Pediatric injuries presenting to an emergency department in a developing country

Kirsch, Thomas D.; Beaudreau, Ronald W.; Holder, Yvette; Smith, Gordon S.

doi:10.1097/00006565-199612000-00006

Cited by 32 publications

(24 citation statements)

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“…22 In Saudi Arabia, over 60% of orofacial injuries in children were due to falls 23 , and an ED study in Trinidad and Tobago showed that falls accounted for 42% of all paediatric injuries. 24 The GCUIS study findings of a preponderance of early morning falls from stairs or ladders or from beds and other furniture while children were at play in and around the home suggests the need for a mixed intervention consisting of safer play areas, safer construction, safer furniture for sleeping and playing, and improved supervision. [25][26][27] Like other studies, the GCUIS study showed more frequent poisoning among males than females, predominantly with medicines and kerosene.…”

Section: Discussionmentioning

confidence: 99%

Global childhood unintentional injury surveillance in four cities in developing countries: a pilot study

Hyder

Sugerman

Puvanachandra

et al. 2009

Bull World Health Org

195

158

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Objective To determine the frequency and nature of childhood injuries and to explore the risk factors for such injuries in low-income countries by using emergency department (ED) surveillance data. Methods This pilot study represents the initial phase of a multi-country global childhood unintentional injury surveillance (GCUIS) project and was based on a sequential sample of children < 11 years of age of either gender who presented to selected EDs in Bangladesh, Colombia, Egypt and Pakistan over a 3-4 month period, which varied for each site, in 2007. Findings Of 1559 injured children across all sites, 1010 (65%) were male; 941 (60%) were aged ³ 5 years, 32 (2%) were < 1 year old. Injuries were especially frequent (34%) during the morning hours. They occurred in and around the home in 56% of the cases, outside while children played in 63% and during trips in 11%. Of all the injuries observed, 913 (56%) involved falls; 350 (22%), road traffic injuries; 210 (13%), burns; 66 (4%), poisoning; and 20 (1%), near drowning or drowning. Falls occurred most often from stairs or ladders; road traffic injuries most often involved pedestrians; the majority of burns were from hot liquids; poisonings typically involved medicines, and most drowning occurred in the home. The mean injury severity score was highest for near drowning or drowning (11), followed closely by road traffic injuries (10). There were 6 deaths, of which 2 resulted from drowning, 2 from falls and 2 from road traffic injuries. Conclusion Hospitals in low-income countries bear a substantial burden of childhood injuries, and systematic surveillance is required to identify the epidemiological distribution of such injuries and understand their risk factors. Methodological standardization for surveillance across countries makes it possible to draw international comparisons and identify common issues.Une traduction en français de ce résumé figure à la fin de l'article. Al final del artículo se facilita una traducción al español. ‫املقالة.‬ ‫لهذه‬ ‫الكامل‬ ‫النص‬ ‫نهاية‬ ‫يف‬ ‫الخالصة‬ ‫لهذه‬ ‫العربية‬ ‫الرتجمة‬

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Section: Discussionmentioning

confidence: 99%

Global childhood unintentional injury surveillance in four cities in developing countries: a pilot study

Hyder

Sugerman

Puvanachandra

et al. 2009

Bull World Health Org

195

158

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“…7 Home being the most common place of injury nationally and internationally. 8,9 Maximum cases has been reported in 1-2 years age group and RTAs as the most common cause. 10,11 However in our current study we found that maximum cases (34.60%) in 1-5 years age group falls accounted maximum for 42.50%of injuries in the pediatric age group and RTAs (28.89%).…”

Section: Discussionmentioning

confidence: 99%

Retrospective study of impact of social factor in pediatric trauma at teaching hospital of Vindhya region of India

Singh

Yadalwar

2018

Int Surg J

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Background: Pediatric trauma i.e. Fall, RTA, burn and other type of trauma is primarily seen in neglected young children, these children’s are unattended to and unprotected at home due to overburdened parents in nuclear family busy with various household and outdoor jobs. In present study aims to analyse the different aspect of social factors that related to trauma in pediatric age group.Methods: The present retrospective study was carried out in 367 patients of the age group <1-15 years during the period 2015-2016.A detailed history taking (from parents/relatives/children) and examination was done and all patients were assessed with regards to their age, sex, mode of trauma/injury, type of injury, site of trauma, place of trauma, and mortality, type of family, number of family members, parents job to create data. The children were classified according to age group. Modes of trauma were divided in groups; the types of injury were divided into subgroups. The places of trauma were divided into the following: Home, road, farm, school/playground or park and others.Results: Out of total 36.96% of cases were pediatric trauma, (127) belongs to the age group1-5 years. In the less than one year age group burns was the major cause of trauma (47.05%). Boys was dominating (63.21%) over girls (36.78%) on whole but girls were at an increased risk of burn injuries (32.59%) than boys (14.66%) most of the pediatric trauma occurred when the child was unaccompanied (59.9%) as compared to accompanied with elders (40.1%)unaccompanied male was more prone to injury than an accompanied. Head injury was (47.41%) and incidence of fall was (53.45%). Mortality rate was maximum (70.6%) in age group less than one year followed by 11-15 years age group (17.0%). mortality rate was higher in female15.67% as compare male 12.9.Conclusions: The study shows that needs to focus on maintain data analysis to make a policy for management of pediatric trauma, incidence of all type trauma can be reduced by awareness of society members, a large number of public illiterate and unaware even when literate to take care of children’s. Needs to make special awareness program to give a massage to society make well designed home and playground don’t make children’s free to play in road or other places except to play ground.

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“…Falls were also the most common cause of injury in a study among school children in Ismailia [15], while in a study in Uganda, falls were the most common cause of severe injuries in children < 10 years of age [16]. An emergency department study in Trinidad and Tobago showed that falls accounted for 42% of all pediatric injuries [17].…”

Section: Discussionmentioning

confidence: 99%

Characteristics and injury severity score of childhood injuries at Emergency Department of Suez Canal University Hospital

Sobhy¹,

El-Sayed²,

Fialaa³

et al. 2017

Med-Science

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Pediatric injuries presenting to an emergency department in a developing country

Cited by 32 publications

References 0 publications

Global childhood unintentional injury surveillance in four cities in developing countries: a pilot study

Global childhood unintentional injury surveillance in four cities in developing countries: a pilot study

Retrospective study of impact of social factor in pediatric trauma at teaching hospital of Vindhya region of India

Characteristics and injury severity score of childhood injuries at Emergency Department of Suez Canal University Hospital

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