Baeza-Herrera C, Cortés-García R, Arcos-Aponte A, Villalobos-Castillejos A, López-Castellanos J

Language: Spanish
References: 14
Page: 281-286
PDF size: 814.14 Kb.

ABSTRACT

Introduction. Traumatic injuries and accidents that occur in the home are a major cause of morbidity in children aged between 2 and 5 years. Depending on the severity there may be superficial injuries or severe life endangering accidents.
Materials and methods. Prospective study of one year of children who sustained a traumatic accident at home and, required hospitalization. Important epidemiological variables were analyzed by linear regression, Chi² and Spearman correlation coefficient, and central tendency measures. To this end, SPSS version 17 and Excel office 2007 were used.
Results. There were 131 victims being slightly more common in males. Most accidents took place in the middle of the week and in the afternoon. The bedroom was the most common site for accidents; falls were the usual mechanism. The most common injuries were long bone fracture, encephalo-cranial trauma and foreign body ingestion. Two children died after swallowing a small button size battery: one with profuse uncontrollable hemorrhage due to aorto-esophageal fistula and one owing to a perforation and mediastinitis. Intestinal perforation and pulmonary contusion were less common.
Conclusions. These events are more frequent and severe than is usually thought.

REFERENCES

1. Hijar MCM, Tapia RJC. Análisis de la demanda por lesiones traumáticas a servicios de urgencias de 12 hospitales de la ciudad de México. Bol Med Hosp Infant Mex 1991;48:722-9.

2. García-Piña AC, Loredo AA, Trejo HJ. Quemaduras intencionales en pediatría. Un mecanismo poco considerado de maltrato físico. Acta Pediatr Mex 2008;29:9-15.

3. Fuentes DAM, Alfaro AA, Alvarez HGG, Toxtle MAR. Traumatismo penetrante de cráneo. Bol Med Hosp Infant Mex 2005;62:268-73.

4. Tepas JJ, Mollet DL, Talbert J. The pediatric trauma score as predictor of injury severity in the injured child. J Pediatr Surg 1987;22:14-18.

5. Hijar MCM, Tapia JRT, Lozano RA, López VL. Accidentes en el hogar en niños menores de 10 años. Causas y consecuencias. Salud Pub Mex 1992;34:615-25.

6. Baeza CH, Sánchez LAF, Sanjuán HF, Salinas JM, Nájera HG. Violencia extrema por maltrato. Gac Med Mex 2005;141:239-40.

7. Baeza CH, León AC, Medellín DAS, Salinas JM, Portillo AJ. Miodermonecrolisis por loxocelismo letal. Acta Pediatr Mex 2007;28:59-62.

8. Baeza CH, González TM, Velasco LS, Nájera HMG. Botón magnético ingerido. Causa rara de rotura intestinal. Rev Gastroenterol Mex 2009;74:132-5.

9. Baeza CH, Baeza MAH. Heridas provocadas por proyectil en el área pediátrica. Gac Med Mex 1998;134:289-95.

10. Osornio RJL, Martínez RI, Torres RG, Reyes RIH. Lesiones traumáticas en niños que requieren hospitalización. Un serio problema de salud. Rev Med IMSS 2007;45:133-40.

11. Baeza CH, García CLM, Godoy AHE, Velasco LS. Es real el riesgo de muerte por accidentes en el hogar? Gac Med Mex 2008;144:239-44.

12. Celis A, Hernández P, Gómez Z, Orozco MJV, Rivas MS. Asfixia por sofocación y estrangulamiento en menores de 15 años. Gac Med Mex 2004;140:503-6.

13. Stylianos S, Eichelberger RM. Traumatismo en niños. Estrategias de prevención. Clin Pediatr Norteam 1998;1461:71.

14. Spiegel CN, Lindman FC. Children can´ t fly: A program to prevent childhood morbidity and mortality from window falls. Am J Public Health 1977;67:1143-7.