What and who should we focus in pediatric injury prevention – An analysis of critical pediatric trauma in a major trauma center in Hong Kong

Background: Understanding trauma epidemiology is essential in formulating region-specific strategies for injury prevention. Our study aimed to evaluate the characteristics and clinical outcomes of critical pediatric trauma requiring intensive care in Hong Kong. Methods: A retrospective analysis was...
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Gespeichert in:

Autor*in:	Chon In Kuok [verfasserIn] Winnie Kwai Yu Chan [verfasserIn] Anthony Wai Leung Kwok [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2021

Schlagwörter:	epidemiology intensive care pediatric trauma trauma trauma outcome

Übergeordnetes Werk:	In: Pediatrics and Neonatology - Elsevier, 2017, 62(2021), 6, Seite 620-627
Übergeordnetes Werk:	volume:62 ; year:2021 ; number:6 ; pages:620-627

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1016/j.pedneo.2021.05.027

Katalog-ID:	DOAJ061750646

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allfieldsGer	10.1016/j.pedneo.2021.05.027 doi (DE-627)DOAJ061750646 (DE-599)DOAJe7d73e401ae2480887cfeb1e45a5a723 DE-627 ger DE-627 rakwb eng RJ1-570 Chon In Kuok verfasserin aut What and who should we focus in pediatric injury prevention – An analysis of critical pediatric trauma in a major trauma center in Hong Kong 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Understanding trauma epidemiology is essential in formulating region-specific strategies for injury prevention. Our study aimed to evaluate the characteristics and clinical outcomes of critical pediatric trauma requiring intensive care in Hong Kong. Methods: A retrospective analysis was performed on pediatric patients who were injured and admitted to the pediatric intensive care unit (PICU), Queen Elizabeth Hospital, Hong Kong between 2014 and 2018. Clinical features of patients who sustained injuries before and after 2 years old were compared. Results: 141 patients were admitted to the PICU due to trauma during the study period. Most patients sustained injuries due to fall (48.2%) or road traffic injuries (34.0%), with the latter more common in older patients. Two (1.4%) patients died due to the trauma. The majority (95.0%) of the survivors had good recovery assessed by Glasgow Outcome Scale. Patients younger than 2 years old were mostly injured at home due to fall while left unattended. Children in this age group were more likely to receive interventions, including mechanical ventilation (OR 2.61; 95% CI 1.15–5.95), anti-epileptic medications (OR 2.61; 95% CI 1.17–5.83), blood transfusion (OR 5.37; 95% CI 2.29–12.60) and inotropic support (OR 4.08; 95% CI 1.31–12.70), and require longer hospitalization (PICU stay 2.5 vs. 1.5 days, p = 0.011; hospital stay 10.9 vs. 6.9 days, p = 0.012). Conclusion: Fall injuries and road traffic injuries were common etiologies of critical pediatric trauma in Hong Kong. Patients younger than 2 years old had worse clinical outcomes. Parental education on home safety and importance of close supervision should be emphasized in this age group. epidemiology intensive care pediatric trauma trauma trauma outcome Pediatrics Winnie Kwai Yu Chan verfasserin aut Anthony Wai Leung Kwok verfasserin aut In Pediatrics and Neonatology Elsevier, 2017 62(2021), 6, Seite 620-627 (DE-627)573750971 (DE-600)2441821-3 18759572 nnns volume:62 year:2021 number:6 pages:620-627 https://doi.org/10.1016/j.pedneo.2021.05.027 kostenfrei https://doaj.org/article/e7d73e401ae2480887cfeb1e45a5a723 kostenfrei http://www.sciencedirect.com/science/article/pii/S1875957221001273 kostenfrei https://doaj.org/toc/1875-9572 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 62 2021 6 620-627
allfieldsSound	10.1016/j.pedneo.2021.05.027 doi (DE-627)DOAJ061750646 (DE-599)DOAJe7d73e401ae2480887cfeb1e45a5a723 DE-627 ger DE-627 rakwb eng RJ1-570 Chon In Kuok verfasserin aut What and who should we focus in pediatric injury prevention – An analysis of critical pediatric trauma in a major trauma center in Hong Kong 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Understanding trauma epidemiology is essential in formulating region-specific strategies for injury prevention. Our study aimed to evaluate the characteristics and clinical outcomes of critical pediatric trauma requiring intensive care in Hong Kong. Methods: A retrospective analysis was performed on pediatric patients who were injured and admitted to the pediatric intensive care unit (PICU), Queen Elizabeth Hospital, Hong Kong between 2014 and 2018. Clinical features of patients who sustained injuries before and after 2 years old were compared. Results: 141 patients were admitted to the PICU due to trauma during the study period. Most patients sustained injuries due to fall (48.2%) or road traffic injuries (34.0%), with the latter more common in older patients. Two (1.4%) patients died due to the trauma. The majority (95.0%) of the survivors had good recovery assessed by Glasgow Outcome Scale. Patients younger than 2 years old were mostly injured