Akademik Veri Yönetim Sistemi
14th World Conference on Injury Prevention and Safety Promotion, Adelaide, Avustralya, 27 - 30 Kasım 2022, ss.173-400
Page
Number: 279 Date of submission: 19
March 2022
A
retrospective evaluation of children's hospital admissions suffered from road
traffic injury
Serpil
Uğur Baysal1, Özge Yıldırım Şalbaş2, Emel
Ulusoy3, Nihan Şık3, Durgül Yılmaz3, Murat
Duman3
1Dokuz
Eylül University Faculty of Medicine, Department of Pediatrics, Division of
Social Pediatrics, İzmir, Turkey
2Dokuz
Eylül University Faculty of Medicine, Department of Pediatrics, İzmir, Turkey
3Dokuz
Eylül University Faculty of Medicine, Department of Pediatrics, Division of
Pediatric Emergency Medicine, İzmir, Turkey
Background and Aims: With
each passing year, the number of individuals injured in road traffic increases
in proportion to our country’s number of vehicles and growing population. This
study aimed to analyze road injuries in children and reduce morbidity and
mortality by determining the risk factors.
Methods:
Children admitted at the Dokuz Eylül University, Pediatric Emergency Department
last five years due to road traffic injuries, were retrospectively analyzed.
1227 cases with complete data were included in the study. Descriptive
information about the children, their families, the event, injury characteristics,
the follow-up, and the results were recorded in the Data Registration Form.
Data were evaluated by frequency, percentage distribution, mean, median, and
comparative analysis.
Results: Of
cases included in the study, 66.1% were male, and 33.9% were female. 35.7% of
the injured are between the ages of 5-9. Most injuries occurred in June and
July. The peak admission hours were between 16:00 and 20:00. 45.6% of them were
pedestrians. The most frequently injured area was recorded as the head and
neck. According to the Injury Severity Score, severe injury rates were 18.5%;
it was found 3% according to the Glasgow Coma Scale. In in-vehicle injuries,
12% of the cases had seat belts; 5.5% of children were using child safety
seats. 1.5% of the children wore protective clothing, and 26.7% wore a helmet
on bicycles and motorcycles. 33.7% (n =414) of the cases were followed-up in
the ward. Hospitalizations were mostly made to the Pediatric Emergency
Department and the Department of Pediatric Surgery, and 9.7% of the injured
children had to undergo surgery. Most of the surgeries (64.7%) were performed
at the Department of Orthopedics and Traumatology. 4.6% of the cases were
followed-up at the Pediatric Intensive Care Unit. Disability developed in 2% of
the injured children. Three children died from hemorrhagic shock, four children
with intracranial hemorrhage also died.
Conclusion: Road
traffic injury is a significant cause of morbidity, mortality, and disability
during childhood, especially for pedestrians.
Learning Outcomes: Risk
awareness is low and protective measures are still insufficient in our country.
Individual counseling is needed during health care.
Dr. Serpil Uğur Baysal, professor of
pediatrics, is an attending physician at the Dokuz Eylül University, Department
of Pediatrics, İzmir, Turkey. She had graduated as a medical doctor from
İstanbul University(İÜ) and had a fellowship in pediatrics at the İÜ Cerrahpaşa
Faculty of Medicine. She started work as
a pediatrician at the İstanbul
University in 1987. She has Pediatric
Emergency Medicine and Pediatric Critical Care fellowships.
She continues her studies in the field
of Social Pediatrics. Special interests in this field are Injury Prevention and
Control, Prevention of Child Abuse and Neglect, and Health Promotion of
Children and Adolescents.
Beginning as a medical student, she
conducted observations and research in pediatrics, pediatric intensive care
unit, pediatric emergency medicine for 1-6 month periods in Finland (University
of Oulu), Germany (Free University of Berlin), and the USA(Universities of
Illinois, Northwestern, Texas, Johns Hopkins, Pennsylvania).
She had attended World Safety 2016 in
Tampere.