Epidemiology and pattern of paediatric trauma in one of the biggest trauma centres of India

Authors

  • Abhijeet Kunwar Department of Orthopaedics (Trauma Centre), Institute of Medical Sciences, BHU, Varanasi, U. P., India
  • Birju Manjhi Department of Orthopaedics (Trauma Centre), Institute of Medical Sciences, BHU, Varanasi, U. P., India
  • Anand Saurabh Department of Orthopaedics (Trauma Centre), Institute of Medical Sciences, BHU, Varanasi, U. P., India
  • Shubhanshu Shekhar Department of Orthopaedics (Trauma Centre), Institute of Medical Sciences, BHU, Varanasi, U. P., India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20203061

Keywords:

Epidemiology, Pediatric, Fall

Abstract

Background: The objective of the study was to assess the epidemiology and pattern of trauma in paediatric patients coming to a tertiary care trauma centre in Purvanchal region of country.

Methods: Study was conducted at Trauma Centre, Institute of Medical Sciences, BHU. A retrospective data was collected from the emergency entry record book for the paediatric patients coming to emergency with trauma from January to December 2018. A total of 328 patients were included in study. Patient with accidental hanging and those of sexual assault and drowning were not taken in study.

Results: Patients in the age group of above 6 years were most numerous 61%. Boys were more commonly injured then girls of same age group with M: F being 1.4:1.  Fall was the most common mode of injury overall 45.12% and for the children below 6 years of age 63%. However, RTA was the most common cause in children of above 6 years age group 40.5%, closely followed by fall. Home was found to be the most common location of injury. Females outnumbered males in case of assault injury (7 of 12). Musculoskeletal injury was most common 42%, head injury 27%, polytrauma 12%, while superficial injuries in form of abrasion, contusion etc were 19%. Of all 42% were taken inpatient, 50% discharged on OPD basis and 8% went LAMA.   

Conclusions: Most of the times the paediatric traumas occur in foreseeable circumstances, most of them occurring at home or around it suggesting the need for more supervision during playing and identification of specific risk factors for these injuries in our setting. Planning of strategies should be according to the epidemiological trends.

Author Biography

Abhijeet Kunwar, Department of Orthopaedics (Trauma Centre), Institute of Medical Sciences, BHU, Varanasi, U. P., India

Assistant Professor, orthopaedics(trauma centre)

References

World Health Organization. Child and Adolescent Injury Prevention: A Global Call for Action. World Health Organization; March 2005. Available at: http://www.who.int/violence_injury_prevention/other_injury/childhood/en/index. html. Accessed on 20 June 2008.

Holder Y, Peden M, Krug E, Lund J, Gururaj G, Kobusingye O. Injury Surveillance Guidelines. Geneva: World Health Organization; 2001. Available at: http://www.who.int/violence_injury_ prevention/media/en/136.pdf.

Krug EG, Sharma GK, Lozano R. The global burden of injuries. Am J Public Health. 2000;90:523-6.

Census of India; 2011. Available at: http://www.censusindia.gov.in. Accessed on 9 March 2011.

Pal R, Agarwal A, Galwankar S, Swaroop M, Stawicki SP, Rajaram L, et al. The 2014 Academic College of emergency experts in Indias INDO-US joint working group (JWG) white paper on “Developing trauma sciences and injury care in India. Int J Crit Illn Inj Sci. 2014;4:114-30.

National Crime Records Bureau. Accidental deaths and suicides in India. Ministry of Home Affairs, New Delhi, Government of India; 2007.

Sharma M, Lahoti BK, Mathur KGRK, Sharma SS, Ashok L. Epidemiological trends of pediatric trauma: a single center study of 791 patients. J Indian Assoc Pediatr Surg. 2011;16:88-92.

Hulka F. Pediatric trauma systems: critical distinctions. J Trauma. 1999;47:85-9.

Hatamabadi HR, Mahfoozpour S, Alimohammadi H, Younesian S. Evaluation of factors influencing knowledge and attitudes of mothers with preschool children regarding their adoption of preventive measures for home injuries referred to academic emergency centres, Tehran, Iran. Int J Inj Contr Saf Promot. 2014;21:252-9.

Peden M, McGee K, Krug E. Injury: A Leading Cause of the Global Burden of Disease. Geneva: World Health Organization; 2002. Available at: http://www5.who.int/violence_injury_prevention/publications/other_injury/injury/en. Accessed on 25 July 2018.

Wong PC. A comparative epidemiologic study of fractures among Indian, Malay and Swedish children. Med J Malaya. 1965;20:132-43.

