Related Experiment Video
Updated: Aug 16, 2026
A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
[Pediatric trauma registry: analysis of 1200 cases]
J A Navascués del Río1, J Sotelo Martín, J Cerdá Berrocal
1Servicio de Cirugía Pediátrica, Hospital Infantil Gregorio Marañón, Madrid.
Insights
The first Spanish Pediatric Trauma Registry collected data on 1,200 injured children, revealing falls and traffic accidents as leading causes. This registry aids in understanding pediatric injury epidemiology and improving patient care.
Area of Science:
- Pediatric Trauma Registry
- Injury Epidemiology
- Public Health
Background:
- Establishing a comprehensive pediatric trauma registry is crucial for understanding injury patterns in children.
- Data collection and evaluation are essential for improving care and prevention strategies.
Purpose of the Study:
- To develop and implement the first Spanish Pediatric Trauma Registry.
- To collect and evaluate data on injuries within the pediatric population in Spain.
Main Methods:
- Data collected from January 1995 to September 1997 on 1,200 children under 16 treated for acute injury.
- Registry included 108 data points covering patient demographics, injury specifics, pre-hospital care, treatments, and outcomes.
Main Results:
- Accidents were more common in males (69%), with the 12-15 age group most affected (34%).
- Street accidents (35.3%) and falls (38%) were the primary causes of injury.
- Mortality rate was 0.5%, with higher rates in severe trauma cases (ISS > or = 15).
Conclusions:
- The registry provides valuable insights into pediatric injury epidemiology in Spain.
- It serves as a tool for reviewing patient care, developing prevention programs, and identifying areas for improvement.
Objectives:
We developed the first Spanish Pediatric Trauma Registry in order to collect and evaluate information concerning aspects of injuries in our pediatric population.
Methods:
From January'95 to September'97, 28,713 children younger than 16 years were treated in our Hospital for acute injury: 1,200 were admitted and included in our database. Our file-registry consists of 108 data points including: patient identification, type, place and mechanism of injury, pre-hospital care, transport, assessment on admission, severity scores, diagnostic studies, injuries, treatments and morbidity-mortality.
Results:
Accidents were more frequent in males (69%) than in females. The age-group predominantly was 12-15 years old (34%). Accidents were more frequent in the street (35.3%) than at home (18.7%) or school (14%). Falls and traffic-related accidents were the leading cause of injury (38 and 21.1%, respectively). The 16.7% of cases had Pediatric Trauma Score < or = 8 (n = 201). The 3.6% of this sustained multiple trauma (43 cases with Injury Severity Score > or = 15). Musculoskeletal and head trauma was the most frequent (62 and 42.3%, respectively). Surgical or orthopedic procedures were performed in 678 patients (56.5%). Average length of stay were 4.8 days (range 1-93 days), and functional impairments at discharge were found in 33.9% of patients older than 3 years (n = 338). Mortality rate in our series was 0.5% (n = 6), and 13.9% in children with ISS > or = 15.
Conclusions:
The utility of this Registry is to know the epidemiology of our injured pediatric population, to review patient care, to develop prevention programs and to compare results with other centers so potential deficiencies can be identified and corrected.
