Management and serious risk factors associated with unintentional injuries in paediatric emergencies in Spain

被引:3
作者
Bardon Cancho, Eduardo J. [1 ]
Arribas Sanchez, Cristina [1 ]
Rivas Garcia, Aristides [1 ]
Lorente Romero, Jorge [1 ]
Vazquez Lopez, Paula [1 ]
Maranon Pardillo, Rafael [1 ]
机构
[1] Hosp Gen Univ Gregorio Maranon, Secc Urgencias Pediat, Madrid, Spain
来源
ANALES DE PEDIATRIA | 2020年 / 92卷 / 03期
关键词
Unintentional njuries; Management; Risk factors; Paediatric emergencies; Prevention;
D O I
10.1016/j.anpedi.2019.05.006
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Introduction: Thirty-eight million patients with injuries are treated in Emergency Departments every year, 90% of them being in the form of unintentional injuries (UIs). There are currently no global records of its management in Spain, or the risk factors that may be associated with them. The objective of this study is to describe the management of UIs in Spanish paediatric emergency departments, and to analyse factors related to the presence of serious injuries. Material and methods: A sub-study of a prospective multicentre observational study conducted over 12 months in 11 hospitals of the Spanish Paediatric Emergency Research Group (RiSEUP-SPERG), including children from 0 to 16 years of age consulting for UIs. Epidemiological data, circumstances of the injury, and data on emergency care and discharge destination were recorded on the 13th day of each month. Results: A total of 10,175 episodes were recorded, of which 1,941 were UIs (19.1%), including 1,673, of which 257 (15.4%) were severe. The most frequent complementary test was simple radiography (60.0%), and the most frequent procedure was limb immobilisation (38.6%). A significant relationship was found between presenting with a severe UI and age > 5 years (OR 2.24; 95% CI: 1.61-3.16), history of fracture (OR 2.05; 95% CI: 1.22-3.43), or sports activity as a mechanism of injury (OR 1.76; 95% CI: 1.29-2.38), among others. Conclusion: In Spain, most UIs are not serious. X-rays and immobilisation of extremities are the most frequently performed tests and procedures. Severe UIs were associated with individual factors, such as age > 5 years or history of fracture, and with sports activity as a mechanism associated with severity. It is vital to implement measures to improve the prevention of these injuries and to support the training of caregivers through educational programmes. (c) 2020 Asociacion Espanola de Pediatria. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
引用
收藏
页码:132 / 140
页数:9
相关论文
共 22 条
  • [11] Concheiro A, 2006, EMERGENCIAS, V18, P275
  • [12] Cordoba a, 2014, ACCIDENTES POBLACION
  • [13] Elkington J, 1999, NSW PUBLIC HLTH B, V10, P82
  • [14] EuroSafe, 2017, INJ EUR UN 2013 2015
  • [15] Fiorentino JA, 2015, ARCH ARGENT PEDIATR, V113, P12, DOI [10.5546/aap.2015.12, 10.5546/aap.2015.eng.12]
  • [16] Gancedo Baranda A, 2015, REPRESENTACION GRUPO
  • [17] PARENTAL PERCEPTIONS, RISKS, AND INCIDENCE OF PEDIATRIC UNINTENTIONAL INJURIES
    Hogan, Catherine M.
    Weaver, Nancy L.
    Cioni, Claire
    Fry, Jessica
    Hamilton, Alyssa
    Thompson, Samantha
    [J]. JOURNAL OF EMERGENCY NURSING, 2018, 44 (03) : 267 - 273
  • [18] Kisser R, 2017, LREA IP SAFETY PROMO, P1
  • [19] MacKay M., 2012, Child Safety Report Card 2012-Portugal
  • [20] Severe unintentional injuries sustained by Ohio children: Is there urban/rural variation?
    Ovalle, Victoria Wurster
    Pomerantz, Wendy J.
    Anderson, Brit L.
    Gittelman, Michael A.
    [J]. JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, 2016, 81 (04) : S14 - S19