Pattern of Intentional and Non-Intentional Non-Fatal Children Injuries in Sohag City, Egypt (original) (raw)
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Pattern and severity of childhood unintentional injuries in Ismailia city, Egypt
Abstract In 2009, more than 746 000 injury cases were registered in the Ministry of Health hospitals in Egypt, with an injury rate of 1 004/100 000 population. Around 38% of all injuries occur among children and young adults less than 20 years of age. Furthermore, more than 20 000 people lose their lives to injuries every year (27/100 000). However, these data lack information on injury pattern, severity, provided care and outcome of injuries, which are essential data for planning injurycontrol programmes. The aim of this study was to determine the frequency, nature and risk factors of childhood injuries in the Suez Canal University Hospital Emergency Department. The study included a total of 551 children of 12 years of age. The most common causes of injuries among those children were falls (60%), road traffi c injuries (15%) and burns (7%). The most commonly sustained injuries were fractures (23%), cuts or open wounds (21%), sprains (20%) and burns (13%). Overall injury severity scores (ISSs) were low across all injury types, except road traffi c injuries (RTIs). The majority of patients were treated and discharged without disability (50.5%), while 7.4% had long-term temporary disability that lasted for more than 6 weeks, and 1.9% sustained permanent disability. There were two deaths (0.4% proportionate mortality); both of them were due to falls from a height. In conclusion, the study confi rms the feasibility of documenting the burden of childhood injuries on health systems in Egypt. It also confi rmed the need for tailored injury-prevention research in Egypt. The resulting data should encourage interventional trials to be conducted, appropriate injury-prevention strategies to be implemented and timely interventions to be planned. Keywords: Childhood unintentional injuries, Egypt, risk factors.
Epidemiology of non-fatal injuries among Egyptian children: a community-based cross-sectional survey
BMC public health, 2015
Injuries are a major cause of childhood morbidity and mortality worldwide. We aimed to determine the magnitude and characteristics of child injuries in Egypt and to identify the associated risk factors. A community-based, cross-sectional survey was conducted over 27 Egyptian governorates from June to October, 2011. The target population was 1977 households with children aged 0-18 years who had experienced accidental injuries. In the 6-month period before the investigation, 1576 injuries were reported in 1472 children from a sample population of 1399 households (response rate 70.8 %). Falls (25 %) and burn injuries (20.3 %) were the most common accidental injuries. The incidence of these injuries was significantly higher among boys (57.2 %) than girls and in children aged 2-6 years (70 %) compared with older and younger children. The five main causes of injuries were wounds (30.6 %), fractures (28.7 %), burns (20.3 %), swallowing a foreign body (8.4 %) and accidentally ingesting a po...
Patterns of injury in children
Journal of Pediatric Surgery, 1990
9 Trauma is the leading cause of death for children over 1 year of age. This study was undertaken to identify the patterns of injury among children admitted to a regional pediatric trauma center. During a 34-month period, 3,472 injured children were consecutively admitted to a regional pediatric trauma center. Data were collected on medical, etiological, and financial aspects of injury. Eight subgroups were defined by mechanism of injury: motor-vehicle crash occupants, pedestrian and cycle injuries, falls, child abuse, gunshot and stab wounds, burns, poisonings, and foreign body ingestions or aspirations. Analysis of variance, Duncan's multiple range test, and contingency table analysis were used to determine differences among subgroups of children. Blunt and penetrating trauma accounted for 64.3% of all admissions. The mean age of injured children was 6.5 years; 64% of the children were boys. Sixty-seven percent of the children were admitted directly from the scene of injury. One-way analysis of variance yielded significant differences in mean age, mean hospital length of stay (LOS), mean intensive care LOS, mean trauma score, mean injury severity, and mean hospital charges by mechanism of injury (P < .01). The overall mortality rate was 2.4%. Child abuse, gunshot/stab wounds, and drowning had the highest mortality rates, but injuries to motorvehicle crash occupants and pedestrians accounted for the greatest number of deaths. 9 1990 by W.B. Saunders Company.
