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Paediatric head injuries treated in a children's emergency department from Cluj-Napoca, Romania
Diana Rus1, Razvan Mircea Chereches2, Corinne Peek-Asa3
1a Department of Health Management and Public Health , University of Medicine and Pharmacy Iuliu Hatieganu , Cluj-Napoca , Romania.
Insights
Paediatric head injuries are common, with over half of injured children affected. Road traffic incidents significantly increase the need for advanced care in children with head injuries.
Area of Science:
- Pediatrics
- Trauma Surgery
- Public Health
Background:
- Head injuries represent a significant cause of morbidity in children.
- Understanding injury patterns is crucial for developing targeted prevention strategies.
- Advanced care utilization in pediatric head injuries requires further investigation.
Purpose of the Study:
- To describe the characteristics of paediatric head injuries.
- To identify factors associated with the need for advanced care following head injury.
- To provide evidence-based data on pediatric injury patterns in Romania.
Main Methods:
- Retrospective analysis of incident paediatric head injury cases.
- Data collected from December 2008 to October 2010 at Children's Emergency Hospital Cluj-Napoca.
- Inclusion criteria: children seeking care for head injury; main outcome: transfer or admission to advanced care.
Main Results:
- Out of 3053 injured children, 1541 (50.4%) had head injuries.
- 960 (62.3%) of children with head injuries required advanced care.
- Older children had a higher proportion requiring advanced care (70.3%).
- Road traffic injuries were associated with a nearly five-fold increased likelihood of requiring advanced care (OR: 4.97).
Conclusions:
- Head injuries are prevalent in paediatric emergency care.
- Road traffic incidents are a major risk factor for severe paediatric head injuries.
- Injury data analysis is vital for informing Romanian child injury prevention and management strategies.
Abstract:
The aim of the study was to describe paediatric head injuries and identify factors that led to advanced care. Incident cases of head injuries that sought care from December 2008 to October 2010 at Children's Emergency Hospital Cluj-Napoca were evaluated. The main outcome was transfer or admission to advanced care. From a total of 3053 children treated for an injury, 1541 (50.4%) presented with head injury. A total of 960 (62.3%) of the children with a head injury required advanced care treatment. Young children were more likely to suffer a head injury than older children, but a higher proportion of older children required advanced care (70.3%). Children who suffered a head injury as a consequence of road traffic were almost five times more likely to require advanced care (OR: 4.97; 3.09-8.06) than being released. Our results suggest that data on injuries provide evidence-based information on the nature of injuries children are prone to, and what activity, type, and mechanism of injury impact Romanian children.
