Characteristics of pediatric injuries due to road traffic accidents and their effects on mortality

Akpinar, Guleser

doi:10.28982/josam.844167

Cited by 5 publications

(2 citation statements)

References 21 publications

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“…In the study by Bulut et al the mean length of stay was found as 5.6 days (18). In the study by Akpinar, the median length of stay was reported as 51 hours (14).…”

Section: Correlationsmentioning

confidence: 93%

Acil Serviste Çocuklarda Düşme Olgularının Yönetimi: 261 Çocuk Olgunun Analizi

Demirel

Akpinar

2021

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi

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Objective: Pediatric falls cause a significant burden for emergency departments and have negative patient outcomes such as prolonged length of stay and increased costs. The objective of this study was to evaluate results of the management of pediatric fall cases in an emergency department.Material and Methods: Pediatric patients who presented to our emergency department due to falling injury were evaluated and analyzed according to the demographic data, including age and gender, Glasgow Coma Scale, Injury Severity Score time of presentation, site of injury, diagnosis, department of consultation, department of hospitalization, length of stay and cost. After the initial management in the emergency department, patients were consulted and referred to other departments, if deemed necessary.Results: A total of 261 children were included in the study. Hospital admissions were most frequently made in summer, in August and on Saturdays. The children were most diagnosed by fractures followed by soft tissue trauma. The most injured body part was the head-neck region followed by extremities. The most frequently consulted departments included neurosurgery and orthopedics and traumatology. A total of 101 (38.7%) children were hospitalized. The median Injury Severity Score value of the patients was found as 3 and the median Glasgow Coma Scale value was found as 15 (8-15). The median treatment cost was found to be ₺278.8. The median length of stay was found as 31 (interquartile range, 21-63.5) (interquartile range için 2 sayısal değer verilmeli) hours. A strong positive correlation was found between length of stay and costs (r=0.629, p<0.001). Conclusion:Pediatric age group fall injuries are common events that increase the workload of the emergency department and create a significant burden and cost for the health system and society. Our results show that, as expected, there is a very strong relationship between length of stay and treatment costs.Amaç: Çocuklarda düşme, acil servisler üzerinde önemli bir yük oluşturmakta ve hastanede kalış süresinde uzama ile artan maliyetler gibi olumsuz sonuçlara neden olabilmektedir. Bu çalışmanın amacı, bir acil serviste çocuklarda düşme olgularının yönetim sonuçlarının değerlendirilmesidir. Gereç ve Yöntemler: Düşme kaynaklı yaralanma nedeniyle acil servisimize başvuran pediatrik hastalar; yaş ve cinsiyet gibi demografik veriler, Glasgow Koma Skalası, Injury Severity Score skorları, başvuru zamanları, yaralanma bölgesi, tanı, konsülte edilen bölüm, yatış verilen bölüm, hastanede kalış süresi ve maliyetler açısından değerlendirilmiş ve analiz edilmiştir. Acil servisteki ilk yönetim sonrasında gerekli görülen hastalar diğer bölümlerle konsülte edilerek sevk edilmiştir.Bulgular: Çalışmaya 261 çocuk dahil edildi. Başvurular en sık yaz mevsiminde, Ağustos ayında ve Cumartesi günleri yapılmıştır. Çocuklarda en sık konulan tanılar kırık ve yumuşak doku hasarıdır. En sık yaralanan vücut bölgeleri baş-boyun bölgesi ve ekstremitelerdir. En sık konsültasyon yapılan bölümler beyin ve sinir cerrahisi il...

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“…In the study by Bulut et al the mean length of stay was found as 5.6 days (18). In the study by Akpinar, the median length of stay was reported as 51 hours (14).…”

Section: Correlationsmentioning

confidence: 93%

Acil Serviste Çocuklarda Düşme Olgularının Yönetimi: 261 Çocuk Olgunun Analizi

Demirel

Akpinar

2021

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi

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“…According to a report by the U.S. Consumer Product Safety Commission (CPSC), injuries related to these so-called micromobility products increased dramatically by 70% between 2017 and 2020. Between 2017 and 2020, injuries related to personal electric vehicles resulted in more than 190.000 visits to U.S. emergency departments [10].…”

mentioning

confidence: 99%

Circumstances of Injury and Characteristics of Damage in Children Injured During Electric Vehicle Driving

Shkatula,

Badion,

Tkachenko

et al. 2024

EUMJ

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Introduction. Trauma as a result of road accidents is the leading cause of death among children and young people aged 5–29. In recent years, a new type of road accident involving children driving light personal and low-speed electric vehicles has emerged, with its own specific traumagenesis and type of injury. Objective: To improve the effectiveness of emergency medical care for children who were injured as a result of driving light personal and low-speed electric vehicles by determining the cause of injury, studying the structure and characteristics of injuries. Materials and Methods. The total study population consisted of 57 injured children. The epidemiological and nosological characteristics of the patients were studied. The causes and circumstances of road traffic accidents were studied to determine risk factors. The condition of the injured children was assessed using the generally accepted injury scales PTS (Pediatric Trauma Score), ISS (Injury severity score) and SIPA (Shock Index, Pediatric Age-Adjusted). Statistical analysis was performed using nonparametric statistics in accordance with the principles and criteria of evidence-based medicine. Results: The main causes of the accident were violations of road safety rules by children driving the vehicle and violations of vehicle operation rules. The clinical and epidemiological characteristics of the patients indicate that males are at increased risk of injury, mainly in the age groups of 4–6 years and 12–14 years. The dominant mechanism of injury was a fall. The majority of patients sustained mild or moderate injuries. In the nosological structure of injuries, head injuries, bruises and abrasions of the extremities were the most common. Conclusions: In recent years, a new type of road accident involving children driving light personal and low-speed electric vehicles has emerged, with a specific type of traumatogenesis and type of injury. Undoubtedly, the problem requires further careful study.

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Negative pressure wound therapy for extensive soft tissue defects of the lower extremity in a teenager: A case study

Stanek,

Pointner,

de Cerchi

et al. 2024

Clinical Case Reports

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Key Clinical MessageNegative pressure wound therapy (NPWT) aided in the management of complex soft tissue injury in a 14‐year‐old girl by managing moisture, reducing oedema, and stimulating wound granulation less than 2 months after the accident and prepared the skin for skin grafting, thus successfully saving the limb.AbstractThis case study describes the use of a tubular bandage encompassing the whole limb to deliver successful NPWT in the treatment and reconstruction of extensive soft tissue damage extending from the right lower extremity to the hip in a 14‐year‐old female.

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Characteristics of pediatric injuries due to road traffic accidents and their effects on mortality

Abstract: How to cite: Akpınar G. Characteristics of pediatric injuries due to road traffic accidents and their effects on mortality.

Cited by 5 publications

References 21 publications

Acil Serviste Çocuklarda Düşme Olgularının Yönetimi: 261 Çocuk Olgunun Analizi

Acil Serviste Çocuklarda Düşme Olgularının Yönetimi: 261 Çocuk Olgunun Analizi

Circumstances of Injury and Characteristics of Damage in Children Injured During Electric Vehicle Driving

Negative pressure wound therapy for extensive soft tissue defects of the lower extremity in a teenager: A case study

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