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Causes of accidents in pediatric patients: what has changed through ages
1Department of Pediatrics, Obstetrics and Reproductive Medicine, University of Siena, Siena, Italy.
Insights
Childhood accidents are a major cause of death and disability. A study in Siena found a significant reduction in hospital admissions for accidents over 20 years, indicating effective preventive measures.
Area of Science:
- Pediatric Traumatology
- Public Health
- Epidemiology
Background:
- Accidents are a leading cause of death and disability in children and adolescents (1-15 years).
- In Italy, domestic and road accidents significantly impact this age group.
- Previous data from 20 years ago provides a baseline for comparison.
Purpose of the Study:
- To determine the incidence and types of accidents involving children and adolescents in Siena.
- To compare current accident data with data from two decades prior.
- To evaluate the effectiveness of implemented preventive measures.
Main Methods:
- Analysis of hospital admission data for accidents in Siena between 1980-1985 and 2000-2006.
- Examination of patient age, gender, and accident type.
- Assessment of frequency distribution and peak accident ages.
Main Results:
- Limb trauma was the most frequent cause of admission in the earlier period.
- Head injuries without fracture became the most common in the later period, followed by limb trauma and fractures of the skull, spine, and trunk.
- A consistent, gradual reduction in hospital admissions for accidents was observed over the years.
Conclusions:
- A notable decrease in hospital admissions for childhood accidents was observed compared to 20 years prior.
- Current preventive measures appear effective and should be continued.
- Further interventions are recommended to further minimize accident-related injuries in children and adolescents.
Aim:
Accidents are the main cause of death and disability in children and adolescents aged 1-15 years and cause more than one sixth of all infant admissions to hospital. In Italy, about 400 children and adolescents are involved in domestic accidents and more than 200 in road accidents. The aim of the study was to determine the number and type of accidents involving children and adolescents in the area of Siena and to compare present results with those obtained 20 years ago in order to assess the effectiveness of preventive measures evolving in the period.
Methods:
Two groups of patients were admitted to the hospital of Siena for accidents between 1980-1985 and 2000-2006; age, gender, type of accident, frequency distribution in the study period and age of highest frequency of accidents were analysed.
Results:
The most frequent cause of admission to hospital in the earlier period was limb trauma with and without fracture, whereas in the later period it was head injury without fracture followed by limb trauma with and without fracture, and fracture of the skull, spine and trunk in boys and girls. Some variation in the course of the years was observed in both study period, however a constant, gradual reduction in admissions is evident.
Conclusion:
Comparison of these data with those collected 20 years earlier revealed a general reduction in the number of hospital admissions. This encouraging result suggests that what has been done so far is effective and should be continued, and that it is also worthwhile taking measures to further reduce the toll of accidents.
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