DOI: http://dx.doi.org/10.18203/2349-2902.isj20181421

Retrospective study of impact of social factor in pediatric trauma at teaching hospital of Vindhya region of India

Lal Mani Singh, Vinod Yadalwar

Abstract


Background: Pediatric trauma i.e. Fall, RTA, burn and other type of trauma is primarily seen in neglected young children, these children’s are unattended to and unprotected at home due to overburdened parents in nuclear family busy with various household and outdoor jobs. In present study aims to analyse the different aspect of social factors that related to trauma in pediatric age group.

Methods: The present retrospective study was carried out in 367 patients of the age group <1-15 years during the period 2015-2016.A detailed history taking (from parents/relatives/children) and examination was done and all patients were assessed with regards to their age, sex, mode of trauma/injury, type of injury, site of trauma, place of trauma, and mortality, type of family, number of family members, parents job to create data. The children were classified according to age group. Modes of trauma were divided in groups; the types of injury were divided into subgroups. The places of trauma were divided into the following: Home, road, farm, school/playground or park and others.

Results: Out of total 36.96% of cases were pediatric trauma, (127) belongs to the age group1-5 years. In the less than one year age group burns was the major cause of trauma (47.05%). Boys was dominating (63.21%) over girls (36.78%) on whole but girls were at an increased risk of burn injuries (32.59%) than boys (14.66%) most of the pediatric trauma occurred when the child was unaccompanied (59.9%) as compared to accompanied with elders (40.1%)unaccompanied male was more prone to injury than an accompanied. Head injury was (47.41%) and incidence of fall was (53.45%). Mortality rate was maximum (70.6%) in age group less than one year followed by 11-15 years age group (17.0%). mortality rate was higher in female15.67% as compare male 12.9.

Conclusions: The study shows that needs to focus on maintain data analysis to make a policy for management of pediatric trauma, incidence of all type trauma can be reduced by awareness of society members, a large number of public illiterate and unaware even when literate to take care of children’s. Needs to make special awareness program to give a massage to society make well designed home and playground don’t make children’s free to play in road or other places except to play ground.


Keywords


Burn, Pediatric trauma, Social factors

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References


Sharma M, Lahoti BK, Khandelwal G, Mathur RK, Sharma SS, Laddha A. Epidemiological trends of pediatric trauma: A single-center study of 791 patients. Journal of Indian Association of Pediatric Surgeons. 2011 Jul;16(3):88.

Kundal VK, Debnath PR, Sen A. Epidemiology of pediatric trauma and its pattern in urban India: A tertiary care hospital-based experience. Journal of Indian Association of Pediatric Surgeons. 2017 Jan;22(1):33.

Mallikarjuna GP. Prevalence of road traffic accident in children: retrospective study in tertiary centre Int J Contemp Pediatr. 2017 Mar;4(2):477-81.

Dhopte A, Tiwari VK, Patel P, Bamal R. Epidemiology of pediatric burns and future prevention strategies: a study of 475 patients from a high-volume burn center in North India Burns & Trauma (2017) 5:1,1-8.

Satapathy MC, Dash D, Mishra SS, Tripathy SR, Nath PC, Jena SP. Spectrum and outcome of traumatic brain injury in children< 15 years: A tertiary level experience in India. International journal of critical illness and injury science. 2016 Jan;6(1):16.

Nigeria. National Population Commission, ORC Macro. Nigeria Demographic and Health Survey, 1999. National Population Commission; 2000.

Sharma S, Nayak A, Gupta R, Gaharwar AP. Pattern of Pediatric Trauma in Rural Background of Central India. 2016;2(1):30-5.

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

Mariam A, Sadik M, Gutema J. Patterns of accidents among children visiting Jimma University Hospital, Southwest of Ethiopia. Ethiop Med J. 2006;44:339-45.

Bener A, Al-Salman KM, Pugh RN. Injury mortality and morbidity among children in the United Arab Emirates. European journal of epidemiology. 1998 Feb 1;14(2):175-8.

Vane DW, Shackford SR. Epidemiology of rural traumatic death in children: a population-based study. Journal of Trauma and Acute Care Surgery. 1995 Jun 1;38(6):867-70.

Bangdiwala SI, Anzola-perez E, Romer CC, Schmidt B, Valdez-lazo F, Toro J, D'suze C. The incidence of injuries in young people: I methodology and results of a collaborative study in Brazil, Chile, Cuba and Venezuela. International Journal of Epidemiology. 1990 Mar 1;19(1):115-24.

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

Babu A, Rattan A, Ranjan P, Singhal M, Gupta A, Kumar S, Mishra B, Sagar S. Are falls more common than road traffic accidents in pediatric trauma? Experience from a Level 1 trauma centre in New Delhi, India. Chinese journal of traumatology. 2016 Apr 1;19(2):75-8.

Spiegel CN, Lindaman FC. Children can't fly: a program to prevent childhood morbidity and mortality from window falls. American Journal of Public Health. 1977 Dec;67(12):1143-7.

Chowdhury SM, Rahman A, Mashreky SR, Giashuddin SM, Svanström L, Hörte LG. The horizon of unintentional injuries among children in low-income setting: an overview from Bangladesh health and injury survey. Journal of environmental and public health. 2009;2009.

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.

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

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

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.

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

Kundal VK, Debnath PR, Sen A. Epidemiology of pediatric trauma and its pattern in urban India: A tertiary care hospital-based experience. Journal of Indian Association of Pediatric Surgeons. 2017;22(1):33.

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

Verma SS, Srinivasan S, Vartak AM. An epidemiological study of 500 paediatric burn patients in Mumbai, India. Indian J Plast Surg. 2007;40:153-7.

Lowell G, Quinlan K, Gottlieb LJ. Preventing unintentional scald burns: Moving beyond tap water. Pediat. 2008;122:799-804.

Sharma RK, Parashar A. Special considerations in pediatric burn patients. Indian J Plast Surg. 2010; 43: S43-50.

Alterman DM, Daley BJ, Kennedy AP. Considerations in Pediatric Trauma. Available at: http://emedicine.medscape.com/article/435031-overview; Accessed 11th January 2015.

Bartlett SN. The problem of children’s injuries in low-income countries: a review. Health policy and planning. 2002 Mar 1;17(1):1-3.