at home due to fall while left unattended. Children in this age group were more likely to receive interventions, including mechanical ventilation (OR 2.61; 95% CI 1.15–5.95), anti-epileptic medications (OR 2.61; 95% CI 1.17–5.83), blood transfusion (OR 5.37; 95% CI 2.29–12.60) and inotropic support (OR 4.08; 95% CI 1.31–12.70), and require longer hospitalization (PICU stay 2.5 vs. 1.5 days, p = 0.011; hospital stay 10.9 vs. 6.9 days, p = 0.012). Conclusion: Fall injuries and road traffic injuries were common etiologies of critical pediatric trauma in Hong Kong. Patients younger than 2 years old had worse clinical outcomes. Parental education on home safety and importance of close supervision should be emphasized in this age group. epidemiology intensive care pediatric trauma trauma trauma outcome Pediatrics Winnie Kwai Yu Chan verfasserin aut Anthony Wai Leung Kwok verfasserin aut In Pediatrics and Neonatology Elsevier, 2017 62(2021), 6, Seite 620-627 (DE-627)573750971 (DE-600)2441821-3 18759572 nnns volume:62 year:2021 number:6 pages:620-627 https://doi.org/10.1016/j.pedneo.2021.05.027 kostenfrei https://doaj.org/article/e7d73e401ae2480887cfeb1e45a5a723 kostenfrei http://www.sciencedirect.com/science/article/pii/S1875957221001273 kostenfrei https://doaj.org/toc/1875-9572 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 62 2021 6 620-627
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topic_title	RJ1-570 What and who should we focus in pediatric injury prevention – An analysis of critical pediatric trauma in a major trauma center in Hong Kong epidemiology intensive care pediatric trauma trauma trauma outcome
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title	What and who should we focus in pediatric injury prevention – An analysis of critical pediatric trauma in a major trauma center in Hong Kong
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title_full	What and who should we focus in pediatric injury prevention – An analysis of critical pediatric trauma in a major trauma center in Hong Kong
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title_sort	what and who should we focus in pediatric injury prevention – an analysis of critical pediatric trauma in a major trauma center in hong kong
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title_auth	What and who should we focus in pediatric injury prevention – An analysis of critical pediatric trauma in a major trauma center in Hong Kong
abstract	Background: Understanding trauma epidemiology is essential in formulating region-specific strategies for injury prevention. Our study aimed to evaluate the characteristics and clinical outcomes of critical pediatric trauma requiring intensive care in Hong Kong. Methods: A retrospective analysis was performed on pediatric patients who were injured and admitted to the pediatric intensive care unit (PICU), Queen Elizabeth Hospital, Hong Kong between 2014 and 2018. Clinical features of patients who sustained injuries before and after 2 years old were compared. Results: 141 patients were admitted to the PICU due to trauma during the study period. Most patients sustained injuries due to fall (48.2%) or road traffic injuries (34.0%), with the latter more common in older patients. Two (1.4%) patients died due to the trauma. The majority (95.0%) of the survivors had good recovery assessed by Glasgow Outcome Scale. Patients younger than 2 years old were mostly injured at home due to fall while left unattended. Children in this age group were more likely to receive interventions, including mechanical ventilation (OR 2.61; 95% CI 1.15–5.95), anti-epileptic medications (OR 2.61; 95% CI 1.17–5.83), blood transfusion (OR 5.37; 95% CI 2.29–12.60) and inotropic support (OR 4.08; 95% CI 1.31–12.70), and require longer hospitalization (PICU stay 2.5 vs. 1.5 days, p = 0.011; hospital stay 10.9 vs. 6.9 days, p = 0.012). Conclusion: Fall injuries and road traffic injuries were common etiologies of critical pediatric trauma in Hong Kong. Patients younger than 2 years old had worse clinical outcomes. Parental education on home safety and importance of close supervision should be emphasized in this age group.
abstractGer	Background: Understanding trauma epidemiology is essential in formulating region-specific strategies for injury prevention. Our study aimed to evaluate the characteristics and clinical outcomes of critical pediatric trauma requiring intensive care in Hong Kong. Methods: A retrospective analysis was performed on pediatric patients who were injured and admitted to the pediatric intensive care unit (PICU), Queen Elizabeth Hospital, Hong Kong between 2014 and 2018. Clinical features of patients who sustained injuries before and after 2 years old were compared. Results: 141 patients were admitted to the PICU due to trauma during the study period. Most patients sustained injuries due to fall (48.2%) or road traffic injuries (34.0%), with the latter more common in older patients. Two (1.4%) patients died due to the trauma. The majority (95.0%) of the survivors had good recovery assessed by Glasgow Outcome