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Paediatric trauma epidemiology in an urban scenario in India
1Department of Orthopaedics, King Edward VII Memorial Hospital, Mumbai, India. tandon_2004@yahoo.co.uk
Insights
Paediatric trauma in India predominantly affects children aged 7-12, with most injuries occurring at home. Effective prevention requires addressing lifestyle, environmental factors, and societal challenges like illiteracy.
Area of Science:
- Orthopaedic Surgery
- Public Health
- Epidemiology
Background:
- Paediatric trauma presents a significant public health concern globally.
- Understanding the specific epidemiology of childhood injuries in diverse settings is crucial for targeted interventions.
Purpose of the Study:
- To investigate the epidemiology of paediatric orthopaedic trauma in an urban Indian setting.
- To compare findings with data from developed countries.
- To propose preventive strategies for reducing childhood injuries.
Main Methods:
- A prospective study of 500 paediatric orthopaedic trauma patients was conducted.
- Data collection occurred between January 2004 and December 2005.
- Information was systematically recorded using a standardized proforma.
Main Results:
- The study included children aged 0-16 years, with a male predominance (274 males).
- Peak injury incidence was observed in the 7-12 year age group.
- Most common injury locations were home (47%), school (21%), sports (17%), and vehicular accidents (13%).
- Specific fracture sites varied by age: elbow in younger children (0-6 years) and distal radius in older children (7-16 years).
- A 2:1 ratio of left to right upper extremity fractures was noted.
Conclusions:
- Accident prevention programs in developing nations necessitate modifications in lifestyle and environment.
- Overcoming barriers such as lack of awareness, illiteracy, and limited resources is essential for effective prevention.
Purposes:
To identify the epidemiology of paediatric trauma in an urban scenario of India and compare results with studies from developed countries, and to formulate preventive measures to decrease such traumas.
Methods:
Between January 2004 and 2005 inclusive, 500 paediatric, orthopaedic trauma patients presenting to our hospital were prospectively studied. Information was recorded in a prescribed proforma.
Results:
The children's ages ranged from 0 to 16 years; 274 were males. Most fractures occurred in children aged 7 to 12 years and decreased in older children. The ratio of fractures in left versus right upper extremity was 2:1. In children aged 0 to 6 years, the most common injured site was the elbow, whereas in children aged 7 to 16 years it was the distal radius. In descending order, most injuries were sustained at home (47%), in school (21%), due to sports (17%), and due to vehicular accidents (13%).
Conclusion:
An effective accident prevention programme in developing countries requires changes in lifestyle and environment, and overcoming obstacles such as ignorance, illiteracy, and inadequate resources.
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