Author:
Wang Po-Yuan,Tseng Wei-Chieh,Lee Meng-Chang,Hsu Li-Min,Shin Sang Do,Jamaluddin Sabariah Faizah,Tanaka Hideharu,Son Do Ngoc,Hong Ki Jeong,Riyapan Sattha,Haedar Ali,Chiang Wen-Chu,Rao Ramana,Abraham George P.,Ramakrishnan T. V.,Jamaluddin Sabariah Faiwah,Mohidin Mohd Amin Bin,Saim Al-Hilmi,Kean Lim Chee,Anthonysamy Cecilia,Yssof Shah Jahan Din Mohd,Ji Kang Wen,Kheng Cheah Phee,Ali Shamila bt Mohamad,Ramanathan Periyanayaki,Yang Chia Boon,Chia Hon Woei,Hamad Hafidahwati binti,Ismail Samsu Ambia,Abdullah Wan Rasydan B. Wan,Tanaka Hideharu,Kimura Akio,Velasco Bernadett,Gundran Carlos D.,Convocar Pauline,G.Sabarre Nerissa,Tiglao Patrick Joseph,Hong Ki Jeong,Song Kyoung Jun,Jeong Joo,Moon Sung Woo,Kim Joo-yeong,Cha Won Chul,Lee Seung Chul,Ahn Jae Yun,Lee Kang Hyeon,Yeom Seok Ran,Ryu Hyeon Ho,Kim Su Jin,Kim Sang Chul,Hsu Li-Min,Sun Jen Tang,Wang Ruei-Fang,Hsieh Shang-Lin,Kao Wei-Fong,Riyapan Sattha,Tianwibool Parinya,Buaprasert Phudit,Akaraborworn Osaree,Al Sakaf Omer Ahmed,LLC Saleh Fares,Huy Le Bao,Son Do Ngoc,Van Dai Nguyen,Ramakrishnan T. V.,Jamaluddin Sabariah Faiwah,Tanaka Hideharu,Velasco Bernadett,Hong Ki Jeong,Sun Jen Tang,Khruekarnchana Pairoj,LLC Saleh Fares,Son Do Ngoc, , ,
Abstract
AbstractChildren and adolescents are vulnerable to non-accidental injury. Early identification and prevention rely on detailed epidemiological studies, which are limited in Asia. This retrospective study used the registry data of Pan-Asian Trauma Outcome Study (PATOS) from October 1, 2015 to December, 31, 2020. Pediatric patients (aged < 20 years) with non-accidental injuries were enrolled, which were divided by age into preschool (0–6 years), child (7–12 years), and adolescent (13–19 years) groups. Baseline characteristics, injury epidemiology, and excess mortality ratio-adjusted injury severity score (EMR-ISS) were collected. Major trauma was defined as an EMR-ISS score > 24. The study enrolled 451 patients with non-accidental injuries, accounting for 2.81% of pediatric trauma events presented to an emergency department in the PATOS registry. The overall mortality rate was 0.9%, similar to those in Western countries. Mortality rate was high in preschool children (8.7%, p = 0.017) than in other age groups. The sex-specific incidence was higher in boys (3.10% vs. 2.13%, p = 0.001). In adolescents, more events occurred on the street (25.9%), whereas home remained the most common locale in girls of all ages. In the multivariable regression analysis, abdominal and multiple injuries were risk factors for major trauma.
Funder
Ministry of Science and Technology, Taiwan
National Taiwan University Hospital Yunlin Branch
Publisher
Springer Science and Business Media LLC