Pediatric transport related injuries in Tehran: the necessity of implementation of injury prevention protocols
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Published on: April 21, 2023
Moosa Zargar1, Bahman Sayyar Roudsari, Mazyar Shadman
1Department of Tehran University of Medical Sciences, Sina Trauma Research Center, Sina General Hospital, Hasan Abad SQ Iman Khomeini St., Tehran 11634, Iran. roudsari@sina.tums.ac.ir
Insights
Trauma injuries in children under 19 are common, with falls and transport-related injuries being leading causes. Head trauma is the most frequent cause of death in this age group.
Area of Science:
- Pediatric Trauma Research
- Injury Epidemiology
- Public Health
Background:
- Traumatic injuries represent a significant public health concern for children and adolescents.
- Understanding injury patterns in pediatric populations is crucial for developing targeted prevention strategies.
Purpose of the Study:
- To analyze the epidemiology of trauma injuries in patients under 19 years of age admitted to major trauma hospitals in Tehran.
- To identify common mechanisms of injury, injury types, and outcomes in this demographic.
Main Methods:
- Prospective data collection from six major trauma hospitals in Tehran between August 1999 and September 2000.
- Analysis of demographic, injury mechanism, injury type, and outcome data for 2354 trauma patients under 19 years old.
Main Results:
- Falls (46%) and transport-related injuries (TRIs) (39%) were the most common injury mechanisms.
- Head trauma was the leading cause of death (28 out of 32 deaths).
- Lower extremity (513) and head injuries (322) were the most frequent injuries; boys were more affected in TRIs.
Conclusions:
- Pediatric trauma in Tehran is predominantly caused by falls and TRIs, with significant mortality from head injuries.
- Targeted interventions for pedestrian and motorcycle safety, alongside promoting helmet and seatbelt use, are essential for reducing pediatric trauma deaths.
Abstract:
Prehospital and hospital data was prospectively gathered on all hospitalized trauma patients admitted to six major trauma hospitals in Tehran from August 1999 to September 2000. Data from patients of under 19 years of age was analyzed for this article. From 8000 hospitalized trauma patients, 2354 cases (29%) belonged to this age group. Fall and transport related injuries (TRIs) with 1074 (46%) and 921 (39%) cases respectively, were the most common mechanism of injury. In TRIs, boys were affected 3.5 times as often as girls. Younger children were more prone to pedestrian-related injuries while teenagers were more prone to motorcycle related injuries. Head trauma was the most common cause of death and 28 out of 32 trauma deaths were attributed to this kind of injury. Lower extremity (513) and head injuries (322) were the most common injuries. Only a few of motorcyclists and car passengers used safety devices (helmet and seat belt respectively) at the time of accident.
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