Epidemiological characteristics of pediatric trauma and the role of the Injury Severity Score in predicting mortality risk: a multicenter study
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View abstract on PubMed
Summary
This summary is machine-generated.Traffic accidents and falls are leading causes of pediatric trauma, with young boys at highest risk. An Injury Severity Score (ISS) over 24.5 indicates a significantly increased mortality risk in children.
Area Of Science
- Trauma Care
- Pediatric Emergency Medicine
- Public Health
Background
- Pediatric trauma is a significant cause of mortality in children.
- Traffic accidents and falls are primary injury mechanisms, especially in young children and males.
Purpose Of The Study
- To analyze pediatric trauma characteristics and influencing factors across age groups in China.
- To identify injury causes, anatomical sites, and temporal patterns of pediatric trauma.
- To evaluate the Injury Severity Score (ISS) as a predictor of mortality.
Main Methods
- Multicenter study involving 732 pediatric trauma patients from 24 hospitals in China (April 2021-December 2022).
- Analysis of demographic data, injury causes, anatomical injury sites, temporal distribution, and outcomes.
- Statistical analysis to determine risk factors and the predictive value of ISS for mortality.
Main Results
- Leading causes: traffic accidents (45.77%), low falls (24.45%), and high falls (23.63%).
- Highest incidence in children aged 0-3 years (36.48%) and males (62.84%).
- Injuries peaked between 12:00-18:00 and on non-working days; roadsides and urban areas were common locations.
- Mortality rate was 8.20%; ISS was significantly higher in deceased patients (42.55 vs. 20.45, P < 0.001).
- ISS cutoff of 24.5 demonstrated high sensitivity (0.983) in predicting mortality (AUC=0.892, P < 0.001).
Conclusions
- Traffic accidents and falls are major pediatric trauma causes.
- Young boys (0-3 years) face elevated risks, necessitating enhanced supervision and public education.
- An ISS > 24.5 upon admission is a strong predictor of mortality, guiding clinical management and prevention efforts.
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