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Prognosis in children with traumatic injuries referring to the emergency department
Farzad Akbaryan1, Hojjat Derakhshanfar1, Kamran Heidari1
1Department of Emergency Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Insights
Pediatric trauma prognosis is linked to injury type, location, transport, and Glasgow Coma Scale score. Home safety awareness is crucial for preventing childhood traumatic injuries.
Area of Science:
- Pediatric Emergency Medicine
- Trauma Surgery
- Public Health
Background:
- Traumatic injuries pose significant risks to children, potentially leading to severe complications.
- Understanding the prognosis of pediatric trauma is essential for effective management and prevention strategies.
Purpose of the Study:
- To investigate the prognosis of children experiencing traumatic injuries.
- To identify factors influencing outcomes in pediatric trauma patients.
Main Methods:
- A cross-sectional study involving 564 children (<18 years) admitted to Imam Hussein Hospital's emergency department for traumatic injuries.
- Data collected included demographics, trauma type, consciousness level, and final outcome.
- Statistical analysis employed t-test, Chi-square test, and ANOVA.
Main Results:
- The majority of injuries (97.9%) were blunt trauma, with nausea being the most common complaint.
- Most children presented with stable vital signs and normal neurological assessments.
- Factors significantly associated with poorer outcomes included trauma type, injury location, transport method, and Glasgow Coma Scale score (p < 0.05).
Conclusions:
- Over half of traumatic injuries in children occurred at home, highlighting the need for increased parental awareness.
- Educational initiatives focusing on risky environments and activities are recommended to prevent childhood trauma.
Purpose:
Trauma may lead to serious complications in children patients. The purpose of this study was to investigate prognosis in children with traumatic injuries.
Methods:
This cross-sectional study was conducted on all of the children (<18 years old) who had suffered traumatic injuries and transferred to the emergency department of Imam Hussein Hospital by emergency medical services. After selecting the children, a checklist including information such as demographic characteristics, trauma type, consciousness level, and final outcome was recorded. Finally, the data were analyzed using t-test, Chi-square test and ANOVA.
Results:
In total of 564 children were investigated. Among them, 70% were males, and 33.2% were in the age range of 5-12 years. The mechanism of injuries in 97.9% of the cases was blunt trauma. The most common chief complaint among the affected children was nausea. The majority of them had stable vital signs and normal neurological tests results. However, 1.06% of them died during hospitalization. The results indicated that the final outcome in the children affected by traumatic injuries is significantly related to the type of trauma, the location of traumatic event, the vehicle used to transport them to emergency departments and their Glasgow coma scale score (p < 0.05).
Conclusion:
Considering the young age of the child patients and over half of trauma happened at home, it is important to raise parents' awareness about the risky places and activities, which were likely to result in traumatic injuries for children.
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