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Trauma Outcomes in Pediatric Nonfatal Road Traffic Accidents
Ștefan Popa1, Diana Bulgaru-Iliescu2, Carmen Iulia Ciongradi1
12nd Department of Surgery-Pediatric Surgery and Orthopedics, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iași, Romania.
Insights
Road traffic injuries significantly impact pediatric patients, with age affecting accident types. Complications occurred in 17.3% of cases, frequently requiring surgical or orthopedic intervention.
Area of Science:
- Pediatric Traumatology
- Public Health
- Road Safety Research
Background:
- Road traffic injuries are a growing global health concern, projected to be the third leading cause of disease burden by 2025.
- Romania experiences an average of 342 annual traffic accidents involving pediatric patients.
Purpose of the Study:
- To analyze injury types and treatment methods in pediatric road traffic accident (RTA) cases.
- To investigate the relationship between age, sex, injury patterns, treatment, hospitalization duration, and complication rates.
Main Methods:
- Retrospective study of 358 pediatric RTA cases over eight years.
- Data analysis focused on injury types, treatment modalities, age, sex, hospitalization, and complications.
Main Results:
- A notable decline of approximately 60% in cases was observed post-COVID-19 pandemic.
- 78.7% of patients not undergoing orthopedic reduction required surgery, compared to 23.4% who did.
- Complications occurred in 17.3% of cases, with surgical (38.7%), orthopedic (27.4%), and neurological (24.2%) being most common.
Conclusions:
- Age significantly influences the type of road traffic accident sustained by pediatric patients (p < 0.05).
- Complication rates highlight the need for effective management strategies in pediatric RTA care.
Background:
By 2025, road traffic injuries are projected to rank third in the global burden of disease, posing a significant challenge that affects health, social well-being, and economic aspects. According to data from the Romanian Police National Statistics Center, there have been an average of 342 traffic accidents per year involving pediatric patients over the past 10 years.
Materials And Methods:
A retrospective research study was conducted, encompassing 358 cases of road traffic accidents identified for the study, with data collected over a span of eight years, and with the aim of analyzing the types of injury and treatment methods in relation to age and sex, while also focusing on the duration of hospitalization and the occurrence of complications.
Results:
An oscillating trend is observed from 2015 to 2020, with its lowest value recorded in 2017 at around 6.8% and its peak in 2019 at 20.1%. Notably, post-pandemic (COVID-19), the cases underwent a substantial decline of approximately 60%. At least 78.7% of those who did not undergo orthopedic reduction required surgery, whereas among those who underwent orthopedic reduction, only 23.4% needed surgery. Regarding the frequency of complications 17.3% of the total cases experienced complications.
Conclusions:
According to our findings, age has a significant effect on the type of accident (p < 0.05). Complications occurred in 17.3% of patients, most commonly surgical (24 cases, 38.7%), orthopedic (17 cases, 27.4%), and neurological (15 cases, 24.2%).
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