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Unintentional injuries among children admitted in a tertiary care hospital in North Kerala
Akbar Sheriff1, Asma Rahim, M P Lailabi
1Govt. Medical College, Calicut, Kerala, India.
Insights
Unintentional injuries, particularly road traffic accidents and falls, are a major cause of childhood hospitalization. Identifying risk factors like family structure and child supervision is crucial for prevention strategies.
Area of Science:
- Pediatrics
- Public Health
- Injury Prevention
Background:
- Injuries are a significant cause of childhood morbidity and mortality globally.
- Understanding common injury types and risk factors is essential for effective prevention.
Purpose of the Study:
- To identify common unintentional injuries in hospitalized children.
- To determine contributing risk factors for these injuries in North Kerala.
Main Methods:
- A descriptive, hospital-based study.
- Involved 400 children admitted for unintentional injuries over six months in 2009.
- Data collected on injury types and associated risk factors.
Main Results:
- Mechanical injuries (road traffic accidents, falls) were the most common (36%).
- Poisoning was the second leading cause (22.3%).
- Risk factors included younger maternal age, overactive children, joint families, unsupervised children, pre-schoolers, males, and urban dwellings.
Conclusions:
- Mechanical injuries and poisoning are primary causes of childhood injury hospitalizations.
- Specific demographic and social factors increase injury risk.
- Targeted strategies are needed to reduce childhood injuries and associated hospitalizations.
Abstract:
World Health Organization global disease update (2004) points out injuries as the sixth leading cause of morbidity and mortality in childhood. A descriptive hospital based study was conducted to find out the common types of unintentional injuries among children admitted for management of unintentional injuries in Pediatric Surgery department and Intensive Care Unit of a tertiary care hospital of North Kerala and to find out the contributing risk factors. A total of 400 children admitted during the study period of 6 months of 2009 constituted the study population. Mechanical injuries comprising of Road traffic accidents and accidental fall were the major cause of unintentional injuries (36%), followed by Poisoning (22.3%). A higher proportion of unintentional injuries were noted to occur among children of younger mothers, overactive child, children belonging to extended or joint families, child left alone or with friends, pre-school children, male child and from urban dwellings. The study highlights the need to identify the different types of unintentional injuries and the risk factors of childhood injuries which require hospitalisation. Identification of risk factors will help to formulate strategies aimed at risk reduction and prevention of childhood injuries.
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