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2007, Number 2

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Rev Med Inst Mex Seguro Soc 2007; 45 (2)

Pediatric Traumatic Injuries Requiring Hospitalization. A Serious Health Problem

Osornio-Ruiz JL, Martínez-Ibarra SI, Torres-González R, Reyes-Hernández RI

Language: Spanish
References: 25
Page: 133-140
PDF size: 151.39 Kb.


ABSTRACT

Objective: to identify the age-adjusted prevalence of pediatric traumatic injuries requiring hospitalization.
Methodology: a retrospective, observational cross-sectional study was carried out in the pediatric trauma department at the Hospital Magdalena de las Salinas of Instituto Mexicano del Seguro Social. Data from all pediatric patients hospitalized between January 1998 and December 2005 due to traumatic injuries were included.
Results: 5,987 patients analyzed; 66.9 % were male, 46.0 % were children; 31.3 % preschoolers; 18.2 % adolescents and 4.4 % infants. Regarding the injuries, 48.2 % was injured at home, 74.8 % suffered closed fractures, particularly among preschoolers and children; 12.4 % suffered open fractures. Craneoencephalic trauma occurred in 34.2 %, mostly in children and adolescents. Among preschoolers and children supracondylar fractures of the humerus occurred in 23.0 %; the commonest was type IV (94 %); physeal fractures occurred in 2.6 % and lesions due to battered children were in 0.31 %. As to the treatment, infants and preschoolers were treated through cast immobilization; closed reduction and internal fixation was common in school-age children (27 %) while open reduction and external fixation was used in adolescents (26.8 %).
Conclusions: preventive measures should be encouraged in the group with the highest prevalence of traumatic injuries requiring hospital care: male school-age children who predominantly suffer craneoencephalic trauma and supracondylar fractures of the humerus.


REFERENCES

  1. Meneses-González F, Rea R, Ruiz-Matuz C, Hernández-Ávila M. Accidentes y lesiones en cuatro hospitales del Distrito Federal, México. Salud Publica Mex 1993;35:448-445.

  2. Walking AA. End results of fractures of long bones in children. Penn Med J 1934;748-751.

  3. Beekman F, Sullivan JE. Some observations on fractures of long bones in children. Am J Surg 1941;51:722-738.

  4. Cheng JC, Shen WY. Limb fracture pattern in different pediatric age groups: a study de 3550 children. J Orthop Trauma 1993;7:15-19.

  5. Reed MH. Fractures and dislocations of the extremities in children. J Trauma 1977;17:351-355.

  6. Westfelt JA, Bagg RJ, Wagnon J. Environmental factor in childhood accidents. A prospective study in Goteborg, Sweden. Acta Paediatr Scand 1982:291-296.

  7. Landin LA. Fracture patterns in children. Acta Orthop Scand 1983;54:202-204.

  8. Cheng JC, Ying SY, Nig BK. A 10 year study of the changes in the pattern and treatment of 6493 fractures. J Pediatr Orthop 1999;19:344-348.

  9. Worlock P, Stower M. Fracture patterns in Nottingham children. J Pediatr Orthop 1986;6: 656-659.

  10. Fleming DM, Charlton JR. Morbidity and health care utilization of children in household whit one adult: comparative observational study. BMJ 1998;316:1572.

  11. Laffoy M. Childhood accident at home. Ir Med J 1997;90:26-27.

  12. Kowal-Vern A, Pastón TP, Ros SP. Fractures in the under 3 year old age cohort. Clin Pediatr 1992;31:653-658.

  13. Mann DC, Rajmaira S. Distribution of physeal and nonphyseal fractures in 2650 long bone fractures in children aged 0-16 years. J Pediatr Orthop 1990;10:713-719.

  14. Mizuta T, Benson WM, Foster BK. Statical analysis of the incidence of physeal injuries. J Pediatr Orthop 1987;7:518-522.

  15. Beaty JH, Kasser JR. Fracturas en niños. España: Marbán; 2003; p. 4-16.

  16. Buckley SL, Gotschall C, Robertson W Jr, The relationships of skeletal injuries whit trauma score, injuries severity score, length of hospital stay, hospital, charge, and mortality in children admitted to regional pediatric trauma center. J Pediatr Orthop 1994;14:449-454.

  17. López VF. Traumatismo craneoencefálico. Segunda edición. México: McGraw-Hill Interamericana; 1999. p. 4, 5.

  18. Overall KL, Love M. Dog bites to humans: demography, epidemiology, injury and risk. J Am Vet Med Assoc 2001;218:1923-1934.

  19. Bernardo LM, Gardner MJ. A comparison of dog bite injuries in younger and older children treated in paediatric emergency department. Pediatr Emerg Care 2002;18(3):247-249.

  20. Greenhalgh C, Cockington R, Raftos J. An epidemiology survey of dog bites presenting to the emergency department of children hospital. J Paediatr Chil Health 1991;27:171-174.

  21. Méndez GL, Gómez MT, Sorzona IA. Mordeduras de perro, análisis de 651 casos en 10 años. An Esp Pediatr 2002;56:425-429.

  22. Instituto Nacional de Estadística, Geografía e Informática. Morbilidad 2000. México: INEGI; 2001.

  23. Chang DC, Vinita K, Susan Z, Adil H, Dawn W, Paidas Ch. The tip of the iceberg for child abuse: the critical roles of the pediatric trauma service and registry. J Trauma 2004;57: 1189-1198.

  24. Gustilo RB, Anderson JT. Prevention of infection in he treatment of one thousand and twenty-five open fractures of long bones. J Bone Joint Surg 1976; 58A:453-459.

  25. Becker DP, Miller JD. The outcome from several head injuries whit early diagnosis and intensive management. J Neurosurg 1977:491-494.




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