Division of Nursing, Midwifery and Social Work, Faculty of Biology, Medicine and Health, School of Health Sciences, University of Manchester, Manchester, UK.
Department of Trauma and Orthopaedics, Manchester Foundation Trust, Royal Manchester Children's Hospital, Manchester, UK.
Arch Dis Child. 2019 Apr;104(4):366-371. doi: 10.1136/archdischild-2018-315636. Epub 2018 Nov 23.
To describe the demographics, mechanisms, presentation, injury patterns and outcomes for children with traumatic injuries.
Data collected from the UK's Trauma and Audit Research Network.
The demographics, mechanisms of injury and outcomes were described for children with moderate and severe injuries admitted to the Major Trauma Network in England between 2012 and 2017.
Data regarding 9851 children were collected. Most (69%) were male. The median age was 6.4 (SD 5.2) years, but infants aged 0.1 year (36.5 days) were the most frequently injured of all ages (0-15 years); 447 (36.0%) of injuries in infants aged <1 year were from suspected child abuse. Most injuries occurred in the home, from falls <2 m, after school hours, at weekends and during the summer. The majority of injuries were of moderate severity (median Injury Severity Score 9.0, SD 8.7). The limbs and pelvis, followed by the head, were the most frequently and most severely injured body parts. Ninety-two per cent were discharged home and 72.8% made a 'good recovery' according to the Glasgow Outcome Scale. 3.1% of children died, their median age was 7.0 years (SD 5.8), but infants were the most commonly fatally injured group.
A common age of injury and mortality was infants aged <1 year. Accident prevention strategies need to focus on the prevention of non-accidental injuries in infants. Trauma services need to be organised to accommodate peak presentation times, which are after school, weekends and the summer.
描述儿童创伤性损伤的人口统计学、机制、表现、损伤模式和结果。
数据来自英国创伤和审核研究网络。
描述了 2012 年至 2017 年期间在英格兰主要创伤网络中收治的中度和重度创伤儿童的人口统计学、损伤机制和结局。
共收集了 9851 名儿童的数据。大多数（69%）为男性。中位年龄为 6.4 岁（标准差 5.2 岁），但所有年龄段中最常受伤的是 0.1 岁（36.5 天）的婴儿；447 名（36.0%）1 岁以下婴儿的损伤疑似儿童虐待所致。大多数损伤发生在家中，从低于 2 米的坠落、放学后、周末和夏季。大多数损伤为中度严重程度（中位数损伤严重程度评分 9.0，标准差 8.7）。四肢和骨盆，其次是头部，是最常和最严重受伤的身体部位。92%的患儿出院回家，72.8%根据格拉斯哥结局量表（Glasgow Outcome Scale）达到“良好恢复”。3.1%的患儿死亡，中位年龄为 7.0 岁（标准差 5.8 岁），但婴儿是最常见的致命受伤群体。
受伤和死亡的常见年龄是 1 岁以下的婴儿。事故预防策略需要集中预防婴儿的非意外损伤。创伤服务需要组织起来，以适应高峰就诊时间，即放学后、周末和夏季。
