https://scholars.lib.ntu.edu.tw/handle/123456789/631151
標題: | Characteristics of non-accidental injuries in children and adolescents in Asia: a cross-national, multicenter cohort study | 作者: | Wang, Po-Yuan WEI-CHIEH TSENG Lee, Meng-Chang LI-MIN HSU Shin, Sang Do Jamaluddin, Sabariah Faizah Tanaka, Hideharu Son, Do Ngoc Hong, Ki Jeong Riyapan, Sattha Haedar, Ali WEN-CHU CHIANG |
公開日期: | 23-四月-2023 | 卷: | 13 | 期: | 1 | 來源出版物: | Scientific reports | 摘要: | Children and adolescents are vulnerable to non-accidental injury. Early identification and prevention rely on detailed epidemiological studies, which are limited in Asia. This retrospective study used the registry data of Pan-Asian Trauma Outcome Study (PATOS) from October 1, 2015 to December, 31, 2020. Pediatric patients (aged < 20 years) with non-accidental injuries were enrolled, which were divided by age into preschool (0-6 years), child (7-12 years), and adolescent (13-19 years) groups. Baseline characteristics, injury epidemiology, and excess mortality ratio-adjusted injury severity score (EMR-ISS) were collected. Major trauma was defined as an EMR-ISS score > 24. The study enrolled 451 patients with non-accidental injuries, accounting for 2.81% of pediatric trauma events presented to an emergency department in the PATOS registry. The overall mortality rate was 0.9%, similar to those in Western countries. Mortality rate was high in preschool children (8.7%, p = 0.017) than in other age groups. The sex-specific incidence was higher in boys (3.10% vs. 2.13%, p = 0.001). In adolescents, more events occurred on the street (25.9%), whereas home remained the most common locale in girls of all ages. In the multivariable regression analysis, abdominal and multiple injuries were risk factors for major trauma. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/631151 | ISSN: | 2045-2322 | DOI: | 10.1038/s41598-023-33471-x |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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