Trends in moderate to severe paediatric trauma in Central Netherlands

Janssens, Loes; Holtslag, Herman R.; Leenen, Luke P. H.; Lindeman, Eline; Looman, Caspar W.N.; Beeck, Ed F. van

doi:10.1016/j.injury.2014.04.027

Cited by 9 publications

(8 citation statements)

References 34 publications

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“…The sex differences we observed are in line with findings of a recently published Dutch study on trends in pediatric trauma, which found higher male-to-female ratios for various injuries requiring hospital treatment [ 24 ]. For Germany, similar sex-related risk patterns were also observed in the latest report from the German Federal Office of Statistics [ 25 ].…”

Section: Discussionsupporting

confidence: 90%

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Regional Deprivation and Non-Cancer Related Computed Tomography Use in Pediatric Patients in Germany: Cross-Sectional Analysis of Cohort Data

et al. 2016

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BackgroundConflicting findings were observed in recent studies assessing the association between patients’ area-level socio-economic status and the received number of computed tomography (CT) examinations in children. The aim was to investigate the association between area-level socio-economic status and variation in CT examination practice for pediatric patients in Germany.MethodsData from Radiology Information Systems for children aged 0 to < 15 years without cancer who had at least one CT examination between 2001 and 2010 were extracted in 20 hospitals across Germany. The small-area German Index of Multiple Deprivation (GIMD) was used to assess regional deprivation. The GIMD scores were classified into least, medium and most deprived areas and linked with the patient’s last known postal code. A multinomial logistic regression model was used to assess the association between patients’ CT numbers and regional deprivation adjusting for age, sex, and location of residence (urban/rural).ResultsA total of 37,810 pediatric patients received 59,571 CT scans during the study period. 27,287 (72%) children received only one CT, while n = 885 (2.3%) received six or more. Increasing numbers of CT examinations in non-cancer patients were significantly associated with higher regional deprivation, which increased, although CI overlap, for higher CT categories: ‘2–3 CT’ odds ratio (OR) = 1.45, 95%CI: 1.40–1.50; ‘4–5 CT’ OR = 1.48, 95%CI: 1.38–1.59; ‘6+CT’ OR = 1.54, 95%CI: 1.41–1.69. In addition, male sex, higher age categories, and specific body regions were positively associated with increased numbers of CT examinations.ConclusionWe observed a positive association between regional deprivation and CT numbers in non-cancer pediatric patients. Limitations of the ecological approach and the lack of differentiation of CT details have to be acknowledged. More information on CT indications is necessary for a full assessment of this finding. In addition, further work on ways to assess socio-economic status more accurately may be required.

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Section: Discussionsupporting

confidence: 90%

“…Young individuals, including children, living in deprived areas have been found to have higher injury rates [ 12 , 23 , 24 ]. For instance, a French study found higher rates of traffic accident-related injuries among children and young adults living in deprived areas in the Rhône Department [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Regional Deprivation and Non-Cancer Related Computed Tomography Use in Pediatric Patients in Germany: Cross-Sectional Analysis of Cohort Data

et al. 2016

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“…The causes of trauma in studies carried out in other countries were almost the same as those obtained in Iran [25]. In a prospective cohort study of Janssens et al, [26] the highest incidence of falls and injuries due to cycling has been in the 1 to 9 and 10 to 18 years old age groups. In addition, Gowing and colleagues [18] reported that motor crashes, assaults and falls are three main causes of trauma in last 10 years in Australia.…”

Section: Discussionsupporting

confidence: 56%

Epidemiology and Pattern of Traumatic Brain Injury in a Developing Country Regional Trauma Center

Saatian

Ahmadpoor

Mohammadi

et al. 2018

BEAT

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Objective: To determine the epidemiological aspects of patients with traumatic brain injury (TBI) in a regional trauma center. Methods: A cross-sectional study was conducted on patients with TBI during 2013 to 2016 in a single center in Hamedan, central Iran. The distribution and relationships of TBI was assessed with gender, age, type of trauma, traumatic cause, exiting status and Length of Hospitalization (LOH). Data were analyzed by Stata V11 statistical software. Results: In general, 9426 patients with TBI were enrolled in analyses. The mean ± SD age of patients was 29.70 (±21.46) years. Multivariate logistic regression indicated that being male [OR: 1.29; 95% CI (2.92-4.73), P ≤0.001], 41-50 to 71-80 and 90+ years old' age groups (1.325 days [OR: 2.01; 95% CI (1.60-2.52), p≤0.001] and different types of trauma were significantly related to mortality. Conclusion: TBI is one of the main causes of mortality and LOH of the young population. By providing preventive measures and a traumatic care system, the burden of trauma can be greatly reduced, the implementation of the trauma care system in Hamedan province is a necessity.

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“…Similarly, UK data show no consistent pattern between 1988 and 1999 [ 41 ]. In the Netherlands, there was an increase in injury rates between 1996 and 2009 [ 63 ].…”

Section: Introductionmentioning

confidence: 99%

What is the Relationship between Risky Outdoor Play and Health in Children? A Systematic Review

Brussoni

Gibbons

Gray

et al. 2015

IJERPH

358

259

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Risky outdoor play has been associated with promoting children’s health and development, but also with injury and death. Risky outdoor play has diminished over time, concurrent with increasing concerns regarding child safety and emphasis on injury prevention. We sought to conduct a systematic review to examine the relationship between risky outdoor play and health in children, in order to inform the debate regarding its benefits and harms. We identified and evaluated 21 relevant papers for quality using the GRADE framework. Included articles addressed the effect on health indicators and behaviours from three types of risky play, as well as risky play supportive environments. The systematic review revealed overall positive effects of risky outdoor play on a variety of health indicators and behaviours, most commonly physical activity, but also social health and behaviours, injuries, and aggression. The review indicated the need for additional “good quality” studies; however, we note that even in the face of the generally exclusionary systematic review process, our findings support the promotion of risky outdoor play for healthy child development. These positive results with the marked reduction in risky outdoor play opportunities in recent generations indicate the need to encourage action to support children’s risky outdoor play opportunities. Policy and practice precedents and recommendations for action are discussed.

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Trends in moderate to severe paediatric trauma in Central Netherlands

Cited by 9 publications

References 34 publications

Regional Deprivation and Non-Cancer Related Computed Tomography Use in Pediatric Patients in Germany: Cross-Sectional Analysis of Cohort Data

Regional Deprivation and Non-Cancer Related Computed Tomography Use in Pediatric Patients in Germany: Cross-Sectional Analysis of Cohort Data

Epidemiology and Pattern of Traumatic Brain Injury in a Developing Country Regional Trauma Center

What is the Relationship between Risky Outdoor Play and Health in Children? A Systematic Review

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