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Repeat injuries in childhood.

S M Peters1, M-A Davies, A B Van As

  • 1Executive Management, Groote Schuur Hospital, Cape Town; Health Impact Assessment Unit, Western Cape Government: Health, Cape Town; and School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, South Africa. shrikant.peters@westerncape.gov.za.

South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
|January 6, 2021
PubMed
Summary
This summary is machine-generated.

Thirteen percent of children experienced repeat injuries, with boys more likely to sustain them. Repeat injuries were less common after incidents involving fluid burns, foreign body ingestion, or more severe initial trauma.

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Area of Science:

  • Pediatric Trauma
  • Epidemiology
  • Public Health

Background:

  • Childhood injuries are a major cause of illness and death in developing nations.
  • Understanding factors contributing to repeat injuries offers insights into injury prevention.
  • The epidemiological triad (agent, host, environment) influences injury occurrence.

Purpose of the Study:

  • To determine the rate of repeat non-transport-related injury presentations in children.
  • To identify factors associated with repeat childhood injuries at a South African trauma unit.

Main Methods:

  • Retrospective cohort study of children aged 0-10 years.
  • Data from Red Cross War Memorial Children's Hospital Trauma Unit (RCWMCH TU) from 1997-2016.
  • Multilevel Poisson regression analysis to assess associated factors.

Main Results:

  • 13% of over 72,000 initial pediatric injury presentations resulted in repeat visits.
  • Male gender was associated with a higher likelihood of repeat injuries.
  • Reduced repeat injury risk observed for abuse-related injuries, fluid burns, foreign body ingestion, and moderate/severe initial injuries.

Conclusions:

  • Repeat childhood injuries are significant, particularly in boys.
  • Specific injury types (burns, foreign body ingestion, severe trauma) show lower recurrence.
  • Targeted prevention strategies are needed for high-risk injuries and populations.