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[Incidence of multiple injuries in children 1977-1986]
Insights
This ten-year study analyzed 277 pediatric multiple injury cases, finding that injuries without a dominant type had the highest fatality rate (75%). Head injuries were most common, but had a lower mortality rate.
Area of Science:
- Pediatric Traumatology
- Injury Epidemiology
- Emergency Medicine
Context:
- Multiple injuries in children represent a significant public health challenge.
- Understanding injury patterns and outcomes is crucial for improving pediatric trauma care.
- A decade of data provides a robust basis for analyzing trends in pediatric trauma.
Purpose:
- To categorize and analyze pediatric multiple injuries over a ten-year period.
- To determine the incidence of different injury types and their associated mortality.
- To evaluate diagnostic and therapeutic strategies for severe pediatric trauma.
Summary:
- A total of 277 pediatric casualties were reviewed, categorized by dominant injury type (head, chest, abdomen, pelvis/urogenital, extremities, or no dominant injury).
- Head injuries were most frequent (101 cases), followed by extremity injuries (71 cases).
- Mortality rates varied significantly by injury type, with 75% of deaths occurring in the 'no dominant injury' group, 11.8% in head injuries, and 7.3% in abdominal injuries.
Impact:
- Highlights the critical need for prompt and accurate diagnosis in pediatric trauma.
- Emphasizes the importance of establishing a clear therapeutic sequence for patients with multiple injuries.
- Informs clinical practice and resource allocation for pediatric trauma centers.
Abstract:
The authors give an account of multiple injuries in children during a ten-year period. Injuries are divided into different groups according to the dominating injury--head, chest, abdomen, pelvis, urogenital system, extremities and injuries without a dominant. From the total number of 277 casualties there were 101 with a predominating injury of the head, 35 of the chest, 41 of the abdomen, 24 of the pelvis and urogenital system, 71 of the extremities and 4 without a dominant. Deaths were recorded after dominating head injuries in 11.8%, after dominating abdominal injuries in 7.3% and in the group without a dominant in 75%. In the remaining group no deaths were recorded. Attention is paid also to the diagnosis and therapeutic tactics of these serious conditions and the necessity to establish the order in which to implement therapeutic procedures in multiple injuries.