From the Pediatric Intensive Care Unit, Maternity and Children Hospital, Buraidah, Qassim, Saudi Arabia.
From the Department of Surgery, College of Medicine, Qassim University, Buraidah, Qassim, Saudi Arabia.
Ann Saudi Med. 2021 May-Jun;41(3):165-170. doi: 10.5144/0256-4947.2021.165. Epub 2021 Jun 1.
Trauma is one of the leading causes of pediatric mortality so the prevention of pediatric trauma is an important goal of any healthcare system. There are only a few studies on pediatric trauma in Saudi Arabia. The availability of data is vital for healthcare leaders in planning for healthcare services.
Assess the epidemiology, patterns, and outcome of trauma in the pediatric population in the Qassim region in Saudi Arabia.
Descriptive medical records review.
A single-center, academic specialized pediatric referral hospital.
We reviewed all electronic and paper records for children (<14 years of age) admitted with a diagnosis of trauma to Maternity and Childrens Hospital (MCH) in Buraidah city in the two-year period between January 2017 and December 2018.
Type of injury, length of stay, and mortality.
133 children.
In this cohort, 77 cases (58%) were admitted to the pediatric intensive care unit (PICU) and 56 (42%) to the pediatric surgery ward. The median (interquartile range) age was 5 (1.1-8) years, and 92 (69%) were boys. The most frequent trauma was road traffic accidents, accounting for 70 cases (52%), followed by fall from a height for 40 (30%) cases. Traumatic brain injury was the most frequent type of injury, accounting for 56 cases (42%), and blunt abdominal trauma was in 11 cases (8.3%). Neurosurgery was the primary subspecialty actively involved in 62 cases (47%). Of the injured children who were admitted to PICU, 36 (46%) needed mechanical ventilation support, while 7 (9%) of those admitted to PICU required the insertion of intra-costal drainage. The mortality in our study was 3.7% (5 cases); 4 of 5 deaths were secondary to road traffic accidents.
Pediatric trauma is a serious problem in our region with high mortality compared to international benchmarks. Road traffic accidents are the leading type of pediatric trauma, followed by falls from height. Further studies and perhaps national efforts are needed to identify ways to prevent road traffic accidents, and optimize the data registry and trauma services.
There were many missing data and incomplete files that affect accuracy and preclude generalization.
None.
创伤是导致儿童死亡的主要原因之一，因此预防儿童创伤是任何医疗保健系统的重要目标。沙特阿拉伯只有少数关于儿科创伤的研究。数据的可用性对于医疗保健服务规划中的医疗保健领导人至关重要。
评估沙特阿拉伯盖西姆地区儿科人群创伤的流行病学、模式和结果。
描述性病历回顾。
单中心学术专科儿科转诊医院。
我们回顾了 2017 年 1 月至 2018 年 12 月期间在布赖代市母婴医院（MCH）住院的所有患有创伤诊断的<14 岁儿童的电子和纸质病历。
损伤类型、住院时间和死亡率。
133 例患儿。
在该队列中，77 例（58%）患儿入住儿科重症监护病房（PICU），56 例（42%）患儿入住儿科外科病房。中位（四分位距）年龄为 5（1.1-8）岁，92 例（69%）为男孩。最常见的创伤是道路交通伤害，占 70 例（52%），其次是高处坠落伤 40 例（30%）。创伤性脑损伤是最常见的损伤类型，占 56 例（42%），钝性腹部创伤 11 例（8.3%）。神经外科是积极参与的主要亚专科 62 例（47%）。入住 PICU 的受伤儿童中，36 例（46%）需要机械通气支持，而入住 PICU 的 7 例（9%）需要肋间隙引流。本研究的死亡率为 3.7%（5 例）；5 例死亡中有 4 例继发于道路交通伤害。
与国际基准相比，我们所在地区的儿科创伤是一个严重的问题，死亡率较高。道路交通伤害是儿科创伤的主要类型，其次是高处坠落伤。需要进一步研究，也许需要国家努力，以确定预防道路交通伤害的方法，并优化数据登记和创伤服务。
有许多缺失的数据和不完整的文件，影响了准确性和推广性。
无。
