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Published on: September 11, 2018
Childhood injuries seen at an emergency department
1Department of Emergency Medicine, King Abdul Aziz Hospital, Kingdom of Saudi Arabia.
Insights
Childhood injuries are common, with falls being the leading cause. This study analyzed injury patterns in children under 15, highlighting the need for targeted prevention strategies.
Area of Science:
- Pediatric Emergency Medicine
- Public Health
- Injury Epidemiology
Background:
- Childhood injuries represent a significant public health concern.
- Understanding injury patterns is crucial for effective prevention and intervention.
Purpose of the Study:
- To determine the relative frequency and patterns of injuries in children under 15 years of age.
- To analyze injury characteristics by location, circumstances, mechanism, and patient disposition.
Main Methods:
- Retrospective study of children aged 15 and below presenting with injuries and poisoning to an Emergency Department (ED).
- Data collection included injury location, circumstances, anatomy, mechanism, type, and patient disposition.
- Analysis of 1412 cases from 2000-2001.
Main Results:
- Falls (44.5%) were the most common injury mechanism, followed by road traffic injuries (14.0%) and foreign body ingestion/inhalations (10%).
- Most injuries occurred at home, with playing as the leading context.
- Boys had higher injury rates than girls. Head and face injuries were more common in younger children, while extremities were more affected in older children.
- Hospital admission rate was 6.2%, with a mortality rate of 0.42%.
Conclusions:
- The childhood injury profile is characterized by a high proportion of falls and lower proportions of road traffic injuries and foreign body ingestions/inhalations.
- Findings underscore the need for targeted injury prevention programs focusing on home safety and fall prevention in children.
Objective:
To determine the relative frequency and pattern of injuries in children less than 15 years of age.
Methods:
We conducted a retrospective study of all children aged 15 and below seen with injuries and poisoning in an Emergency Department (ED) during 2000 and 2001, and reviewed their records. Patterns of injury among all children were examined by location of occurrence, circumstances, anatomy and mechanism of injury, injury type, and patient disposition.
Results:
Atotal of 1412 children were seen in an ED with injuries and poisoning, with a mean of 7.5 +/- 3.2 years. Boys experienced significantly higher rates than girls. Most injuries occurred at home. Playing was the leading context of injury in both genders. The most common mechanisms of injury were falls (44.5%), road traffic injuries (14.0%), and foreign body ingestion/ inhalations (10%). In children up to the age of 5, head and face, while in older children, extremities were more frequently involved. Eighty seven patients (6.2%) were admitted to the hospital, and six patients died (0.42%).
Conclusion:
A large proportion of falls, along with low proportion of road traffic injuries and foreign body ingestion/ inhalations, is characteristics of childhood injury profile in our country.
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