Paediatric traffic accidents – current epidemiological trends at a finnish university hospital

Nurmi, Mikko; Järvelä, Sally; Mattila, Ville M.; Luoto, Teemu M.; Pauniaho, Satu‐Liisa

doi:10.1016/j.injury.2020.07.030

Cited by 8 publications

(7 citation statements)

References 11 publications

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“…This was a study of the entire age of a single institution [27]. The majority of childhood tra c accidents were mild and required only minor treatment [26]. In this study, there was a low mortality rate.…”

Section: 0%)mentioning

confidence: 79%

Epidemiology and Injury Characteristic Between Bicycle and Motorcycle Under 19 Population: South Korea

Yun

Bae

Lee

et al. 2021

Preprint

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ObjectivesBicycles and motorcycles are the main means of transportation and leisure for those under the age of 19 in South Korea. We aimed to identify epidemiology of injuries and to determine the injury characteristics and clinical outcomes of two-wheel vehicle-related accidents in individuals under the age of 19.Materials and methodsThis was a retrospective cohort and data, acquired from the National Emergency Department Information System, was collected from 401 emergency departments (EDs) between January 2016 and December 2018. We included injured patients aged < 19 years who experienced injuries while driving two-wheeled vehicles.Results We enrolled 54,342 two-wheel vehicle injury patients in the study (37,410 bicycle and 16,932 motorcycle-related), of which, males comprised 86.8% (bicycle) and 94.9% (motorcycle). External and extremity injuries were the most common injuries. ED mortality was 9 (0.0%) for bicycle injury and 53 (0.3%) in motorcycle injury. 3,346 (8.9%) patients with bicycle injuries and 4,096 (24.2%) with motorcycle injuries were hospitalised. Bicycle-related injuries included fractures in the clavicle (10.9%), humerus (13.4%), and forearm (25.4%). Motorcycle-related injuries included fractures in the pelvic ring (2.0%), acetabular (0.9%), femoral (10.2%), patellar (1.8%), tibiofibular (11.5%) and foot (7.5%). The mean ISS score of hospitalised patients was 12.0 ± 12.6 in bicycle-related injury and 17.6 ± 15.4 in motorcycle-related injury. The number of hospitalised bicycle injury patients with ISS > 16 of was 922 (27.6%), and that of hospitalised motorcycle injury patients with ISS > 16 was 1,850 (45.2%). The mean length of hospital stay (LOS) was 191.5.8 ± 224.2 hours in bicycle injury, while the mean LOS for motorcycle injury was 359.6 ± 416.7 hours. Hospital mortality cases were 6 (0.2%) with bicycle injury and 49 (1.2%) with motorcycle injury. Conclusions In the under-19 population, two-wheel vehicle-related injuries had a low mortality rate and occurred predominantly in males. Motorcycle injuries were higher in patients aged over 16 and were associated with higher ISS (>16), ICU admissions, and mortality rates than bicycle injuries. Bicycle accidents mainly caused upper limb fractures, while motorcycle accidents mainly caused lower limb fractures. Preventive measures according to each means and age group are required.

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Section: 0%)mentioning

confidence: 79%

Epidemiology and Injury Characteristic Between Bicycle and Motorcycle Under 19 Population: South Korea

Yun

Bae

Lee

et al. 2021

Preprint

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show abstract

“…In a retrospective study of 386 childhood traffic accidents admitted to a Finnish university hospital Nurmi et al found that the majority were mild and required only minor treatment. However, the risk of traffic accidents and resulting injuries increased dramatically when the child reached the legal age of acquiring a driving license for a moped underlining the need for targeted prevention programs (12). Moreover, the American Center for Disease Control and Prevention has stated that child injuries are predictable and preventable and that many effective strategies to reduce child injuries and mortality are available (45).…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, pediatric patients challenge most medical teams more than adults, both emotionally and technically (6). Over the last decades, knowledge about pediatric trauma care has improved substantially, but outside the US there are few major studies describing the characteristics of the pediatric trauma population (2,(7)(8)(9)(10)(11)(12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

Close to zero preventable in-hospital deaths in pediatric trauma patients – An observational study from a major Scandinavian trauma center

Ringen¹,

Baksaas-Aasen²,

Skaga³

et al. 2023

Injury

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“…Season matching was performed to address pediatric trauma seasonal variation. [19][20][21] Descriptive characteristics were summarized with frequencies and percentages for categorical variables and median and interquartile range for continuous variables. Differences between the firearm and MVC injury cohorts were assessed using χ 2 tests for categorical data and Wilcoxon rank-sum tests for continuous variables.…”

Section: Discussionmentioning

confidence: 99%

“…We matched each child with a firearm injury with up to 3 children with an MVC injury using age (in years), sex, and the season in which the injury occurred (March–May, June–August, September–November, December–February). Season matching was performed to address pediatric trauma seasonal variation 19–21…”

Section: Methodsmentioning

confidence: 99%

Mental Health Care Following Firearm and Motor Vehicle-related Injuries

et al. 2022

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Objective: To compare new mental health diagnoses (NMHD) in children after a firearm injury versus following a motor vehicle collision (MVC). Background: A knowledge gap exists regarding childhood mental health diagnoses following firearm injuries, notably in comparison to other forms of traumatic injury. Methods: We utilized Medicaid MarketScan claims (2010–2016) to conduct a matched case-control study of children ages 3 to 17 years. Children with firearm injuries were matched with up to 3 children with MVC injuries. Severity was determined by injury severity score and emergency department disposition. We used multivariable logistic regression to measure the association of acquiring a NMHD diagnosis in the year postinjury after firearm and MVC mechanisms. Results: We matched 1450 children with firearm injuries to 3691 children with MVC injuries. Compared to MVC injuries, children with firearm injuries were more likely to be black, have higher injury severity score, and receive hospital admission from the emergency department (P<0.001). The adjusted odds ratio (aOR) of NMHD diagnosis was 1.55 [95% confidence interval (95% CI): 1.33–1.80] greater after firearm injuries compared to MVC injuries. The odds of a NMHD were higher among children admitted to the hospital compared to those discharged. The increased odds of NMHD after firearm injuries was driven by increases in substance-related and addictive disorders (aOR: 2.08; 95% CI: 1.63–2.64) and trauma and stressor-related disorders (aOR: 2.07; 95% CI: 1.55–2.76). Conclusions: Children were found to have 50% increased odds of having a NMHD in the year following a firearm injury as compared to MVC. Programmatic interventions are needed to address children’s mental health following firearm injuries.

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Paediatric traffic accidents – current epidemiological trends at a finnish university hospital

Cited by 8 publications

References 11 publications

Epidemiology and Injury Characteristic Between Bicycle and Motorcycle Under 19 Population: South Korea

Epidemiology and Injury Characteristic Between Bicycle and Motorcycle Under 19 Population: South Korea

Close to zero preventable in-hospital deaths in pediatric trauma patients – An observational study from a major Scandinavian trauma center

Mental Health Care Following Firearm and Motor Vehicle-related Injuries

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