DOI QR코드

DOI QR Code

Analysis of causes of injuries among children in Daegu, Korea

  • Ha, Geol (Department of Medicine, College of Medicine, Yeungnam University) ;
  • Jeon, Man-Joong (Department of Preventive Medicine and Public Health, College of Medicine, Yeungnam University) ;
  • SaKong, Joon (Department of Preventive Medicine and Public Health, College of Medicine, Yeungnam University)
  • Received : 2010.06.04
  • Accepted : 2010.08.04
  • Published : 2010.11.15

Abstract

Purpose: The purpose of this study was to determine the mechanisms and exact causes of injuries to children by analyzing the medical records of children who visited emergency medical centers. Methods: We reviewed the medical records of 7,114 pediatric patients (aged below 15 years) who visited the emergency care center (ECC) of a Yeungnam university hospital in Daegu between January 2007 and December 2009. Results: Among the pediatric patients who visited the ECC, 1,526 (27.2%) were admitted for injuries (boys, 979 [64.2%] and girls, 547 [35.8%]); the boy-to-girl ratio in this study population was 1.8:1. The proportion of boys was higher than that of girls over all age ranges, except for children aged less than 1 year. The highest incidence of injury due to slipping (20.5%) was noted in the 1-year-old group, and nearly half the total number of cases (49.3%) involved children who were under 4 years of age. Of the sites of injury, 999 involved the head and face (73.7%) and 134 involved the hand and wrist (9.9%). Seventy-one injuries (5.7%) occurred on the bed, 70 (5.6%) at the door, and 67 (5.3%) on the stairs. Of the approximately 250 types of injuries classified by cause, 17 accounted for 50.4% of all the injuries. Conclusion: The cause of injury could be attributed to approximately 20 causes in more than half the cases of pediatric injuries. A classification of the types of injuries and the development of appropriate preventive strategies can help avoid such injuries.

Keywords

References

  1. Hong CE. Textbook of pediatrics, 9th ed. Seoul: Daehan Printing & Publishing Co, 2008:16-36.
  2. Statistics Korea. Ranking of causes of death by age [Internet]. Statistics Korea; 2008 [Updated 2008]. Available from: http://kosis.kr/nsportal/ups/ups_02List01.jsp?kor_id=6&pubcode=YD&type=F.
  3. Sminkey L. World report on child injury prevention. Inj Prev 2008;14:69. https://doi.org/10.1136/ip.2007.018143
  4. Mace SE, Gerardi MJ, