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Unintentional pediatric injuries in São Paulo. How often is it severe?
Simone de Campos Vieira Abib1, Alessandra Mara Françóia2, Renata Waksman3
1Associate Professor, Department of Surgery, Universidade Federal de São Paulo (UNIFESP). President, Organização Não Governamental (ONG) Criança Segura, Brazil. Conception and design of the study, analysis and acquisition of data, approval the final version to be published.
Insights
A pilot study of pediatric trauma in Brazil found that 8.5% of cases were severe, often linked to falls, sports, or traffic incidents. Most injuries could be prevented with simple measures.
Area of Science:
- Pediatric Trauma Research
- Public Health Surveillance
- Injury Prevention
Background:
- Unintentional pediatric trauma represents a significant public health concern globally.
- Establishing national databanks is crucial for understanding injury patterns and severity.
- Previous research highlights the need for targeted prevention strategies for child injuries.
Purpose of the Study:
- To evaluate the severity of unintentional pediatric trauma.
- To pilot a national databank for pediatric trauma data collection.
- To identify risk factors associated with severe pediatric trauma.
Main Methods:
- A prospective study was conducted across five hospitals in São Paulo, Brazil.
- Data was collected over four months from 916 pediatric patients presenting with trauma.
- Severity was assessed using established scales like Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), and Pediatric Trauma Score (PTS).
Main Results:
- The study included 916 children, with 61.5% being male, averaging 6.5 years old.
- Falls accounted for 48.4% of injuries, with 42% occurring at home.
- Severe trauma occurred in 8.5% of cases, associated with falls, sports, traffic incidents, child education level, and being cared for by males.
Conclusions:
- Pediatric trauma severity was observed in 8.5% of cases and linked to specific activities and demographics.
- A significant proportion of these injuries were deemed preventable through simple interventions.
- The pilot databank proved successful and is recommended for national implementation to improve pediatric trauma surveillance.
Purpose::
To evaluate severity and built a pilot of a national databank about pediatric trauma and to determine its severity.
Methods::
Prospective study of unintentional pediatric trauma in five hospitals in the city of São Paulo, Brazil.
Results::
916 patients in 4 months. 61.5% of traumatized children were male, average 6.5 years. 48. 4% were falls. Most families had an average monthly income less than three minimum wages. 42% of accidents occurred at home. 18.9% of children were alone. 59,8% of parents thought it could be prevented. 26.5% of children had previous accidents. GCS was severe: 5 patients, moderate: 8 patients. 21 patients were intubated (2.4%), RTS <7 in 10.2%, PTS<8 in 3.6%. 8.5% patients were considered severe, which was related to falls (p=0.001); sports (p=0.045); pedestrian (p=0.006); child education (p=0.015) and cared by male (p=0.007).
Conclusions::
Severity occurred in 8.5% and was associated to falls, sports, traffic, child education, and cared by male. Simple preventive measures could have prevented most of the accidents. The tested tool for details was successful and can be used throughout the country.
