Unintentional childhood injuries in the United States: Key findings from the CDC childhood injury report

Borse, Nagesh N.; Gilchrist, Julie; Dellinger, Ann M.; Rudd, Rose A.; Ballesteros, Michael F.; Sleet, David A.

doi:10.1016/j.jsr.2009.01.002

Cited by 59 publications

(37 citation statements)

References 2 publications

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“…Male gender was found to be signi cantly associated with the occurrence of unintentional injuries in the present study. This was in line with some other studies which had shown similar sex differences in injury rates (23)(24)(25) . This might be explained by the fact that males have a higher probability of risk taking behavior, are physically more active, and have more probability of engaging in competitive sports (26,27) .…”

Section: Discussionsupporting

confidence: 93%

Serious non-fatal unintentional injuries among in-school adolescents in Sri Lanka: results from the 2016 Sri Lankan Global School-Based Health Survey

Wickramasinghe¹,

Gunawardena²,

Punyadasa³

et al. 2020

Preprint

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BackgroundUnintentional injuries among adolescents is a major public health problem world over. A great majority of the annual deaths among adolescents is due to unintentional injuries; being the leading cause of death among them throughout the world. The aim of this study was to estimate the incidence of injuries and their associated factors among school going adolescents aged 13-17 years using the data of the most recent Global School-Based Health Survey (GSHS) conducted in Sri Lanka.MethodsA cross-sectional survey was conducted, using a self-administered questionnaire, among 3,262 adolescents attending government schools. The sample was selected through a two-staged cluster sampling technique. In the first stage, 40 schools were selected, using probability proportional to school enrollment size, out of all schools that have 8-12 grades in the country. Then, from the selected schools, classes were selected using systematic equal probability sampling with a random start. Weighted prevalence was calculated, and logistic regression analysis was conducted in order to determine the correlates.ResultsDuring the 12 months before the survey, 35.8% (95% CI-30.7 - 41.1) of the students reported being seriously injured once or more times. The injuries were more common among males, but were equally common among different age groups (13-15 age group vs 16-17 age group). The most common type of injury was cut or stab wound (5.5%), followed by broken bone/dislocated joint (5.3%). Multivariable analysis revealed that only a few factors were associated with injury, such as male sex, being bullied, being physically attacked, and/or being in a physical fight.ConclusionThis study demonstrated that the prevalence of serious unintentional injuries among school going adolescents is a major public health problem in Sri Lanka. This timely and comprehensive survey would help the policy makers and researchers identify the unmet needs related to adolescent injuries. Furthermore, evidence generated form the study should be given due consideration while designing school-based interventions in order to prevent adolescent injuries.

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Section: Discussionsupporting

confidence: 93%

Serious non-fatal unintentional injuries among in-school adolescents in Sri Lanka: results from the 2016 Sri Lankan Global School-Based Health Survey

Wickramasinghe¹,

Gunawardena²,

Punyadasa³

et al. 2020

Preprint

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“…More off-road than on-road motorized vehicle injuries occurred in remote areas, a finding consistent with previous studies (6). Age group distributions are similar to the rest of the United States (7). The high prevalence of CNS injury among paediatric trauma victims as a whole, and especially among fatalities, highlight the high impact of paediatric CNS injury demonstrated in other populations (8).…”

Section: Discussionmentioning

confidence: 62%

Paediatric trauma on the Last Frontier: an 11-year review of injury mechanisms, high-risk injury patterns and outcomes in Alaskan children

Snyder

Muensterer

Sacco

et al. 2014

International Journal of Circumpolar Health

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BackgroundPaediatric trauma system development in Alaska is complicated by a vast geographic coverage area, wide regional variations in environment and culture, and a lack of available published data.Objective To provide a detailed description of paediatric trauma mechanisms, high-risk injury patterns and outcomes in Alaska.DesignThis retrospective study included all children aged 17 years or younger in the State of Alaska Trauma Registry database admitted with traumatic injury between 2001 and 2011. Each injury record was reviewed individually and assigned a mechanism based on Centers for Disease Control E-codes. Geographic definitions were based on existing Emergency Medical Services regions. Mechanisms were compared by geographic region, patient demographics, injury characteristics and outcome. Subgroup analysis of fatal injuries was performed to identify causes of death.ResultsOf 5,547 patients meeting inclusion criteria, the most common mechanisms of injury were falls (39%), motor vehicle collisions (10%) and all-terrain vehicle (ATV) accidents (9%). The overall case fatality rate was 2%. Mechanisms with the greatest risk of death were gunshot wounds (21%), pedestrians struck by motorized vehicles (9%) and motor vehicle collisions (5%). These 3 mechanisms accounted for 15% of injuries but 60% of deaths in the overall cohort. Injury patterns involving combined central nervous system (CNS) and torso injuries were unusual but especially lethal, occurring in 3% of patients but carrying a case fatality rate of 18%. Although the distribution of mechanisms was generally similar for each geographic region, ATV and snowmobile injuries were significantly more common in remote areas (23% remote vs. 7% non-remote, p < 0.0001).ConclusionsMechanisms of paediatric trauma in Alaska have widely varying impacts on outcome and show some variation by region. Highest-risk mechanisms include gunshot wounds and motorized vehicle-related accidents. Prevention efforts should give special attention to CNS injury prevention, ATV and snowmobile safety in remote areas, and optimization of management of multisystem trauma. Further studies should investigate predictors of outcome in greater detail.

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“…In the United States, drowning is the leading cause of unintentional injury death among 1-to 4-year-olds (Borse et al, 2009). Children in this age group in high-income countries are most likely to drown in swimming pools (Brenner et al, 2003;Quan, Gore, Wentz, Allen, & Novack, 1989).…”

Section: Introductionmentioning

confidence: 99%

Perceiving children’s behavior and reaching limits in a risk environment

Cordovil

Barreiros

2012

Journal of Experimental Child Psychology

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Unintentional childhood injuries in the United States: Key findings from the CDC childhood injury report

Cited by 59 publications

References 2 publications

Serious non-fatal unintentional injuries among in-school adolescents in Sri Lanka: results from the 2016 Sri Lankan Global School-Based Health Survey

Serious non-fatal unintentional injuries among in-school adolescents in Sri Lanka: results from the 2016 Sri Lankan Global School-Based Health Survey

Paediatric trauma on the Last Frontier: an 11-year review of injury mechanisms, high-risk injury patterns and outcomes in Alaskan children

Perceiving children’s behavior and reaching limits in a risk environment

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