The epidemiology of inpatient pediatric trauma in United States hospitals 2000 to 2011

Oliver, Jamie R.; Avraham, Jacob B.; Frangos, Spiros G.; Tomita, Sandra; DiMaggio, Charles

doi:10.1016/j.jpedsurg.2017.04.014

Cited by 40 publications

(46 citation statements)

References 50 publications

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“…Population-based studies have reported that yearly between 3% and 8% of children experience sports-related injuries (Bruhmann & Schneider, 2011; Sheu et al, 2016), and recent studies have indicated that sport-related injuries represent one third of all emergency department (ED) visits among school-age children (Harmon et al, 2018) and occur five times more frequently than those caused by injuries from road accidents (Finch et al, 2014). They are also the second most common cause of severe injuries such as traumatic brain or spinal cord in children over 10 years of age (Oliver et al, 2018). Increasing trends reported for traumatic brain (Bayt & Bell, 2016), internal organs (Bayt & Bell, 2016), severe knee (Shaw & Finch, 2017) and dental (James et al, 2018) injuries sustained by children while playing sports in the last decade have raised concerns among parents and pediatric health professionals in relation to their potential long-term consequences, particularly of severe injuries.…”

Section: Introductionmentioning

confidence: 99%

The burden of hospitalized sports-related injuries in children: an Australian population-based study, 2005–2013

et al. 2018

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BackgroundThere is concern about recent increase and severity of sports-related injuries in children. Despite the benefits of sports participation, injuries may carry long-term health consequences. We aimed to evaluate the prevalence, characteristics and types of hospitalized sports-related injuries in children.MethodsPopulation-based study of all acute sports-related injuries requiring hospitalization in children 5 to 15 years of age in New South Wales (NSW), Australia, 2005–2013. Health information was obtained from the NSW Admitted Patient Data Collection, a census of all hospital admissions from public and private hospitals. Children with a recorded ICD10-AM injury code (S00-T79) and sport-related activity code (U50-U70) were included. Prevalence and trend in injuries by age group, sporting code, body region affected and type of injury were assessed.ResultsThere was a total of 20,034 hospitalizations for sports-related injuries (2.7% of all hospitalizations in children aged 5–15 years), involving 21,346 recorded injuries in 19,576 children. The overall population hospitalization period prevalence was 227 per 100,000 children aged 5–15 years in 2005–2013, remaining stable over time (RR 0.99; 95% CI 0.98–1.00). Football codes such as rugby league/union and soccer combined represented nearly two thirds of the total (60%). The most common body regions affected were the forearm (31%) head (15%) and hand injuries (13%). Fractures accounted for 65% of injuries followed by dislocations (10%) and traumatic brain injury (10%). Compared to other age groups, children aged 5–8 years had double the proportion of shoulder (15% vs. 7%) while 13–15 year olds had higher proportion of lower-leg (14% vs. 8%) and knee (6% vs.2%) injuries. One in seven injuries sustained while playing rugby league/union, baseball and hockey were traumatic brain injuries. A total of 444 (2.2%) of children had more than one hospitalization for sports-related injuries.ConclusionOn average, six children were hospitalized every day for sports-related injuries in the last decade with trends remaining stable. The most common sports involved were football codes, one in three injuries involved the forearm and two thirds were fractures. These findings can be used to inform health policy and sporting governing bodies to target preventive interventions and promote safe sports participation in children.Electronic supplementary materialThe online version of this article (10.1186/s40621-018-0175-6) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

The burden of hospitalized sports-related injuries in children: an Australian population-based study, 2005–2013

et al. 2018

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“…This finding was supported by many previously published studies. 19,25,26,27 Unlike the previous studies 21,22,28 fall was not the most common injury mechanism, rather it was the second most common injury mechanism, 34.0 %( n=238). Vehicle related incidents are the most common injury mechanism in boys and fall is most common in girls.…”

Section: Discussionmentioning

confidence: 57%

Study of the characteristics and burden of pediatric trauma in low resource settings.

