15 年院内儿科创伤中心死亡率的队列研究：伤害预防规划的催化剂。

A 15 year cohort review of in-hospital pediatric trauma center mortality: A catalyst for injury prevention programming.

机构信息

Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada.

Trauma Program, London Health Sciences Centre and Children's Hospital, London, ON, Canada; Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada; Department of Paediatrics, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada.

出版信息

Am J Surg. 2018 Sep;216(3):567-572. doi: 10.1016/j.amjsurg.2018.03.001. Epub 2018 Mar 6.

DOI:10.1016/j.amjsurg.2018.03.001

PMID:29530278

Abstract

BACKGROUND

The objective of our study was to identify the most common mechanisms of injury leading to death in our pediatric population.

METHODS

A retrospective cohort of fatally injured children 0-17 years old treated at our trauma center during 2000-2015.

RESULTS

The mortality rate in our population was 8% (n = 103). Fifty-five percent were male. The majority (76%) of fatal injuries were blunt. Overall, motor vehicle collisions (MVCs) were the most common mechanism of injury (61%), followed by assault/abuse (9%). Of the deaths caused by MVCs, 37 (59%) were occupants, 11 (17%) were pedestrians, and 6 (10%) were cyclists. In the infant sub-population, assault/abuse was the most common mechanism of injury.

CONCLUSION

MVCs were the leading cause of death in this population. In the infant subpopulation (<1 year), abusive head trauma emerged as the leading mechanism. Injury prevention programming should target abusive head trauma in infants and teen road safety.

摘要

背景

本研究旨在确定导致我们儿科人群死亡的最常见损伤机制。

方法

回顾性分析 2000 年至 2015 年在我们创伤中心治疗的 0-17 岁致命受伤儿童的队列。

结果

本研究人群的死亡率为 8%（n=103）。55%为男性。大多数（76%）致命伤为钝性损伤。总体而言，机动车碰撞（MVC）是最常见的损伤机制（61%），其次是袭击/虐待（9%）。在 MVC 导致的死亡中，37 例（59%）为乘客，11 例（17%）为行人，6 例（10%）为骑自行车者。在婴儿亚群中，袭击/虐待是最常见的损伤机制。