Hatamabadi H, Mahfoozpour S, Forouzanfar M, Khazaei A, Yousefian S, Younesian S. Evaluation of parameter related to preventative measures on the child injuries at home. J Saf PromotInj Prev. 2013;1:140-9.

Molcho M, Walsh S, Donnelly P, Matos MG, Pickett W. Trend in injury related mortality and morbidity among adolescents across 30 countries from 2002 to 2010. Eur J Public Health. 2015;25(2):33-6.

Peden M, McGee K, Sharma G. The Injury Chart book: A Graphical Overview of the Global Burden of Injuries. Geneva: World Health Organization; 2002. Available at: http://apps.who.int/iris/bitstream/ 10665/42566/1/924156220X.

Kulshrestha R, Gaind BN, Talukdar B, Chawla D. Trauma in childhood Past and future. Indian J Pediatr. 1983;50:247-51.

Sharma AK, Sarin YK, Manocha S, Agarwal LD, Shukla AK, Zaffar M, et al. Pattern of childhood trauma. Indian perspective. Indian Pediatr. 1993;30:57-60.

Verma S, Lal N, Lodha R, Murmu L. Childhood trauma profile at a tertiary care hospital in India. Indian Pediatr. 2009;46:168-71.

Chowdhury SM, Rahman A, Mashreky SR, Giashuddin SM, Svanstrom L, Horte LG, et al. The horizon of unintentional injuries among children in low-income setting: An Overview from Bangladesh health and injury survey. J Environ Public Health. 2009;2009:435403.

Karbakhsh M, Zargar M, Zarei MR, Khaji A. Childhood injuries in Tehran: a review of 1281 cases. Turk J Pediatr. 2008;50:317-25.

Adesunkanmi AR, Oginni LM, Oyelami AO, Badru OS. Epidemiology of childhood injury. J Trauma. 1998;44:506-12.

Ruangkanchansaasetr S. Childhood accidents. J Med Assoc Thai. 1989;72:144-50.

Kozik CA, Suntayakorn S, Vaughn DW, Suntayakorn C, Snitbhan R, Innis BL. Causes of death and unintentional injury among school children in Thailand. Southeast Asian J Trop Med Public Health. 1999;30:129-35.

Ong ME, Ooi SB, Manning PG. A review of 2,517 childhood injuries seen in Singapore emergency department in 1999: mechanism and injury prevention suggestions. Singapore Med J 2003;44:12-9.

Thein MM, Lee BW, Bun PY. Childhood injuries in Singapore: a community nationwide study. Singapore Med J. 2005;46:103-5.

Sitaraman S, Sharma U, Saxena S, Sogani KC. Accidents in infancy and childhood. Indian Pediatr. 1985;22:815-8.

Peden M, Oyegbite K, Smith OJ, Hyder AA, Christine B, Rahman AK, et al. World Report on Child Injury Prevention. Geneva: World Health Organization; 2009. Available at: https://www.unicef.org/eapro/World_report.pdf.

Mukhida K, Sharma MR, Shilpakar SK. Pediatric neurotrauma in Kathmandu, Nepal: implications for injury management and control. Childs Nerv Syst. 2006;22:352-62.

Tracy ET, Englum BR, Barbas AS, Foley C, Rice HE, Shapiro ML. Pediatric injury patterns by year of age. J Pediatr Surg. 2013;48(6):1384-8.

Snyder CW, Muensterer OJ, Sacco F, Safford SD. Paediatric trauma on the Last Frontier: an 11 years review of injury mechanisms, high-risk injury patterns and outcomes in Alaskan children. Int J Circumpolar Health. 2014;73:25066.

Jaipuria J, Sagar S, Singhal M, Bagdia A, Gupta A, Kumar S, et al. Paediatric extremity vascular injuries - experience from a large urban trauma centre in India. Injury. 2014;45(1):176-82.

Tandukar PK, Nakahara S, Ichikawa M, Poudel KC, Joshi AB, Wakai S. Unintentional injuries among school adolescents in Kathmandu, Nepal: a descriptive study. Public Health. 2006;120(7):641-9.

Babu A, Rattan A, Ranjan P, Singhal M, Gupta A, Kumar S, et al. Are falls more common than road traffic accidents in pediatric trauma? Experience from a Level 1 trauma centre in New Delhi, India. Chin J Traumatol. 2016;19(2):75-8.

Kundal VK, Debnath PR, Sen A. Epidemiology of Pediatric Trauma and its Pattern in Urban India: A Tertiary Care Hospital-Based Experience. J Indian Assoc Pediatr Surg. 2017;22(1):33-7.

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Published

2020-08-26

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Original Research Articles