Characteristics and injury severity score of childhood injuries at emergency department of suez canal university hospital

Injury surveillance provides an understanding of the incidence, trends, and magnitude of injuries, identifies specific populations that have a higher incidence of injuries. To describe characteristics of childhood injuries and injury severity score of different types of childhood injuries at emergency department of Suez Canal University Hospital. A cross-sectional analyticstudy at emergency department in Suez Canal University Hospital targeted children aged ≤ 18 years presented with an injury from June 2013 to April 2014. The tool in the study was Global Childhood Injury Surveillance Instrument to interview the parents or guardians arriving with injured children. Of the total of 402 injured children, about 68.6% of motor car accidents (MCA) were males, (47.2%) occurred in children aged 12-18 years. MCA had the highest Injury severity score (ISS) which was 29.2±2.6. Most of falls (66.1%) occurred in children aged less than 6 years. 26.2% of burn had permanent disability and ISS of burn was 14.5±1.3. Most of accidental poisoning (78.8%) occurred in children aged less than 6 yearswith female predominance (63.6%). About 85% of poisoninghad no significant disability. Childhood intentional injury represented 5.7% of all injuries and had ISS of 8.5±7.7.Falls are the leading cause of injury-related hospitalizations and emergency department visitsamong children in Suez Canal University Hospital (29.4%), while motor vehicle traffic crashes are the leading cause of death (57%)

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1. World Health Organization, Global Burden of Disease: 2004 update: world report onchild injury prevention, 2008 (http://www.who.int/healthinfo/global_burden_disease/2004_report_update/en/)

2. Hyder AA, Wali S, Fishman S, Schenk E. The burden of unintentional injuries among the under-five population in South Asia. Acta Paediatr. 2008;97:(3):267-75.

3. Krug EG. World report on violence and health. Geneva, World Health Organization, 2002.

4. Peden M, McGee K, Sharma G. The injury chart book: a graphical overview of the global burden of injuries. Geneva, World Health Organization, 2002.

5. World Health Organization. Violence, Injuries, and Disability: Biennial 2006–2007 Report. Geneva, Switzerland: World Health Organization, 2008.

6. Nguyen DQ, Tobin S, Dickson WA, Potokar, TS. Infants under 1 year of age have a significant risk of burn injury, 2008;34(6):863-7.‏

7. Pickett W, Streight S, Simpson K, Brison R. Injuries experienced by infant children: a population-based epidemiological analysis. Pediatrics. 2003;111(4):365-70.‏

8. Eisenstat S, Bancroft L. Domestic violence. N Eng J Med. 1999;341:886–92.

9. World Health Organization.Violence and Injury Prevention, Global status report on violence prevention, 2014;274.

10. Linnan M, Rahman F, Rahman A, Shafinaz S, Sitti-Amorn C, Chaipayom O. Child mortality and injury in Asia: survey results and evidence. Florence, UNICEF Innocenti Research Centre, 2007.

11. Corine P, Asa, Erin O. Heiden. Injury Control: The Public Health Approach. In Wallace/Maxcy - Rosenau - Last. Fifteenth edition. 2008; editors. Robert B Wallace, Neal Kohatsu and John Mlast, 80:1319-1333.

12. Margie P, Richard S, David S, Dinesh M, Hyder AA, Eva J. and Colin M. World report on road traffic injury prevention, World Health Organization Geneva; 2004.

13. Hyder AA, Sugerman DE, Puvanachandra P, Razzak J, El-Sayed H, Isaza A, Peden, M. Global childhood unintentional injury surveillance in four cities in developing countries: a pilot study. Bul World Health Organ. 2009;87(5),345-52.‏

14. Baker SP, o’Neill B, Haddon Jr, Long, WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. Journal of Trauma and Acute Care Surgery. 1974;14(3),187-96.‏

15. El-Sayed H, Hassan F, Gad S, Abdel-Rahman A. Pattern and burden of injuries among school children in Ismailia city, Egypt. Egyptian J Pediatr. 2003;20:201-10.

16. Kobusingye OC, Guwatudde D, Lett R. Injury patterns in rural and urban Uganda. Inj Prev. 2001;7:46-50.

17. Kirsch TD, Beaudreau RW, Holder YA, Smith GS. Pediatric injuries presenting to an emergency department in a developing country. PediatrEmerg Care. 1996;12(6):411-5.

18. Hassan F, El-Sheikh E. Hospital-based surveillance of trauma in Port-Said. Alexandria Med J. 1998;40:629-40.

19. Eddleston M, Senarathna L, Mohamed F, Buckley N, Juszczak, E, Sheriff MR, Rajakanthan K. Deaths due to absence of an affordable antitoxin for plant poisoning. The Lancet. 2003;362(9389):1041-4.‏

20. Centers for Disease Control and Prevention.National Center for Injury Prevention and Control.National Action Plan for Child Injury Prevention. Atlanta (GA): CDC, NCIPC.2012.

21. MacKay M and Vincenten J. National Action to Address Child Intentional Injury. Birmingham: European Child Safety Alliance. 2014.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
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