Injury patterns associated with hypotension in pediatric trauma patients

Gardner, Alison; Diz, Debra I.; Tooze, Janet A.; Miller, Chadwick D.; Petty, John K.

doi:10.1097/ta.0000000000000658

Cited by 13 publications

(6 citation statements)

References 16 publications

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“…Boys tended to suffer from trauma more than girls across all age groups. The percentages of boys with trauma increased as the age group increased, in agreement with previous studies 12,13 . This is because boys are generally likely to be exposed to risky activities and/or be more careless 14 .…”

Section: Discussionsupporting

confidence: 92%

Epidemiology, Patterns of treatment, and Mortality of Pediatric Trauma Patients in Japan

Aoki

Abe

Saitoh

et al. 2019

Sci Rep

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Limited information exists regarding the epidemiology, patterns of treatment, and mortality of pediatric trauma patients in Japan. To evaluate the characteristics and mortality of pediatric trauma patients in Japan, especially in traffic accidents. This was a retrospective cohort study between 2004 and 2015 from a nationwide trauma registry in Japan. Pediatric trauma patients divided into four age groups: <1 years; 1 ≤ 5 years; 6 ≤ 10 years; and 11 ≤ 15 years. Data on patients’ demographics, trauma mechanism and severity, treatments and in-hospital mortality were analyzed between the groups. There were 15,441 pediatric trauma patients during the study period. Among 15,441 pediatric patients, 779 belonged to the <1 year age group, 3,933 to the 1 ≤ 5 years age group, 5,545 to the 6 ≤ 10 age group, and 5,184 to the 11 ≤ 15 years age group. Male injuries (69%) were more frequent than female injuries. Head injuries (44%) were the most frequent and severe. Traffic accidents were the leading cause of trauma (44%). Overall in-hospital mortality was 3.9% and emergency department mortality was 1.4%. In-hospital mortality was 5.3%, 4.7%, 3.0% and 4.0% for the <1 year, 1 ≤ 5 years, 6 ≤ 10 years, and 11 ≤ 15 years age groups respectively. A total of 57% of all trauma deaths were before or upon arrival at hospital. Traffic accidents for the <1 year age group was the highest category of mortality (15%). The overall in-hospital mortality of Japanese pediatric trauma patients was 3.9% based on the nationwide trauma registry of Japan. The main cause of severe trauma was traffic accidents, especially in patients <1 year of age whose mortality was 15%.

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Section: Discussionsupporting

confidence: 92%

Epidemiology, Patterns of treatment, and Mortality of Pediatric Trauma Patients in Japan

Aoki

Abe

Saitoh

et al. 2019

Sci Rep

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“…The incidence of major trauma was highest in teenagers and in males, while the proportion of events resulting from motorcycle and bicycle events also increased in adolescence years. These results are consistent with international studies reporting differences in causes of injury between gender and age groups [12,16,17,18,19,20]. These age-related differences re ect predictable stages of adolescence physical and social development, with increasing independence and diminished supervision of parents and institutions.…”

Section: Mortality and In-hospital Outcomessupporting

confidence: 90%

Epidemiology of Major Paediatric Trauma in a European Country – Trends of a Decade

Castelão

Lopes

Vieira

2023

Preprint

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Objectives This study describes the epidemiology of severe injuries related to trauma in children and assesses potential preventive areas. Methods Single-centre retrospective study of paediatric trauma patients admitted to a Paediatric Intensive Care Unit (PICU) in a tertiary university hospital in Europe, from 2009 to 2019. Results Total 358 patients included (age 11 ± 4,9 years; 67% male); 75% were involved in road traffic accidents: 30% motor vehicle collision, 25% pedestrian, 10% motorcycle and bicycle each. Falls from height injured 19% of children, 4% during sports activities. Main injuries were to head/neck (73%) and extremities (42%). The incidence of major trauma was highest in teenagers and did not show a decreasing trend during the study years. All fatalities (1,7%; n = 6) were related to head/neck injuries. Motor vehicle collisions resulted in higher need for blood transfusion (9 vs 2 mL/kg, p = 0,006) and the highest ICU-mortality (83%; n = 5). Children in motorcycle accidents had longer ICU length-of-stay (6,4 vs 4,2 days, p = 0,036). Pedestrians had 25% higher risk of head/neck injuries (RR 1,25; 1,07 − 1,46; p = 0,004), and higher incidence of severe brain injury (46% vs 34%, p = 0,042). Most children in motor-vehicle/bicycle accidents were not using restraints/protective devices (45%) or were using them inappropriately (13%). Conclusions Over the last decade, the absolute numbers of paediatric major trauma did not decrease. Road traffic accidents remain the leading cause of injury and death. Teenagers are at highest risk for severe trauma. Appropriate use of child restraints and protective equipment remain key for prevention.

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“…Além disso, foi feito um quadro com resultados de pesquisas feitas em outros países para facilitar comparação. Os resultados obtidos mostram que a maioria dos afetados são meninos o que condiz com outros países e com outras cidades brasileiras (FILÓCOMO, 2002;GARDNER et al, 2015;GARAI, et al, 2017OLIVER, 2018AOKI, et al, 2019). O primeiro achado pode ser justificado pelo maior descuido que os meninos têm e por se exporem a mais situações de risco (ESTEBAN, 2015).…”

Section: Resultadounclassified