Department of Emergency Medicine, İstanbul Kanuni Sultan Süleyman Training and Research Hospital, University of Health Sciences, İstanbul, Turkiye.
Department of Pediatrics, Gülhane Faculty of Medicine, University of Health Sciences, Ankara, Turkiye.
Turk J Med Sci. 2024 Jun 11;54(4):847-857. doi: 10.55730/1300-0144.5856. eCollection 2024.
BACKGROUND/AIM: Injury is an important public health problem in the pediatric age group and one of the leading global causes of morbidity and mortality. The fact that pediatric trauma has a significant impact on patients, families, and countries shows the need for a better understanding of this phenomenon. This study investigates the demographic characteristics, reasons for admission to the hospital, and diagnoses of pediatric trauma patients who received prehospital emergency health services.
This study was designed as a retrospective observational study and included all patients under the age of 18 who received emergency healthcare due to trauma and were registered in the Emergency Health Automation System after a call was placed to the emergency call center between 1 January 2018 and 31 December 2022. Information such as the reason for calling an ambulance, ICD-10 diagnosis codes, mechanism of injury, time of arrival at the scene, transport duration from the scene to the hospital, and reasons for interfacility transfers were collected for all patients.
A total of 37,420 patients were included in the analysis. Seventeen patients were found dead at the scene of the trauma and 35 patients experienced cardiac arrest on the way to the hospital from the scene. The difference between age groups in terms of time from arrival at the scene to arrival at the hospital was statistically significant (p < 0.001). Falls were the most common cause of trauma in all age groups, followed by traffic accidents. Patients requiring a specialist and transferred primarily for fall-related injuries were in direct proportion to the total number of cases (65.0%, n = 1838), followed by cases of traffic accidents and sports injuries. Most of the secondary transports were made to a training and research hospital or state hospital.
Targeted preventive measures and community education should address the specific causes of trauma that are more prevalent in certain age groups. Early identification of special patient groups that typically require secondary transport can reduce mortality and morbidity related to trauma by facilitating direct transfers to appropriate hospitals.
背景/目的：伤害是儿科年龄段的一个重要公共卫生问题，也是导致发病和死亡的一个主要全球原因。儿科创伤对患者、家庭和国家都有重大影响，这一事实表明需要更好地了解这一现象。本研究调查了接受院前紧急卫生服务的儿科创伤患者的人口统计学特征、住院原因和诊断。
本研究设计为回顾性观察研究，纳入了自 2018 年 1 月 1 日至 2022 年 12 月 31 日期间，因创伤拨打急救中心电话后在急诊自动化系统中注册的所有 18 岁以下的患者。收集了所有患者的呼叫救护车原因、ICD-10 诊断代码、损伤机制、到达现场时间、从现场到医院的转运时间以及院内转院原因等信息。
共分析了 37420 例患者。17 例患者在创伤现场死亡，35 例患者在从现场到医院途中发生心跳骤停。不同年龄组到达现场到到达医院的时间差异具有统计学意义（p < 0.001）。所有年龄组中，最常见的创伤原因是跌倒，其次是交通事故。需要专科医生治疗和主要因跌倒相关损伤转院的患者与总病例数成正比（65.0%，n=1838），其次是交通事故和运动损伤病例。大多数二次转运是送往培训和研究医院或州立医院。
应针对特定年龄组中更为普遍的创伤原因采取有针对性的预防措施和社区教育。早期识别通常需要二次转运的特殊患者群体，可以通过促进直接转至合适的医院来降低与创伤相关的死亡率和发病率。
