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Pediatric injury patterns by year of age.

Publication ,  Journal Article
Tracy, ET; Englum, BR; Barbas, AS; Foley, C; Rice, HE; Shapiro, ML
Published in: J Pediatr Surg
June 2013

PURPOSE: Since trauma is the leading cause of death and disability among children, understanding injury patterns may reduce morbidity and mortality through targeted prevention efforts. The purpose of this study was to identify pediatric injury patterns by year of age using a large national database. METHODS: We searched the National Trauma Database (NTDB) Research Data Set 7.0 for patients aged 0-18 years with the following relevant ICD-9 external-cause-of-injury codes (e-codes). We also reviewed our institutional trauma registry data (1999-2009). Data were analyzed using χ(2) analysis and ANOVA with significance defined as p<0.05. RESULTS: We identified 354,196 pediatric trauma patients. The leading MOI were motor-vehicle collisions (MVC) for ages 10-18 years and falls for ages 0-9 years. Fire was the second leading MOI among 1-year-olds, but not a major MOI in other age groups. Penetrating trauma was the MOI for 21% of injuries among adolescents with public or no insurance (versus 7.5% adolescents with private insurance). Injury severity scores were highest for children <1 year old and children 14-18 years old. Our review of 1209 patients from our institution yielded additional detail. CONCLUSION: MVC and falls remain leading pediatric MOI. In our year-of-age analysis, we found several interesting trends, including a higher-than-expected rate of penetrating trauma. Our findings may support targeted injury prevention efforts.

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Published In

J Pediatr Surg

DOI

EISSN

1531-5037

Publication Date

June 2013

Volume

48

Issue

6

Start / End Page

1384 / 1388

Location

United States

Related Subject Headings

  • Wounds and Injuries
  • United States
  • Retrospective Studies
  • Pediatrics
  • Injury Severity Score
  • Infant, Newborn
  • Infant
  • Humans
  • Databases, Factual
  • Child, Preschool
 

Citation

APA
Chicago
ICMJE
MLA
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Tracy, E. T., Englum, B. R., Barbas, A. S., Foley, C., Rice, H. E., & Shapiro, M. L. (2013). Pediatric injury patterns by year of age. J Pediatr Surg, 48(6), 1384–1388. https://doi.org/10.1016/j.jpedsurg.2013.03.041
Tracy, Elisabeth T., Brian R. Englum, Andrew S. Barbas, Carolyn Foley, Henry E. Rice, and Mark L. Shapiro. “Pediatric injury patterns by year of age.J Pediatr Surg 48, no. 6 (June 2013): 1384–88. https://doi.org/10.1016/j.jpedsurg.2013.03.041.
Tracy ET, Englum BR, Barbas AS, Foley C, Rice HE, Shapiro ML. Pediatric injury patterns by year of age. J Pediatr Surg. 2013 Jun;48(6):1384–8.
Tracy, Elisabeth T., et al. “Pediatric injury patterns by year of age.J Pediatr Surg, vol. 48, no. 6, June 2013, pp. 1384–88. Pubmed, doi:10.1016/j.jpedsurg.2013.03.041.
Tracy ET, Englum BR, Barbas AS, Foley C, Rice HE, Shapiro ML. Pediatric injury patterns by year of age. J Pediatr Surg. 2013 Jun;48(6):1384–1388.
Journal cover image

Published In

J Pediatr Surg

DOI

EISSN

1531-5037

Publication Date

June 2013

Volume

48

Issue

6

Start / End Page

1384 / 1388

Location

United States

Related Subject Headings

  • Wounds and Injuries
  • United States
  • Retrospective Studies
  • Pediatrics
  • Injury Severity Score
  • Infant, Newborn
  • Infant
  • Humans
  • Databases, Factual
  • Child, Preschool