Characteristic of school injuries in Asia: a cross-national, multi-center observational study
  • Chen, Szu-Han
  • Lee, Meng-Chang
  • Wang, Po-Yuan
  • Ma, Matthew Huei-Ming
  • Shin, Sang Do
  • ... Lee, Seung Chul
  • 외 67명
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초록

Background: To prevent school injuries, thorough epidemiological data is an essential foundation. We aimed to investigate the characteristics of school injuries in Asia and explore risk factors for major trauma. Methods: This retrospective study was conducted in the participating centers of the Pan-Asian Trauma Outcome Study from October 2015 to December 2020. Subjects who reported “school” as the site of injury were included. Major trauma was defined as an Injury Severity Score (ISS) value of ≥16. Results: In total, 1305 injury cases (1.0% of 127,715 events) occurred at schools. Among these, 68.2% were children. Unintentional injuries were the leading cause and intentional injuries comprised 7.5% of the cohort. Major trauma accounted for 7.1% of those with documented ISS values. Multivariable regression revealed associations between major trauma and factors, including age, intention of injury (self-harm), type of injury (traffic injuries, falls), and body part injured (head, thorax, and abdomen). Twenty-two (1.7%) died, with six deaths related to self-harm. Females represented 28.4% of injuries but accounted for 40.9% of all deaths. Conclusions: In Asia, injuries at schools affect a significant number of children. Although the incidence of injuries was higher in males, self-inflicted injuries and mortality cases were relatively higher in females. Impact: Epidemiological data and risk factors for major trauma resulting from school injuries in Asia are lacking. This study identified significant risk factors for major trauma occurring at schools, including age, intention of injury (self-harm), injury type (traffic injuries, falls), and body part injured (head, thoracic, and abdominal injuries). Although the incidence of injuries was higher in males, the incidence of self-harm injuries and mortality rates were higher in females. The results of this would make a significant contribution to the development of prevention strategies and relative policies concerning school injuries. © The Author(s), under exclusive licence to the International Pediatric Research Foundation, Inc 2023.

키워드

AbdomenAccidental InjuryAdolescentAdultArticleAsiaAutomutilationChildCohort AnalysisFallingFemaleHeadHumanInjuryInjury ScaleMajor Clinical StudyMajor InjuryMaleMortalityObservational StudyPreschool ChildRetrospective StudyRisk FactorSchoolSchool ChildThoraxTrafficPrevention And ControlTraffic AccidentAccidents, TrafficChildFemaleHumansInjury Severity ScoreMaleRetrospective StudiesSchoolsWounds And Injuries
제목
Characteristic of school injuries in Asia: a cross-national, multi-center observational study
저자
Chen, Szu-HanLee, Meng-ChangWang, Po-YuanMa, Matthew Huei-MingShin, Sang DoSun, Jen-TangJamaluddin, Sabariah FaizahTanaka, HideharuSon, Do NgocHong, Ki JeongTseng, Wei-ChiehChiang, Wen-ChuRao, RamanaGeorge P. AbrahamRamakrishnan, T.V.Jamaluddin, Sabariah FaiwahMohd Amin Bin MohidinSaim, Al-HilmiKean, Lim CheeAnthonysamy, CeciliaYssof, Shah Jahan Din MohdKang Wen JiCheah Phee KhengShamila bt Mohamad AliRamanathan, PeriyanayakiYang, Chia BoonHon Woei ChiaHafidahwati Binti HamadSamsu Ambia IsmailWan Rasydan B. Wan AbdullahHideharu TanakaKimura, AkioVelasco, BernadettGundran, Carlos D.Convocar, PaulineSabarre, Nerissa G.Tiglao, Patrick JosephKi Jeong HongSong, Kyoung JunJeong, JooMoon, Sung WooKim, Joo-YeongCha, Won ChulLee, Seung ChulAhn, Jae YunLee, Kang HyeonYeom, Seok RanRyu, Hyeon HoKim, Su JinKim, Sang ChulHsu, Li-MinSun, Jen TangWang, Ruei-FangHsieh, Shang-LinKao, Wei-FongRiyapan, SatthaTianwibool, ParinyaBuaprasert, PhuditAkaraborworn, OsareeOmer Ahmed Al SakafSaleh, Fares L.L.C.Huy, Le BaoDo Ngoc SonNguyen Van DaiT. V. RamakrishnanSabariah Faiwah JamaluddinHideharu TanakaBernadett VelascoKi Jeong HongJen Tang SunKhruekarnchana, PairojL. L. C. Saleh FaresDo Ngoc Son
DOI
10.1038/s41390-023-02884-9
발행일
2024-03
유형
Article
저널명
Pediatric Research
95
4
페이지
1080 ~ 1087