Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지

A Comparison of Characteristics in Pediatric Trauma Patients under 7 Years

학령전기 소아외상 환자의 연령별 비교 연구

You, Ji-Young;Lee, Jae-Il;Ryu, Ji-Yeong
유지영;이재일;유지영

  • Published : 20041200
⟨ Previous Next ⟩

Abstract

Background: Trauma is a leading cause of morbidity and mortality for children. This study was conducted to describe the characteristics of pediatric trauma and to compare the differences of two groups based on age. Methods: We performed a retrospective analysis of pediatric patients under 7 years of age admitted to our emergency department after a trauma from January 2003 through June 2003. The patients were divided into two groups based on age: group A (infant/toddlers, 0${\sim}$3 years) and group B (preschool children, 4${\sim}$6 years). Results: The most common cause of trauma was slip down in both groups. Fall down and burn were more frequent in group A, automobile and bicycle accident were more frequent in group B(p=0.000). The most common place of trauma was house in both groups, but other places were more frequent in group B(p=0.000). The most common trauma related device was furniture/electronics in group A, sporting goods in group B(p=0.002). Conclusions: From this study, we found statistically significant differences between the groups. Knowledge of age-related characteristics could result in improved diagnosis, treatment, and prevention of these injuries.

Keywords

References

  1. 김아진, 백광제, 이준희, 한승백, 이용주, 신동운, 김지혜, 김준식. 응급의료센터를 내원한 소아외상 환자에서 손상정도치의 유용성. 대한외상학회지 2001;14:15-22.
  2. Shanon A, Bashaw B, Lewis J, Feldman W. Nonfatal childhood injuries: a survey at the Children's Hospital of Eastern Ontario. Can Med Assoc 1992;146:361-365.
  3. Sawyer JR, Flynn JM, Dormans JP, Catalano J, Drummond DS. Fracture patterns in children and young adults who fall from significant heights. J Pediatr Orthop 2000;20:197-202. https://doi.org/10.1097/00004694-200003000-00013
  4. 손태경, 김중섭, 박석철, 신현옥, 정봉화, 정경석. 다발성 소아외상 환자에서 소아외상치의 의의. 대한외상학회지 2000;13:28-34.
  5. 김재우, 조준필. 응급실에 내원한 소아의 수부외상에 대한 임상적 고찰. 대한응급의학회지 2001;12:503-510.
  6. Park SH, Cho BM, Oh SM. Head injuries from falls in preschool children. Yonsei Med J 2004;45:229-232. https://doi.org/10.3349/ymj.2004.45.2.229
  7. Lallier M, Bouchard S, St-Vil D, Dupont J, Tucci M. Falls from heights among children: a retrospective review. J Pediatr Surg 1999; 34:1060-1063. https://doi.org/10.1016/S0022-3468(99)90564-X
  8. Goren S, Subasi M, Tyrasci Y, Gurkan F. Fatal falls from heights in and around Diyarbakir, Turkey. Forensic Sci Int 2003;137:37-40. https://doi.org/10.1016/S0379-0738(03)00285-8
  9. Mott A, Rolfe K, James R, Evans R, Kemp A, Dunstan F, Kemp K, Sibert J. Safety of surfaces and equipment for children in playgrounds. Lancet 1997;349:1874-1876. https://doi.org/10.1016/S0140-6736(96)10343-3
  10. 정성필, 정상원, 정현수, 황태식, 장문준, 이한식. 추락환자의 손상정도에 영향을 미치는 요인. 대한응급의학회지 1999;10:85-90.
  11. 최마이클승필, 박정배. 소아 추락환자의 임상적 고찰. 대한응급의학회지 2003;14:555-559.
  12. Pillai SB, Bethel CAI, Besner GE, Caniano DA, Cooney DR. Fall injuries in the pediatric population: safer and most cost-effective management. J Trauma 2000;48:1048-1051. https://doi.org/10.1097/00005373-200006000-00008
  13. Mosenthal AC, Livingston DH, Elcavage J, Merritt S, Stucker S. Falls: Epidemiology and strategies for prevention. J Trauma 1995;38:753-756. https://doi.org/10.1097/00005373-199505000-00013
  14. 이정한, 김성택, 고대이, 문태일, 추용식, 김옥준, 최성욱, 이규형, 조윤경. 소아응급진료실 분리운영 후적절성의 평가. 대한응급의학회지 2003;14:366-370.
  15. 이성우, 문성우, 윤영훈, 이베인, 정상헌, 전정민, 홍윤식. 상지의 운동제한을 보이는 소아에서 방사선 검사의 필요성. 대한응급의학회지 2002;13:275-280.
  16. Doraiswamy NV. Childhood finger injuries and safeguards. Injury Prevention 1999;5:298-300. https://doi.org/10.1136/ip.5.4.298