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Epidemiology of unintentional injury in children admitted to ICU in China mainland: a multi-center cross-sectional study

BACKGROUND: To investigate the epidemiology of unintentional injury in children admitted to Intensive Care Unit (ICU) in China mainland. METHODS: A total of 39 hospitals in 19 provinces contributed to the 1-day point prevalence study of serious unintentional injury in children aged 0–16 years admitt...

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Autores principales: Ye, Jing, Bao, Yiyao, Zheng, Jicui, Liang, Jianfeng, Hu, Lei, Tan, Linhua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8976685/
https://www.ncbi.nlm.nih.gov/pubmed/35378960
http://dx.doi.org/10.21037/tp-21-387
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author Ye, Jing
Bao, Yiyao
Zheng, Jicui
Liang, Jianfeng
Hu, Lei
Tan, Linhua
author_facet Ye, Jing
Bao, Yiyao
Zheng, Jicui
Liang, Jianfeng
Hu, Lei
Tan, Linhua
author_sort Ye, Jing
collection PubMed
description BACKGROUND: To investigate the epidemiology of unintentional injury in children admitted to Intensive Care Unit (ICU) in China mainland. METHODS: A total of 39 hospitals in 19 provinces contributed to the 1-day point prevalence study of serious unintentional injury in children aged 0–16 years admitted to ICU. RESULTS: A total of 1,017 patients from the 39 participating ICUs on the study day were included. Among them, 56 pediatric patients were identified to be suffered from unintentional injury from 18 participating ICUs, accounting for 5.5% (56/1,017) of all the ICU patients. The percentage of boys was more than twice the percentage of girls. Most patients had an age of less than 6 years old (n=42, 75%). The leading cause of unintentional injury was fall (n=17, 30.4%). The patterns of unintentional injury in children were age-related. There were no urban-rural differences in our cohort. The injury happened on 12:00–18:00 PM in 27 cases (48.2%), and 28 patients (50%) had injuries happened at working day. 35 patients (62.5%) received primary treatment at local hospitals. Thirty-five patients (62.5%) needed resuscitation in the emergency department, 15 patients (26.8%) still needed resuscitation in ICU. These 56 children suffered from a total of 106 lesions corresponding to 1.89 lesions per patient. Respiratory failure was most commonly seen (n=18, 32.1%). There was no death in our cohort during the study. After effective treatment during their ICU stay, 45 (80.4%) patients showed improvement, with Glasgow Coma Scale (GCS), Pediatric Trauma Score (PTS) and Pediatric Risk of Mortality III (PRISM III) score significantly better than those before treatment (P<0.05). CONCLUSIONS: Higher injury rates among children under 6 years old of age illustrate the need for preventive measures, especially programs and public policies targeting this high-risk group.
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spelling pubmed-89766852022-04-03 Epidemiology of unintentional injury in children admitted to ICU in China mainland: a multi-center cross-sectional study Ye, Jing Bao, Yiyao Zheng, Jicui Liang, Jianfeng Hu, Lei Tan, Linhua Transl Pediatr Original Article BACKGROUND: To investigate the epidemiology of unintentional injury in children admitted to Intensive Care Unit (ICU) in China mainland. METHODS: A total of 39 hospitals in 19 provinces contributed to the 1-day point prevalence study of serious unintentional injury in children aged 0–16 years admitted to ICU. RESULTS: A total of 1,017 patients from the 39 participating ICUs on the study day were included. Among them, 56 pediatric patients were identified to be suffered from unintentional injury from 18 participating ICUs, accounting for 5.5% (56/1,017) of all the ICU patients. The percentage of boys was more than twice the percentage of girls. Most patients had an age of less than 6 years old (n=42, 75%). The leading cause of unintentional injury was fall (n=17, 30.4%). The patterns of unintentional injury in children were age-related. There were no urban-rural differences in our cohort. The injury happened on 12:00–18:00 PM in 27 cases (48.2%), and 28 patients (50%) had injuries happened at working day. 35 patients (62.5%) received primary treatment at local hospitals. Thirty-five patients (62.5%) needed resuscitation in the emergency department, 15 patients (26.8%) still needed resuscitation in ICU. These 56 children suffered from a total of 106 lesions corresponding to 1.89 lesions per patient. Respiratory failure was most commonly seen (n=18, 32.1%). There was no death in our cohort during the study. After effective treatment during their ICU stay, 45 (80.4%) patients showed improvement, with Glasgow Coma Scale (GCS), Pediatric Trauma Score (PTS) and Pediatric Risk of Mortality III (PRISM III) score significantly better than those before treatment (P<0.05). CONCLUSIONS: Higher injury rates among children under 6 years old of age illustrate the need for preventive measures, especially programs and public policies targeting this high-risk group. AME Publishing Company 2022-03 /pmc/articles/PMC8976685/ /pubmed/35378960 http://dx.doi.org/10.21037/tp-21-387 Text en 2022 Translational Pediatrics. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Ye, Jing
Bao, Yiyao
Zheng, Jicui
Liang, Jianfeng
Hu, Lei
Tan, Linhua
Epidemiology of unintentional injury in children admitted to ICU in China mainland: a multi-center cross-sectional study
title Epidemiology of unintentional injury in children admitted to ICU in China mainland: a multi-center cross-sectional study
title_full Epidemiology of unintentional injury in children admitted to ICU in China mainland: a multi-center cross-sectional study
title_fullStr Epidemiology of unintentional injury in children admitted to ICU in China mainland: a multi-center cross-sectional study
title_full_unstemmed Epidemiology of unintentional injury in children admitted to ICU in China mainland: a multi-center cross-sectional study
title_short Epidemiology of unintentional injury in children admitted to ICU in China mainland: a multi-center cross-sectional study
title_sort epidemiology of unintentional injury in children admitted to icu in china mainland: a multi-center cross-sectional study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8976685/
https://www.ncbi.nlm.nih.gov/pubmed/35378960
http://dx.doi.org/10.21037/tp-21-387
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