Characteristics of non-accidental injuries in children and adolescents in Asia: a cross-national, multicenter cohort study
  • Wang, Po-Yuan
  • Tseng, Wei-Chieh
  • Lee, Meng-Chang
  • Hsu, Li-Min
  • Shin, Sang Do
  • ... Lee, Seung Chul
  • 외 69명
Citations

SCOPUS

7

초록

Children and adolescents are vulnerable to non-accidental injury. Early identification and prevention rely on detailed epidemiological studies, which are limited in Asia. This retrospective study used the registry data of Pan-Asian Trauma Outcome Study (PATOS) from October 1, 2015 to December, 31, 2020. Pediatric patients (aged < 20 years) with non-accidental injuries were enrolled, which were divided by age into preschool (0–6 years), child (7–12 years), and adolescent (13–19 years) groups. Baseline characteristics, injury epidemiology, and excess mortality ratio-adjusted injury severity score (EMR-ISS) were collected. Major trauma was defined as an EMR-ISS score > 24. The study enrolled 451 patients with non-accidental injuries, accounting for 2.81% of pediatric trauma events presented to an emergency department in the PATOS registry. The overall mortality rate was 0.9%, similar to those in Western countries. Mortality rate was high in preschool children (8.7%, p = 0.017) than in other age groups. The sex-specific incidence was higher in boys (3.10% vs. 2.13%, p = 0.001). In adolescents, more events occurred on the street (25.9%), whereas home remained the most common locale in girls of all ages. In the multivariable regression analysis, abdominal and multiple injuries were risk factors for major trauma. © The Author(s) 2023.

키워드

AdolescentAsiaChildClinical TrialFemaleHospital Emergency ServiceHumanInfantInjuryInjury ScaleMaleMulticenter StudyMultiple TraumaPreschool ChildRetrospective StudyAdolescentChildChild, PreschoolEmergency Service, HospitalFemaleHumansInfantInjury Severity ScoreMaleMultiple TraumaRetrospective StudiesWounds And Injuries
제목
Characteristics of non-accidental injuries in children and adolescents in Asia: a cross-national, multicenter cohort study
저자
Wang, Po-YuanTseng, Wei-ChiehLee, Meng-ChangHsu, Li-MinShin, Sang DoJamaluddin, Sabariah FaizahTanaka, HideharuSon, Do NgocHong, Ki JeongRiyapan, SatthaHaedar, AliChiang, Wen-ChuRao, RamanaAbraham, George P.Ramakrishnan, T.V.Jamaluddin, Sabariah FaiwahMohidin, Mohd Amin BinSaim, Al-HilmiKean, Lim CheeAnthonysamy, CeciliaYssof, Shah Jahan Din MohdJi, Kang WenKheng, Cheah PheeAli, Shamila bt MohamadRamanathan, PeriyanayakiYang, Chia BoonChia, Hon WoeiHamad, Hafidahwati bintiIsmail, Samsu AmbiaAbdullah, Wan Rasydan B. WanTanaka, HideharuKimura, AkioVelasco, BernadettGundran, Carlos D.Convocar, PaulineG.Sabarre, NerissaTiglao, Patrick JosephHong, Ki JeongHong, Ki JeongSong, Kyoung JunJeong, JooMoon, Sung WooKim, Joo-YeongCha, Won ChulLee, Seung ChulAhn, Jae YunLee, Kang HyeonYeom, Seok RanRyu, Hyeon HoKim, Su JinKim, Sang ChulHsu, Li-MinHsu, Li-MinSun, Jen TangWang, Ruei-FangHsieh, Shang-LinKao, Wei-FongRiyapan, SatthaTianwibool, ParinyaBuaprasert, PhuditAkaraborworn, OsareeAl Sakaf, Omer AhmedLLC, Saleh FaresHuy, Le BaoSon, Do NgocVan Dai, NguyenRamakrishnan, T.V.Jamaluddin, Sabariah FaiwahTanaka, HideharuVelasco, BernadettHong, Ki JeongSun, Jen TangKhruekarnchana, PairojLLC, Saleh FaresSon, Do Ngoc
DOI
10.1038/s41598-023-33471-x
발행일
2023-12
유형
Article
저널명
Scientific Reports
13
1