Rehman¹,

Makki²,

Fazal

et al. 2020

TPMJ

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Objectives: Purpose of the study is to identify the characteristics and burden of pediatric trauma in a hospital with limited resources and to compare the results with published literature and to formulate the effective injury prevention strategies. Study Design: Prospective, Descriptive, Cross-sectional study. Setting: Department of Pediatric Surgery, DHQ Teaching Hospital Sahiwal. Period: January 2019 to December 2019. Material & Methods: A total of 871 patients aged 12 years and below with a history of trauma were included. The patients were categorized into four age groups, 0-2 years, 3-5 years, 6-8 years, and 9-12 years. Data collected included, age, gender, area (rural/urban), type of injury, mechanism of injury, regional pattern of injury, any intervention required and final outcome. The data were compared in different age groups and both sexes. Results: Out of total 2609 admissions, 871(33.38%) patients were of trauma and burn. 699(80.3%) trauma patients and 172(19.7%) burn patients. The males were 595(67.9%) and females comprised 276(32.1%). Age ranged from 05 days to 12 years (mean5.07years). By age groups, distribution of patients was, 0-2years 201(23.1%), 3-5years 340(39.0%), 6-8years 213(24.5%), and 9-12years 117(13.4%). Blunt trauma was most common type of injury 688(95.56%) and penetrating trauma was 31(4.43%). Most common mechanisms of injury were, vehicle related incidents 380(54.4%) and fall 238(34.0%). The majority of injuries 432(61.8%), were seen in head, neck and face region. Scald was most common type of burn and seen in 125(14.4%) patients. Conclusion: This study clearly shows that pediatric injuries and burn contribute a substantial proportion of all pediatric surgical admissions. Pediatric trauma including burn is a significant burden on health care system. Vehicle related incidents, fall injuries and scald burns are most common type of injuries.

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“…Findings of this study are in accordance with literature that suggests there are certain types of injuries that are common in specific child age group. In a study on 2.4 million pediatric traumatic injury cases in the US from 2000–2011, motorcycle accidents were the most common mechanism of traumatic injuries for all age groups [ 24 ]. In children less than 5 years old, burns and abuse were the second and third most common causes of severe traumatic injury.…”

Section: Discussionmentioning

confidence: 99%

“…In children aged 5–9 years, falls and animal bites were the second and third most common causes of injuries. Sports were the second most common cause of injury in children aged 10–14 years [ 24 ]. This study also found the changing patterns of injuries with age.…”

Section: Discussionmentioning

confidence: 99%

The Preschool-Aged and School-Aged Children Present Different Odds of Mortality than Adults in Southern Taiwan: A Cross-Sectional Retrospective Analysis

Peng

Huang

Hsu

et al. 2018

IJERPH

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Background: This study aimed to profile the epidemiology of injury among preschool-aged and school-aged children in comparison to those in adults. Methods: According to the Trauma Registry System of a level I trauma center, the medical data were retrieved from 938 preschool-aged children (aged less than seven years), 670 school-aged children (aged 7–12 years), and 16,800 adults (aged 20–64 years) between 1 January 2009 and 31 December 2016. Two-sided Pearson’s, chi-squared, and Fisher’s exact tests were used to compare categorical data. A one-way analysis of variance (ANOVA) with the Games-Howell post-hoc test was used to assess the differences in continuous variables among different groups of patients. The mortality outcomes of different subgroups were assessed by a multivariable regression model under the adjustment of sex, injury mechanisms, and injury severity. Results: InFsupppjury mechanisms in preschool-aged and school-aged children were remarkably different from that in adults; in preschool-aged children, burns were the most common cause of injury requiring hospitalization (37.4%), followed by falls (35.1%) and being struck by/against objects (11.6%). In school-aged children, injuries were most commonly sustained from falls (47.8%), followed by bicycle accidents (14%) and being struck by/against objects (12.5%). Compared to adults, there was no significant difference of the adjusted mortality of the preschool-aged children (AOR = 0.9; 95% CI 0.38–2.12; p = 0.792) but there were lower adjusted odds of mortality of the school-aged children (AOR = 0.4; 95% CI 0.10–0.85; p = 0.039). The school-aged children had lower odds of mortality than adults (OR, 0.2; 95% CI, 0.06–0.74; p = 0.012), but such lower odds of risk of mortality were not found in preschool-aged children (OR, 0.7; 95% CI, 0.29–1.81; p = 0.646). Conclusions: This study suggests that specific types of injuries from different injury mechanisms are predominant among preschool-aged and school-aged children. The school-aged children had lower odds of mortality than adults; nonetheless there was no difference in mortality rates of preschool-aged children than adults, with or without controlling for sex, injury mechanisms and ISS. These results highlight the importance of injury prevention, particularly for preschool-aged children in Southern Taiwan.

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The epidemiology of inpatient pediatric trauma in United States hospitals 2000 to 2011

Abstract: Level III.

Cited by 40 publications

References 50 publications

The burden of hospitalized sports-related injuries in children: an Australian population-based study, 2005–2013

The burden of hospitalized sports-related injuries in children: an Australian population-based study, 2005–2013

Study of the characteristics and burden of pediatric trauma in low resource settings.

The Preschool-Aged and School-Aged Children Present Different Odds of Mortality than Adults in Southern Taiwan: A Cross-Sectional Retrospective Analysis

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