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Accidents among children below school age. Changes of incidence after intervention

Y Sahlin1, I Lereim

  • 1Emergency Clinic, University Hospital, Trondheim, Norway.

Insights

Pediatric accident rates declined between 1982-1986, especially for younger children. Despite fewer hospitalizations, falls and poisonings rose, with fractures and burns remaining common injuries.

Area of Science:

  • Pediatric medicine
  • Public health
  • Injury prevention

Background:

  • Childhood accidents represent a significant public health concern.
  • Understanding trends in pediatric injury is crucial for effective prevention strategies.
  • Hospital admission data provides valuable insights into accident incidence and severity.

Purpose of the Study:

  • To analyze changes in the incidence and types of accidents among hospitalized children aged 0-6 years.
  • To compare hospitalization duration and injury patterns between two distinct periods (1982-1983 and 1985-1986).

Main Methods:

  • Retrospective registration of children aged 0-6 admitted to hospital for accidents.
  • Data collection occurred over two one-year periods: September 1982 to September 1983 and June 1985 to June 1986.
  • Analysis focused on accident incidence, types, causes, and hospitalization requirements.

Main Results:

  • Overall accident incidence decreased from 125 to 116 per 1,000 children annually.
  • The youngest age group (0-6 years) experienced the most significant reduction in accident rates.
  • Home accidents remained the most frequent type; however, falls from heights and poisoning incidents increased.
  • Hospitalization length decreased by 3.4 times in the second period.
  • Fractures and thermal injuries were the leading causes of hospital care in both periods.

Conclusions:

  • A notable decline in pediatric accident incidence was observed, particularly in younger children.
  • Despite the overall decrease, specific accident types like falls and poisonings require continued attention.
  • Reduced hospitalization duration suggests improved management or a shift towards less severe injuries.

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