Almansouf Abdulmajeed S, Alkhanbashi Omar Khalid, Alsumairi Sultan, Alhussein Naif A, Alosaimi Meshari, Alquraishi Abdulaziz A, Yousif Amal
Medicine, King Saud bin Abdulaziz University for Health Sciences, College of Medicine, Riyadh, SAU.
Emergency Medicine, King Saud bin Abdulaziz University for Health Sciences, College of Medicine, Riyadh, SAU.
Cureus. 2022 Sep 3;14(9):e28724. doi: 10.7759/cureus.28724. eCollection 2022 Sep.
Background Pediatric injuries are a very common and serious issue that may result in permanent harm. Regardless of the etiology of the injury, children represent up to 25% of all cases visiting the emergency room. Children suffer nearly twice as many fractures as adults, with males being more vulnerable to this type of injury. Methods A retrospective cohort study was conducted among 2777 patients, and a total of 203 patients who fit the inclusion criteria were included. Data were collected using the electronic system at King Abdullah Specialist Children's Hospital (KASCH). Participants were selected by a non-probability purposive sampling method and data analysis was carried out using the SPSS program. Results The prevalence of motor vehicle accidents (MVAs) related to lower limb fractures was estimated to be 7.3%. The patients had an average mean age of 8.6±4 years, with 10-14 years being the most common age group affected (48.3%) with male predominance (72.4%). Furthermore, femoral fractures were the most commonly identified type (31.5%), and a pedestrian was the most common mechanism of multiple lower limb fractures. Additionally, the highest reported mechanism of injury of lower limb fractures was MVAs. Moreover, the current study shows that most of those patients were treated surgically (55.1%). Conclusion Conclusively, our cohort estimated that the prevalence is 7.3% of MVAs-related lower limb fractures among all children presented to the KASCH Emergency Department. Our study showed that children who were 10-14 years of age were the most affected. There is a male over female predominance. A femur was the most common bone to be affected. Lastly, further safety awareness programs and campaigns are important to be initiated by governmental authorities.
儿童损伤是一个非常常见且严重的问题，可能导致永久性伤害。无论损伤的病因如何，儿童占急诊室就诊病例的25%。儿童骨折的发生率几乎是成人的两倍，男性更容易受到此类损伤。方法：对2777例患者进行回顾性队列研究，共纳入203例符合纳入标准的患者。数据通过阿卜杜拉国王专科医院（KASCH）的电子系统收集。采用非概率目的抽样方法选择参与者，并使用SPSS程序进行数据分析。结果：估计与下肢骨折相关的机动车事故（MVA）发生率为7.3%。患者的平均年龄为8.6±4岁，10 - 14岁是受影响最常见的年龄组（48.3%），男性占主导（72.4%）。此外，股骨骨折是最常见的类型（31.5%），行人是多下肢骨折最常见的机制。此外，下肢骨折报告的最高损伤机制是MVA。而且，本研究表明大多数患者接受了手术治疗（55.1%）。结论：最终，我们的队列估计在所有前往KASCH急诊科的儿童中，与MVA相关的下肢骨折发生率为7.3%。我们的研究表明，10 - 14岁的儿童受影响最大。男性多于女性。股骨是最常受影响的骨骼。最后，政府当局发起进一步的安全意识计划和活动很重要。
