- 期刊
- OpenAccess
Pattern and Outcome of Unintentional Pediatric Trauma in the Emergency Department of a Tertiary Care Hospital in South India
摘要
Background: Pediatric trauma is a significant cause of morbidity, and few studies on profile and outcome have been done in the emergency departments (EDs) of India. Methodology: This prospective observational study was conducted between October 2014 and December 2014 in the adult and pediatric ED's of Christian Medical College, Vellore. All patients younger than 18 years, who presented with unintentional injury, were enrolled in this study. Results: The adult and pediatric ED's attended to a combined 24,482 patients (16,169 adults and 8313 children and adolescents) during the 3-month study with 8.2% (2022/24,482) being trauma incidents. Pediatric and adolescent (＜18 years) trauma patients comprised 20% (397) of trauma cases, and adult (＞18 years) trauma patients made up the remainder 80% (1624). Falls are the most common mechanism of injury among infants and toddlers with decreasing frequency with age. With increasing age, the place of injury changes from the surroundings of home to playgrounds, schools, and the roads. About 80% of injuries among infants occur at home while only 12% of adolescent injuries occur at home. Road traffic injuries account for 46% of injuries sustained by adolescents. Most of the children and adolescents (63%) were managed conservatively. Minor surgical intervention was required in 20% whereas 11% required major surgical intervention. Majority (77%) was discharged stable from the ED, and 21% were admitted. The in-hospital mortality of pediatric trauma was 1.2% (5/397). Conclusions: Pediatric and adolescent trauma is a significant cause of morbidity and mortality in India, accounting for almost one-fifth of injured patients. There exists a need for injury prevention programs focusing on peridomestic safety among children ＜12 years and school and road safety among children ＞12 years and adolescents.
延伸閱讀
- Tsai, Y. M., Lin, K. H., Huang, T. W., Chen, C. Y., Hong, Z. J., & Hsu, S. D. (2017). Outcomes of Patients with Blunt Chest Trauma Encountered at Emergency Department and Possible Risk Factors Affecting Mortality. Journal of Medical Sciences, 37(3), 97-101. https://doi.org/10.4103/jmedsci.jmedsci_123_16
- Lu, C. Y., Chang, C. I., Huang, H. H., & Yen, D. H. T. (2018). Clinical Predictors for Intensive Care Unit Admission in Patients With Benzodiazepines Poisoning in the Emergency Department. Journal of Acute Medicine, 8(4), 168-178. https://doi.org/10.6705/j.jacme.201812_8(4).0004
- Wang, A. Y. (2020). Evaluating the Outcome of Patients Admitted to Emergency Department Intensive Care Unit and the Impact on Emergency Department Overcrowding [doctoral dissertation, Taipei Medical University]. Airiti Library. https://www.airitilibrary.com/Article/Detail?DocID=U0007-1001202010342300
- 曹修幸（2004）。Exploring the Factors Influencing Patients Readmitted to Emergency Department for Medical Services-A Study of Northern Taiwan〔碩士論文，臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-1704200714562648
- Boulain, T., Runge, I., Delorme, N., Bouju, A., & Valéry, A. (2014). Patients Hospitalized in General Wards via the Emergency Department: Early Identification of Predisposing Factors for Death or Unexpected Intensive Care Unit Admission－A Historical Prospective. Emergency Medicine International, (2014), 13-22. https://doi.org/10.1155/2014/203747