ABSTRACT
OBJECTIVES: To describe epidemiological characteristics, types of injury, prognosis and medical management of bicycle-related Paediatric Emergency Department (ED) visits and to identify potential preventive measures. PATIENTS AND METHODS: This multicentred, observational prospective study included all children between 3 and 16 years of age treated for bicycle-related injuries in the Emergency Departments of 15 Spanish Hospitals belonging to the «Unintentional Paediatric Injury Workshop¼ of the Spanish Paediatric Emergency Society between the 1(st) of June 2011 and the 31(st) of May 2012. Characteristics of all ED visits, as well as epidemiological data and accident-related information, were collected. RESULTS: A total of 846 patients were included in the study, with a male predominance (72.9%) and a median age of 9.6 ± 3.6 years. Head injury was the third most common injury (22.3%) and the main cause of admission to the Pediatric Intensive Care Unit (PICU) (68.4%). More than three-quarters (77.9%) of the patients did not wear a helmet, which was significantly associated to a higher incidence of head injury and admission to PICU. Older children (OR 1.063) and bicycle injuries involving motor vehicles (OR 2.431) were identified as independent risk factors for worse outcomes. CONCLUSIONS: Since helmet use reduces up to 88% of central nervous system lesions secondary to head injury, promotion of its use should be the main preventive measure, followed by restriction of bike-riding to cycling areas.
Subject(s)
Accidents, Traffic/statistics & numerical data , Bicycling/injuries , Adolescent , Child , Child, Preschool , Emergency Service, Hospital , Female , Humans , Male , Prospective Studies , Spain , Wounds and Injuries/epidemiology , Wounds and Injuries/therapyABSTRACT
Se describe el perfil y el patrón lesional del niño atropellado atendido en un servicio de urgencias pediátrico (SUP), su morbimortalidad y la utilidad de la información obtenida en el SUP. El estudio retrospectivo-descriptivo se centró en menores de 18 años y serealizó entre febrero de 2005 y junio de 2006. Se recogieron 134 pacientes (H:M:1,6:1 - mediana de edad: 8,8 años), el 94,1% fueron atropellados en ciudad, por automóviles,el 32,1% en verano y el 45,8% de 17-20 h. El 97% resultó lesionado y el 91%fue leve. Las lesiones localizadas en extremidades (70,1%) y cráneo (37%); se produjeron por contusiones (67,2%) y traumatismo craneoencefálico (TCE) (34,3%). Ingresaron el 23,9% y la mortalidad fue del 1,5%. La información obtenida en el SUP ayuda adefinir el perfil y el patrón lesional esperable. La afectación de áreas vitales es frecuente.Parece razonable reforzar la prevención en verano y al final de las jornadas escolar y laboral (AU)
We describe the type of injuries our hospitals pediatric emergency department treats in children run over by motorvehicles, estimate morbidity and mortality, and to assess the utility of information recorded in the department. This was a retrospective descriptive study of patients under the age of 18 years who were treated between February 2005 and June2006. Of the 134 patients (ratio of boys to girls, 1.6:1; median age, 8.8 years), 94.1% were run over by cars in the city ;32.1% of the accidents occurred in summer and 45.8% occurred between the hours of 5:00 and 8:00 P.M. Ninety-seven percent of the children sustained injuries; 91% of the injuries were not serious. The injuries were located on the extremities(70.1%) and head (37%); 67.2% were contusions and 34.3% were brain injuries. The department admitted 23.9% of thechildren; mortality was 1.5%. Information recorded by the emergency department helped define the profile of injuries ofthis type that can be expected. Injuries are often near vital structures. We conclude that it would be justifiable to reinforce prevention in the summertime as well as after school and working hours (AU)
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Emergency Treatment/statistics & numerical data , Multiple Trauma/epidemiology , Child Health Services/statistics & numerical data , Accidents, Traffic/statistics & numerical dataSubject(s)
Humans , Male , Child , Phencyclidine/urine , False Positive Reactions , Phencyclidine Abuse/diagnosis , Diagnosis, Differential , Mass ScreeningSubject(s)
Humans , Female , Infant , Iron/poisoning , Poisoning/therapy , Severity of Illness IndexABSTRACT
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