Analysis of pediatric trauma data from a hospital based trauma registry in Qatar.
Analysis of pediatric trauma data from a hospital based trauma registry in Qatar.
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DOI：
10.4103/2229-5151.152312
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发表时间：
2015-01
影响因子：
--
通讯作者：
Consunji R
中科院分区：
文献类型：
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作者：
Alyafei KA;Toaimah F;El Menyar A;Al Thani H;Youssef B;Mollazehi M;Consunji R
创伤是儿童的头号杀手，但缺乏关于儿童创伤负担的数据。本研究的目的是描述卡塔尔儿童创伤的流行病学和结果。这是一项创伤登记数据库的回顾性分析，该数据库回顾了哈马德总医院（HGH）国家儿科I级创伤中心收治的0-18岁儿童的所有严重创伤性损伤（ISS ≥ 9）病例，为期一年。数据包括人口统计学、受伤日期、受伤地点、时间、类型和机制、合并症、安全设备使用、院前插管、院前转运方式、格拉斯哥昏迷量表（GCS）、损伤严重程度评分（ISS）、急诊科（艾德）干预、住院时间和死亡率结局。2011年，在HGH的艾德就诊的儿童中，严重儿科创伤的发生率为163/280，000。其中83%为男性，平均年龄为9.6 ± 5.9岁，死亡率为1.8%。到艾德就诊时，平均ISS为13.9 ± 6.6，GCS为13.4 ± 3.8。超过一半的患者需要进入ICU。对于0-4岁的儿童来说，伤害最常发生在家中;对于5-9岁的儿童（59%）和15-18岁的儿童（68%）来说，伤害最常发生在街上;对于10-14岁的儿童（50%）来说，伤害最常发生在体育和娱乐场所。年龄组最常见的损伤机制为0-4岁的福尔斯，5-9岁的机动车碰撞（MVC）或行人损伤，10-14岁的全地形车（ATV）/自行车损伤，15-18岁的MVC损伤。头部（34%）和长骨（18%）损伤是最常见的，其中18%患有多发伤。没有一个病人在受伤时使用安全设备。在卡塔尔，儿童创伤有其特定的年龄和机制模式。这对制定针对卡塔尔儿童的伤害预防方案具有重要意义。
Trauma is the leading killer in the young age children, but data about the injury burden on pediatric population are lacking. The aim of this study is to describe the epidemiology and outcome of the traumatic injuries among children in Qatar. This is a retrospective analysis of a trauma registry database, which reviewed all cases of serious traumatic injury (ISS ≥ 9) to children aged 0–18 years who were admitted to the national pediatric Level I trauma center at the Hamad General Hospital (HGH), over a period of one year. Data included demographics, day of injuries, location, time, type and mechanism of injuries, co-morbidity, safety equipment use, pre-hospital intubation, mode of pre-hospital transport, Glasgow Coma Scale (GCS), Injury Severity Score (ISS), emergency department (ED) intervention, hospital length of stay and mortality outcome. The incidence of severe pediatric trauma was 163 per 280,000 children who visited the ED of HGH in 2011. Out of them, 83% were male, mean age was 9.6 ± 5.9 years and mortality rate was 1.8%. On presentation to the ED, the mean ISS was 13.9 ± 6.6 and GCS was 13.4 ± 3.8. Over half of the patients needed ICU admission. For the ages 0-4 years, injuries most frequently occurred at home; for 5-9 years (59%) and 15-18 years (68%), the street; and for 10-14 years (50%), sports and recreational sites. The most common mechanisms of injury for the age groups were falls for 0-4 years, motor vehicle collision (MVC) or pedestrian injury for 5-9 years, all-terrain vehicle (ATV)/bicycle injuries for 10-14 years, and MVC injuries for 15-18 years. Head (34%) and long bone (18%) injuries were the most common, with 18% suffering from polytrauma. None of the patients were using safety equipment when injured. Traumatic injuries to children have an age- and mechanism-specific pattern in Qatar. This has important implications for the formulation of focused injury prevention programs for the children of Qatar.