, pre-hospital care, transport, assessment on admission, severity scores, diagnostic studies, injuries, treatment morbidity and mortality.
Results:
Accidents were more frequent in males (68%) than in females. The predominant age group was 12-15 years of age (34%). Accidents were more frequent in the street (35.1%) than at home (18.9%) or school (13%). Falls and traffic-related accidents were the leading cause of injury (39% and 21.2%, respectively). Two hundred and thirty-five (15.7%) had a Pediatric Trauma Score < or = 8. Fifty of these sustained multiple trauma (33%) (Injury Severity Score > or = 15). Musculoskeletal and head trauma were the most frequent injuries (48.5% and 42.0%, respectively). Surgical or orthopedic procedures were performed in 906 patients (56.5%). The average length of stay was 4.5 days (range 1-93 days). Functional impairment in children older than 4 years of age was found in 413 children (33.3%). We encountered 7 deaths in the 1500 patients, or an overall mortality of 0.5%. These 7 deaths were only seen in the I.S.S. > or = 15 group (50 patients) with 14% mortality.
Conclusions:
The goals of this Registry are to establish the epidemiology of our injured pediatric population, to review patient care, to develop prevention programs and to compare results with other centers so that potential deficiencies can be corrected.
