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Do Social and Environmental Factors Affect the Emergency Service Admission Characteristics of Preschool-Aged

Ekim Saglam Gürmen1, Serkan Doğan2, Tarik Ocak3

  • 1From the Department of Emergency Medicine, Salihli State Hospital, Manisa.

Pediatric Emergency Care
|March 26, 2019
PubMed

Insights

This study analyzed trauma in preschool children, finding falls were the most common cause, primarily affecting the head and neck. Improving in-hospital and environmental factors can reduce the burden of pediatric trauma.

Area of Science:

  • Pediatric Emergency Medicine
  • Trauma Epidemiology
  • Child Health Surveillance

Background:

  • Epidemiological studies are crucial for community health assessment.
  • Limited research exists on trauma epidemiology specifically in preschool-aged children admitted to emergency services.
  • Understanding trauma patterns in this demographic is essential for targeted interventions.

Purpose of the Study:

  • To characterize trauma in preschool-aged children (≤66 months).
  • To analyze the types of trauma encountered in this age group.
  • To investigate associations between epidemiological factors, victim characteristics, and trauma outcomes.

Main Methods:

  • Prospective study conducted at Istanbul Kanuni Sultan Suleyman Training and Research Hospital.
  • Included 688 preschool-aged children admitted between July 1, 2015, and December 31, 2015.
  • Collected data on demographics, transport, trauma details, diagnostics, and outcomes; statistical analysis performed.

Main Results:

  • Falls were the leading cause of trauma (64.0%), with private vehicles as the main transport mode (98.3%).
  • Head and neck injuries were most common (51.0%), with soft tissue trauma diagnosed in 90.1% of cases.
  • Average emergency service stay was 122 minutes, influenced by sibling number, trauma type, and parental employment; costs correlated with trauma type, site, and stay duration.

Conclusions:

  • Trauma in preschool children is frequent, with falls being a major cause.
  • Head and neck injuries and soft tissue trauma are prevalent.
  • Reducing the clinical and social impact of pediatric trauma requires improvements in both hospital care and social/environmental factors.
Abstract

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