First Spanish Trauma Registry: Analysis of 1500 Cases

Abstract

Objectives: To develop the first Spanish Pediatric Trauma Registry to collect and evaluate infornation concerning aspects of injuries in our pediatric population. Methods: From January 1995 to August 1998.946 children younger than 16 years were treated in our hospital for acute injury: 1500 were admitted and ineluded in our database. Dur file registry consists of 108 data points ineluding: patient identification, type. place and mechanism of injury, pre-hospital care, transport, assess· ment on admission, severity scores, diagnostic studies, injuries, treatment morbidity and mortality. Results: Aceidents were more frequent in males (68 %) than in fern ales. The predominant age group was 12 -15 years of age (34%). Aceidents were more frequent in the street (35.1 %) than at horne (18.9%) or school (13%). Falls and traffic-related aceidents were the leading cause of injury (39% and 21.2%, respectively). Two hundred and thirty-five (15.7%) had a Pediatric Trauma Score::; 8. Fifty of these sustained multiple trauma (33 %) (Injury Severity Scorẽ 15). Musculoskeletal and head trauma were the most frequent injuries (48.5% and 42.0%, respectively). Surgical or orthopedic procedures were performed in 906 patients (56.5 %). The average Jength of stay was 4.5 days (range 1 -93 days). Functional impairment in children older than 4 years of age was found in 413 children (33.3 %). We encountered 7 deaths in the 1500 patients, or an overall mortality of 0.5%. These 7 deaths were only seen in the I.S.S.~15 group (50 patients) with 14% mortality. Conclusions: The goals of this Registry are to estabJish the epidemiology of our injured pediatric population, to review patient care, to deveJop prevention programs and to compare results with other centers so that potential deficieneies can be corrected.• Key words: Pediatric Trauma -Registry -Epidemiology Resume Objectifs: Developper le premier registre des traumatismes pediatriques espagnol pour appreeier Jes differents aspects des traumatismes dans notre population pediatrique. Methodes:Eur

Pediatric Facial Fractures in South Australia: Epidemiology, Clinical Characteristics, and Outcomes

“…In a Portuguese retrospective study, concomitant injuries have been reported at 71.7% with significantly higher rates from RTA compared to other aetiologies 38 . This is in keeping with the pattern of distribution of injury from trauma data, where neurological injury and limbs were most commonly affected 39,40 …”

“…38 This is in keeping with the pattern of distribution of injury from trauma data, where neurological injury and limbs were most commonly affected. 39,40…”

Pediatric Trauma

“…5 The distribution of the principal mechanisms of injury and their comparison with European pediatric trauma centers is shown in Figure 2. [4][5][6][7][8]10,12 In our center, among falls, 40% occurred from less than 1 m, 50% from 1 to 5 m, and 10% from greater than 5 m. Pedestrians (38%) were most frequently involved in road injuries, followed by cyclists (32%) and individuals in 4-wheel vehicles (27%) and motorbikes (3%). Thirty-two percent of admitted children were involved in accidents at home.…”

“…[4][5][6][7][9][10][11] In Spain, the predominant age group was 12 to 15 years. 8 The median ISS was 9 (IQR, 4-16). Minor trauma occurred in 201 children (61%), and moderate trauma occurred in 29 children (9%).…”

“…1 In European countries, the morality rates of pediatric patients who experienced trauma range from 0.5% to 30%. [2][3][4][5][6][7][8][9][10][11][12][13] The establishment of pediatric trauma centers improves survival, 14,15 and analysis of data from these centers helps assess the effectiveness and quality of care.…”