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[Pediatric traumatic injuries requiring hospitalization. A serious health problem]
José Luis Osornio-Ruiz1, Sofía Irene Martínez-Ibarra, Rubén Torres-González
1Hospital de Traumatología, Unidad Médica de Alta Especialidad Magdalena de las Salinas, Instituto Mexicano del Seguro Social, Distrito Federal. dr.osornio@gmail.com
Insights
Pediatric traumatic injuries are common, especially in school-age males, often involving head trauma and humerus fractures. Preventive measures are crucial for this demographic to reduce hospitalizations.
Area of Science:
- Pediatric Traumatology
- Public Health
- Epidemiology
Context:
- Hospitalized pediatric trauma cases from 1998-2005 were analyzed.
- The study focused on the age-adjusted prevalence of traumatic injuries.
- Data was collected from a single pediatric trauma department.
Purpose:
- To determine the prevalence of pediatric traumatic injuries requiring hospitalization.
- To identify common injury types and affected age groups.
- To inform preventive strategies for pediatric trauma.
Summary:
- A study of 5,987 pediatric trauma patients found males predominated (66.9%).
- Home injuries were most common (48.2%), with closed fractures (74.8%) and craniocerebral trauma (34.2%) being prevalent.
- Supracondylar humerus fractures (23.0%) were frequent in preschoolers and children, with Type IV being most common.
Impact:
- Findings highlight the need for targeted preventive measures for school-age males.
- Understanding injury patterns can guide interventions to reduce pediatric hospitalizations.
- The study provides epidemiological data on pediatric trauma for public health initiatives.
Objective:
To identify the age-adjusted prevalence of pediatric traumatic injuries requiring hospitalization.
Methodology:
A retrospective, observational cross-sectional study was carried out in the pediatric trauma department at the Hospital Magdalena de las Salinas of Instituto Mexicano del Seguro Social. Data from all pediatric patients hospitalized between January 1998 and December 2005 due to traumatic injuries were included.
Results:
5,987 patients analyzed; 66.9% were male, 46.0% were children; 31.3% preschoolers; 18.2% adolescents and 4.4% infants. Regarding the injuries, 48.2% were injured at home, 74.8% suffered closed fractures, particularly among preschoolers and children; 12.4% suffered open fractures. Craneoencephalic trauma occurred in 34.2%, mostly in children and adolescents. Among preschoolers and children supracondylar fractures of the humerus occurred in 23.0%; the commonest was type IV (94%); physeal fractures occurred in 2.6% and lesions due to battered children were in 0.31%. As to the treatment, infants and preschoolers were treated through cast immobilization; closed reduction and internal fixation was common in school-age children (27%) while open reduction and external fixation was used in adolescents (26.8%).
Conclusions:
Preventive measures should be encouraged in the group with the highest prevalence of traumatic injuries requiring hospital care: male school-age children who predominantly suffer craneoencephalic trauma and supracondylar fractures of the humerus.
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