The Scientific World JOURNAL, 2006
Animal bite/sting injuries are a known source of morbidity with a significantly higher incidence among children who are most often bitten in the face, head, and neck. The objective of this study was to provide a better understanding of bite/sting injuries treated at the pediatric emergency department in order to guide preventive efforts.The sociodemographic, epidemiological, and clinical data on all bite/sting injuries treated in one representative pediatric emergency department in Israel over a 1-year period were retrieved and analyzed. Two hundred of the 9,309 pediatric trauma cases treated in the emergency department were bite/sting injuries (2.1%). Non-Jewish patients were under-represented in this subgroup. The majority of patients were males (61.5%). Age distribution from 0–12 years was fairly even, except for an unexplained peak at 8 years. Dogs inflicted 56%, cats 11%, and hornets 9.5% of the injuries. Limbs were affected in 64% and the head and neck in 27%. Specialists, mos...
Study on the Causes, Types, and Mechanisms of Childhood Injuries-Age and Disease Specificity
JMA journal, 2021
Introduction: To clarify the causes, types, and mechanisms of injuries in children, we collected injury cases and analyzed their causes. Methods: During the 3-year period from 2013, we collected injury cases from three sources: nursery schools and kindergartens (A), emergency clinics of hospitals (B), and schools and a clinic for the developmentally disabled (C), using a format designed by Safe Kids Japan. Results: In all, 383 cases were collected during the 3-year period. The causes of the injuries in group A were crashes, falls, and so on. The types of injuries were cuts, bruises, fractures, injuries of teeth, etc. Dislocations and abrasions were prominent in nursery school children (aged less than 3 years) and bone fractures were prominent in kindergarten children aged more than 3 years. Group B consisted of 144 cases. The most common causes of injuries were falls, traffic accidents, and so on, and the types of injuries were fractures, abrasions, sprains, etc. The incidence of fractures was particularly high and 50% of the accidents were bicycle accidents. Group C consisted of 41 cases. Although the age distribution was similar to that of group B, the types of accidents and injuries were similar to those of group A. The Bodygraphic Injury Surveillance System (BISS) analysis showed that groups A and C were similar, that is, injuries occurred mainly to the head, whereas in group B, the extremities were mainly affected. Conclusions: We analyzed the causes, types, and mechanisms of childhood injuries. The BISS may help to clarify the mechanisms of injuries in childhood.
Medicine Science | International Medical Journal
Injury surveillance provides an understanding of the incidence, trends, and magnitude of injuries, identifies specific populations that have a higher incidence of injuries. To describe characteristics of childhood injuries and injury severity score of different types of childhood injuries at emergency department of Suez Canal University Hospital. A cross-sectional analyticstudy at emergency department in Suez Canal University Hospital targeted children aged ≤ 18 years presented with an injury from June 2013 to April 2014. The tool in the study was Global Childhood Injury Surveillance Instrument to interview the parents or guardians arriving with injured children. Of the total of 402 injured children, about 68.6% of motor car accidents (MCA) were males, (47.2%) occurred in children aged 12-18 years. MCA had the highest Injury severity score (ISS) which was 29.2±2.6. Most of falls (66.1%) occurred in children aged less than 6 years. 26.2% of burn had permanent disability and ISS of burn was 14.5±1.3. Most of accidental poisoning (78.8%) occurred in children aged less than 6 yearswith female predominance (63.6%). About 85% of poisoninghad no significant disability. Childhood intentional injury represented 5.7% of all injuries and had ISS of 8.5±7.7.Falls are the leading cause of injury-related hospitalizations and emergency department visitsamong children in Suez Canal University Hospital (29.4%), while motor vehicle traffic crashes are the leading cause of death (57%).
Epidemiological profile of child victims of everyday life injuries versus road traffic accident
E3S Web of Conferences, 2021
Unintentional injuries (UI) correspond to “unplanned” events; they include everyday life injuries (EDL), road traffic accident (RTA) and work accidents. In our pediatric context, the latter are excluded. Aim: Draw up an epidemiological profile of UI in children hospitalized for at least 24 hours and make a comparison between EDL and RTA. Material and Methods: A cross-sectional study conducted during four years, about children hospitalized for UI, in the pediatric surgical emergency department (PSE) of the children's hospital of Rabat, Morocco. Sociodemographic and medical data were analyzed by statistical software (JAMOVI). Results: 545 files were retained. EDL represented 81.9 % with a male predominance (70.4%). The median age was 8 years [4; 12] with predominance of school children (63.5%). Infants predominated in EDL (15.1%). Spring has a predominance in RTA (33%), while there is a reversal of the trend for the other seasons (p<0.05). As regards the accident, the majority ...