Scale. Patients younger than 2 years old were mostly injured at home due to fall while left unattended. Children in this age group were more likely to receive interventions, including mechanical ventilation (OR 2.61; 95% CI 1.15–5.95), anti-epileptic medications (OR 2.61; 95% CI 1.17–5.83), blood transfusion (OR 5.37; 95% CI 2.29–12.60) and inotropic support (OR 4.08; 95% CI 1.31–12.70), and require longer hospitalization (PICU stay 2.5 vs. 1.5 days, p = 0.011; hospital stay 10.9 vs. 6.9 days, p = 0.012). Conclusion: Fall injuries and road traffic injuries were common etiologies of critical pediatric trauma in Hong Kong. Patients younger than 2 years old had worse clinical outcomes. Parental education on home safety and importance of close supervision should be emphasized in this age group.
abstract_unstemmed	Background: Understanding trauma epidemiology is essential in formulating region-specific strategies for injury prevention. Our study aimed to evaluate the characteristics and clinical outcomes of critical pediatric trauma requiring intensive care in Hong Kong. Methods: A retrospective analysis was performed on pediatric patients who were injured and admitted to the pediatric intensive care unit (PICU), Queen Elizabeth Hospital, Hong Kong between 2014 and 2018. Clinical features of patients who sustained injuries before and after 2 years old were compared. Results: 141 patients were admitted to the PICU due to trauma during the study period. Most patients sustained injuries due to fall (48.2%) or road traffic injuries (34.0%), with the latter more common in older patients. Two (1.4%) patients died due to the trauma. The majority (95.0%) of the survivors had good recovery assessed by Glasgow Outcome Scale. Patients younger than 2 years old were mostly injured at home due to fall while left unattended. Children in this age group were more likely to receive interventions, including mechanical ventilation (OR 2.61; 95% CI 1.15–5.95), anti-epileptic medications (OR 2.61; 95% CI 1.17–5.83), blood transfusion (OR 5.37; 95% CI 2.29–12.60) and inotropic support (OR 4.08; 95% CI 1.31–12.70), and require longer hospitalization (PICU stay 2.5 vs. 1.5 days, p = 0.011; hospital stay 10.9 vs. 6.9 days, p = 0.012). Conclusion: Fall injuries and road traffic injuries were common etiologies of critical pediatric trauma in Hong Kong. Patients younger than 2 years old had worse clinical outcomes. Parental education on home safety and importance of close supervision should be emphasized in this age group.
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title_short	What and who should we focus in pediatric injury prevention – An analysis of critical pediatric trauma in a major trauma center in Hong Kong
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Children in this age group were more likely to receive interventions, including mechanical ventilation (OR 2.61; 95% CI 1.15–5.95), anti-epileptic medications (OR 2.61; 95% CI 1.17–5.83), blood transfusion (OR 5.37; 95% CI 2.29–12.60) and inotropic support (OR 4.08; 95% CI 1.31–12.70), and require longer hospitalization (PICU stay 2.5 vs. 1.5 days, p = 0.011; hospital stay 10.9 vs. 6.9 days, p = 0.012). Conclusion: Fall injuries and road traffic injuries were common etiologies of critical pediatric trauma in Hong Kong. Patients younger than 2 years old had worse clinical outcomes. Parental education on home safety and importance of close supervision should be emphasized in this age group.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">epidemiology</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">intensive care</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">pediatric trauma</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">trauma</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">trauma outcome</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Pediatrics</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Winnie Kwai Yu Chan</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Anthony Wai Leung Kwok</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">In</subfield><subfield code="t">Pediatrics and Neonatology</subfield><subfield code="d">Elsevier, 2017</subfield><subfield code="g">62(2021), 6, Seite 620-627</subfield><subfield code="w">(DE-627)573750971</subfield><subfield code="w">(DE-600)2441821-3</subfield><subfield code="x">18759572</subfield><subfield code="7">nnns</subfield></datafield><datafield tag="773" ind1="1" ind2="8"><subfield code="g">volume:62</subfield><subfield code="g">year:2021</subfield><subfield code="g">number:6</subfield><subfield code="g">pages:620-627</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doi.org/10.1016/j.pedneo.2021.05.027</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doaj.org/article/e7d73e401ae2480887cfeb1e45a5a723</subfield><subfield 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What and who should we focus in pediatric injury prevention – An analysis of critical pediatric trauma in a major trauma center in Hong Kong

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