Profile of pediatric trauma among the patients attending emergency department in a tertiary care hospital in South India

Epidemiology and pattern of injury of pediatric trauma patients in level l trauma centre of Northern India

“…The most common mechanism of injury in our patients was RTAsone study found domestic accidents to be commonest, 9 but the majority of published literature confirm RTA as the predominant mechanism of injury. [3][4][5][6]10 Likewise, 'fall from height' was another significant mechanism of injury, in keeping with most other studies from India; 4,6,7,11 three of the nine traumas under 1 year of age were falls.…”

“…In the absence of any baseline data this study was planned to outline the basic epidemiology and patterns of injury in this patient group. More than half of our patients were above 12 years of age similar to a trauma center in New Delhi, 4 but in contrast to a Southern Indian study where the commonest age group was 1-6 years 5 This study showed a male preponderance with nearly two thirds of our patients being male, similar to other published literature [4][5][6][7] suggesting males are most likely to be affected by RTA compared to females; a study on gender effects in young road users on road safety attitudes, behaviours and risk perception identified the need of gender-based prevention programmes. 8 Nearly 45% of admitted patients were referred to our centre from neighbouring districts and almost one fifth had life-threatening injuries on admission suggesting that delays in resulted in fatalities; thus there is an urgent need to develop paramedical teams, trained to, ATLS protocols so as to identify life-threatening injuries on field and secure them before transport.…”

“…In the absence of any baseline data this study was planned to outline the basic epidemiology and patterns of injury in this patient group. More than half of our patients were above 12 years of age similar to a trauma center in New Delhi, 4 but in contrast to a Southern Indian study where the commonest age group was 1–6 years 5 This study showed a male preponderance with nearly two thirds of our patients being male, similar to other published literature 4–7 suggesting males are most likely to be affected by RTA compared to females; a study on gender effects in young road users on road safety attitudes, behaviours and risk perception identified the need of gender-based prevention programmes. 8…”

“…There was a significant number – almost half of those admitted - with moderate to severe trauma cases, potentially because KGMU is the only level 1 Trauma Centre in the state and a large number had life-threatening injuries. KGMU medical and paramedical staff are ATLS trained, and the unit is a trauma training centre and the outcomes, despite the influx of severe trauma were good, with only a 4% mortality rate – which is comparable to another Northern Indian Level 1 Trauma Centre, but better than those reported elsewhere in India 5,7,13,14 suggesting that the nationwide adoption of our trauma training and protocols, adapted to local community needs, could be of benefit. 15…”

A Retrospective Study to Compare the Glasgow Coma Score, Pediatric Trauma Score, and Injury Severity Score and Outcomes in 118 Pediatric Trauma Patients at a Single Emergency Center in Turkey

“…This is in agreement with similar literature reports and with the present study. Prakash et al, in their studies examining traumatic injury in children under the age of 12, also reported male sex more frequently [ 23 ]. Fylli et al examined similar pediatric traumatic injury incidence in the Netherlands and found a significantly higher number of boys in every age group [ 24 ].…”