Sharma Mukesh, Lahoti B K, Khandelwal Gaurav, Mathur R K, Sharma S S, Laddha Ashok
Department of Surgery, M. G. M. Medical College and M. Y. Hospital, Indore, Madhya Pradesh, India.
J Indian Assoc Pediatr Surg. 2011 Jul;16(3):88-92. doi: 10.4103/0971-9261.83484.
To assess the various epidemiological parameters that influence the causation of trauma as well as the consequent morbidity and mortality in the pediatric age group.
A prospective study of 791 patients of less than 12 years age, was carried out over a period of 1 year (August 2009 to July 2010), and pediatric trauma trends, with regards to the following parameters were assessed: Age group, sex, mode of trauma, type of injury, place where the trauma occurred and the overall mortality as well as mortality.
Overall trauma was most common in the school-going age group (6-12 years), with male children outnumbering females in the ratio of 1.9:1. It was observed that orthopedic injuries were the most frequent (37.8%) type of injuries, whereas fall from height (39.4%), road traffic accident (27.8%) and burns (15.2%) were the next most common modes of trauma. Home was found out to be the place where maximum trauma occurred (51.8%). Maximum injuries happened unintentionally (98.4%). Overall mortality was found out to be 6.4% (n = 51).
By knowing the epidemiology of pediatric trauma, we conclude that majority of pediatric injuries are preventable and pediatric epidemiological trends differ from those in adults. Therefore, preventive strategies should be made in pediatric patients on the basis of these epidemiological trends.
评估影响儿童期创伤病因以及由此导致的发病率和死亡率的各种流行病学参数。
对791例12岁以下患者进行了为期1年（2009年8月至2010年7月）的前瞻性研究，并评估了以下参数方面的儿童创伤趋势：年龄组、性别、创伤方式、损伤类型、创伤发生地点以及总体死亡率和病死率。
总体创伤在学龄期儿童（6 - 12岁）中最为常见，男童与女童的比例为1.9:1。观察到骨科损伤是最常见的损伤类型（37.8%），而高处坠落（39.4%）、道路交通事故（27.8%）和烧伤（15.2%）是其次常见的创伤方式。发现家中是创伤发生最多的地方（51.8%）。大多数损伤是意外发生的（98.4%）。总体死亡率为6.4%（n = 51）。
通过了解儿童创伤的流行病学，我们得出结论，大多数儿童损伤是可预防的，且儿童流行病学趋势与成人不同。因此，应根据这些流行病学趋势为儿科患者制定预防策略。
