Kumar Sachil, Verma Anoop K
Department of Pathology, King George's Medical University UP, Lucknow, India.
Department of Forensic Medicine & Toxicology, King George's Medical University UP, Lucknow, India.
J Clin Orthop Trauma. 2017 Nov;8(Suppl 2):S1-S5. doi: 10.1016/j.jcot.2017.02.006. Epub 2017 Mar 18.
The aim is to explore the trends in trauma mortality in children aged 0-18 years can help to co-ordinate resources toward research and programs to reduce the burden.
This is a retrospective study carried out on adolescents ≤18 years of age autopsied according to the attorney request at Forensic Medicine & Toxicology department of King George's Medical University, Lucknow, India in the period from January 1st, 2009 to December 31st, 2014.
There were 9160 deaths from all causes in children ≤18 years old, 7747 of which were due to trauma related causes, with a female predominance of 1.3:1. The age distribution revealed that 65.8% of deaths occurred in the 10-18 age group. Road traffic accidents (RTA) was the most prevalent cause (3635 deaths - 46.92%), followed by asphyxia (1128 deaths - 14.56%) and sexual assault (649 deaths - 8.37%). Asphyxia/suffocation was the major cause of injury with 31.96% of deaths within group <1 year; asphyxia (28.66%) and transport-related injuries (32.27%) were more predominant in the 1-4 age group; transport-related deaths were frequent in the 5-9 age group (45.14%), 10-14 age group (55.68%) and in the group 15-18 age group (51.69%). Regarding times of death, 61% occurred at the scene, 5.6% during pre-hospital care, 26.2% occurred at the hospital within the first 24 h after admission, and the remaining 7.6% of deaths occurred after 24 h after admission to the hospital. When we analyzed the deaths according to the intent, homicides occurred in 16% of cases. Unintentional injuries occurred in 69% of deaths and self-inflicted injuries were identified in 15% cases.
Findings show that there was a predominance of deaths in children and adolescents males, between 15 and 18 years old, mainly from road traffic accidents. This study highlights the burden of trauma caused mortalities in children, which requires instant action.
目的是探究0至18岁儿童创伤死亡率的趋势，这有助于协调资源用于研究和项目，以减轻负担。
这是一项回顾性研究，对2009年1月1日至2014年12月31日期间在印度勒克瑙乔治国王医科大学法医学与毒理学系根据律师要求进行尸检的18岁及以下青少年进行。
18岁及以下儿童共有9160例全因死亡，其中7747例死于创伤相关原因，女性占比为1.3:1。年龄分布显示，65.8%的死亡发生在10至18岁年龄组。道路交通事故（RTA）是最常见的原因（3635例死亡 - 46.92%），其次是窒息（1128例死亡 - 14.56%）和性侵犯（649例死亡 - 8.37%）。窒息/窒息是1岁以下组内31.96%死亡的主要伤害原因；窒息（28.66%）和交通相关伤害（32.27%）在1至4岁年龄组中更为突出；交通相关死亡在5至9岁年龄组（45.14%）、10至14岁年龄组（55.68%）和15至18岁年龄组（51.69%）中较为常见。关于死亡时间，61%发生在现场，5.6%发生在院前护理期间，26.2%发生在入院后24小时内的医院，其余7.6%的死亡发生在入院后24小时后。当我们根据意图分析死亡情况时，16%的病例为他杀。69%的死亡为意外伤害，15%的病例为自残。
研究结果表明，15至18岁的儿童和青少年男性死亡占主导，主要死于道路交通事故。本研究突出了儿童创伤致死的负担，这需要立即采取行动。