Injuries among Children and Young Adults in
2011
Background Injuries are a major morbidity and mortality cause among children and young adults worldwide. Previous Ugandan studies were limited in scope and biased towards severe adulthood injuries in referral care. Aims and Objectives This study explored the epidemiology of childhood and young adulthood injuries in Uganda: specifically their extent, pattern, distribution, risk and determinants, and stakeholder perceptions their regarding prevention and control. Methods Cross-sectional survey was used to describe unintentional domestic injury patterns and determinants among under-fives; facility-based surveillance, to determine the distribution, characteristics, and outcomes of violent injuries among 13-23-year-olds and all injuries among under-13s; cohort design, to explore the extent, nature and determinants of school-related risk; FGDs and KIIs, to explore stakeholder perceptions of prevention. Chi-square tests were used to evaluate categorical differences, t-tests, quantitative differences, odds ratios, associations, survival and multi-level modelling, time and contextual effects; and content and thematic analyses, stakeholder perceptions. Results Home-, road-, school-and hospital-related childhood injuries are major but underreported. Violent injuries among youth constitute 7.3percent of total injuries, with a case fatality of 4percent. Fall and burn injuries are the greatest domestic injury risk among under-fives, while traffic, falls and sport injuries are commonest among school children. Travel, break-time activities and practical classes are most risky. Intentional injuries are skewed, peaking at 21 years; males double females' prevalence of victimisation. Students, casual labourers and housewives are most at risk. Teenager housewives have a higher victimisation risk. Blunt force, stabs/cuts, gunshots, and burns are the main injury mechanisms, with variations depending on location. Most prevalent intentional injuries are cuts/bites, open wounds and superficial injuries, majority are minor. The risk of home, school, and traffic injury is high, with age and contextual variations. The cumulative prevalence of school-related injury is 36.1percent, with a rate of 12.3/1000 person years. The case fatality rate of the non-intentional domestic childhood injuries is 1.1/100/year. The odds of domestic burns fall progressively from the first to the sixth year of life; after this, traffic and falls lead. At four, burn, fall and traffic injury odds approximate parity. Injury determinants include poor housing, poor supervision, and domestic energy type, school, HIV status, age and gender. The perceived drivers of injury spurts are staple food supply, social activities and competitive sports. Emergent explanations include childhood, parenting, and situational factors. Lack of guidance and counselling, hunger, intimate-partner violence (IPV), domestic violence, unsafe cooking and household chores, idleness, poor parental control, child maltreatment, corporal punishment, and unsafe storage of sharp objects are thought to cause injuries. Most stakeholders believe in prevention through education and environmental modification. Education, voluntary counselling and HIV testing and disclosure were recommended. Local treatments include sugar, cold water, bathroom sand, and urine for burn injuries; sticks, bandages, ropes, liniment and stretchers for fractures and dislocations; and raw eggs, cooking oil and milk for poisoning. Few NGOs work on injuries and violence in rural Uganda, yet injury care within the existing health facilities is not adequate. Conclusions Childhood and young adulthood injuries are common in Ugandan homes, schools, and roads with age, sex, contextual differences. Injury risk is high across Uganda with travel, practical classes, break-time activities and gardening being most risky. The determinants include maternal and child age, house condition, supervision quality, gender, school and location. Linkages are thought to exist between staple food supply, major social events, and hunting seasons and injury risk. These factors interact with individual, parental, and situational factors to pattern childhood injuries in rural Uganda. Local management strategies exist, most of them based on traditional knowledge and beliefs that may require separate quantitative evaluation. Other proposed educational interventions are based on the ineffective ‗victim blame template'.
Animal bite injuries in pediatric population: a systematic review
Journal of Oral Medicine and Oral Surgery
Objectives: To assess the scientific literature pertaining the risk factors for injuries among victims of animal bite injuries. Data and sources: A systematic review of scientific literature published until May 2020 was carried out in the following databases: PubMed, Cochrane Library, Google Scholar and Journals@ovid. Study selection: A total of 924 records were found, of which 29 articles fulfilled the inclusion criteria and were analyzed. There was a male preponderance in most of the studies with male/female ratio ranging from 0.75:1 to 2.1:1. The age range varies from 0 to 19 years with the mean age varying from 3.6 to 8 years. Pitbulls, Rottweiler's, German shepherds, Bull terriers, Labradors and Dobermans were breeds with higher risk of attack. The animals were familiar to the victim (own, friends, neighbors) in 27–98% instances. Most cases of animal bite injuries were recorded during Summer and Spring months. Head and neck followed by extremities was found to be most infli...