Department of Medical Record Management, The First Affiliated Hospital of Wannan Medical College, Wuhu, 241000, China.
Department of Burn and Plastic Surgery, The First Affiliated Hospital of Wannan Medical College, Wuhu, 241000, China.
Eur J Trauma Emerg Surg. 2023 Dec;49(6):2459-2466. doi: 10.1007/s00068-023-02320-x. Epub 2023 Jul 6.
Some studies lack detailed analyses of the differences and characteristics of pediatric injury mechanisms between urban and rural areas.
We aim to understand the characteristics, trends, and mortality rates of injury mechanisms in children in urban and rural areas in central China.
In a study involving 15,807 pediatric trauma patients, it was observed that boys constituted the majority (65.4%) and those aged ≤ 3 years were the most prevalent (28.62%). Falls (39.8%), burns (23.2%), and traffic accidents (21.1%) were identified as the top three injury mechanisms. The head (29.0%) and limbs (35.7%) were found to be the most susceptible to injury. Additionally, children between the ages of 1-3 years exhibited a higher likelihood of sustaining burn injuries compared to other age groups. The main causes of burn injury were hydrothermal burns (90.3%), flame burns (4.9%), chemical burns (3.5%), and electronic burns (1.3%). In urban areas, the major injury mechanisms were falls (40.9%), traffic accidents (22.4%), burns (20.9%), and poison (7.1%), whereas, in rural areas, they were falls (39.5%), burns (23.8%), traffic accidents (20.8%), and penetration (7.0%). Over the past decade, the overall incidences of pediatric trauma have been decreasing. In the past year, the number of injured children was the highest in July, and the overall mortality rate due to trauma was 0.8%.
Our findings revealed that in different age groups, the injury mechanisms are different in urban and rural areas. Burns are the second leading cause of trauma in children. A decrease in pediatric trauma over the past 10 years indicates targeted measures and preventive intervention may effectively prevent pediatric trauma.
一些研究缺乏对城乡地区儿科损伤机制差异和特点的详细分析。
我们旨在了解中国中部城乡地区儿童损伤机制的特点、趋势和死亡率。
在一项涉及 15807 例儿科创伤患者的研究中，观察到男孩占多数（65.4%），年龄≤3 岁的患者最为常见（28.62%）。跌倒（39.8%）、烧伤（23.2%）和交通事故（21.1%）是前三种损伤机制。头部（29.0%）和四肢（35.7%）最容易受伤。此外，1-3 岁儿童比其他年龄组更容易发生烧伤。烧伤的主要原因是热液烫伤（90.3%）、火焰烧伤（4.9%）、化学烧伤（3.5%）和电烧伤（1.3%）。在城市地区，主要的损伤机制是跌倒（40.9%）、交通事故（22.4%）、烧伤（20.9%）和中毒（7.1%），而在农村地区，主要的损伤机制是跌倒（39.5%）、烧伤（23.8%）、交通事故（20.8%）和穿透伤（7.0%）。在过去的十年中，儿科创伤的总体发生率一直在下降。在过去的一年中，7 月受伤儿童人数最多，创伤总死亡率为 0.8%。
我们的研究结果表明，在不同年龄组中，城乡地区的损伤机制不同。烧伤是儿童创伤的第二大原因。过去 10 年来儿科创伤的减少表明，有针对性的措施和预防干预可能有效地预防儿科创伤。
