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Epidemiology of Pediatric Trauma and Its Patterns in Western Iran: A Hospital Based Experience
Fereshteh Jalalvandi1, Peyman Arasteh, Roya Safari Faramani
1Faculty member of paramedical school. Kermanshah University of Medical Sciences, Kermanshah, Iran. fjalalvandi@kums.ac.ir.
Insights
Pediatric trauma is often caused by falls and road accidents, with most injuries occurring at home. Targeted safety measures and health policies are crucial for prevention, especially for young children.
Area of Science:
- Pediatric Trauma Epidemiology
- Injury Prevention Research
- Public Health Policy
Background:
- Trauma significantly contributes to mortality in children aged 1-14 years.
- Injury patterns in pediatric populations vary globally.
- Understanding non-intentional trauma distribution is vital for targeted interventions.
Purpose of the Study:
- To investigate the epidemiology and distribution of non-intentional trauma in pediatric patients.
- To identify common causes, injury sites, and circumstances of pediatric trauma.
- To analyze trauma patterns across different age groups and sexes.
Main Methods:
- Retrospective review of 304 pediatric trauma cases (0-10 years) at Taleghani trauma care center, Iran.
- Data collection included demographics, injury details, and circumstances.
- Statistical comparison of injury patterns across age groups (0-2, 3-6, 7-10 years) and sexes.
Main Results:
- Falls from heights (65.5%) and road traffic accidents (16.4%) were leading causes.
- Upper limbs and head/neck were most commonly injured anatomical sites.
- Injuries predominantly occurred in homes (67.4%), particularly among 0-2 year olds; orthopedic injuries were most frequent in 7-10 year olds.
Conclusions:
- Urgent need for specialized planning and health policies to prevent road accidents in 3-6 year olds.
- Enhanced parental education on home safety is critical for preventing injuries in 0-2 year olds.
- The orthopedics department requires increased training and resources for pediatric trauma management.
Background & Objective:
Trauma is a major cause of mortality in children aged 1 to 14 years old and its patterns differs from country to country. In this study we investigated the epidemiology and distribution of non-intentional trauma in the pediatric population.
Materials & Methods:
The archives of 304 children below 10 years old who presented to Taleghani trauma care center in Kermanshah, Iran from March to September 2008, were reviewed. Patients' demographic and injury related information were registered. The participants were categorized into three age groups of 0-2, 3-6 and 7-10 years old and the data was compared among age groups and between both sexes.
Findings:
The most common cause for trauma was falling from heights (65.5%) and road traffic accidents (16.4%). The most common anatomical sites of injury were the upper limbs followed by the head and neck (36.8% and 31.2%, respectively). Injuries mostly occurred in homes (67.4%). The injuries were mostly related to the orthopedics and the neurosurgery division (84.1% and 13.1%, respectively). Accident rates peaked during the hours of 18-24 (41.3%). Male and female patients did display any difference regarding the variables.Children between the ages of 0-2 years old had the highest rate of injury to the head and neck area (40.3%) (p=0.024). Falls and road traffic accidents displayed increasing rates from the ages of 0-2 to 3-6 and decreasing rates to the ages of 7-10 years old (p=0.013). From the ages of 0-2 to 3-6 years old, street accidents increased and household traumas decreased. After that age household trauma rates increased and street accidents decreased (p=0.005). Children between the ages of 7-10 years old had the highest rate of orthopedic injury (p=0.029).
Conclusion:
Special planning and health policies are needed to prevent road accidents especially in children between the ages of 3-6 years old. Since homes were the place where children between the ages of 0-2 were mostly injured, parents should be educated about the correct safety measures that they need to take regarding their children's environments. The orthopedics department needs to receive the most training and resources for the management of pediatric trauma.
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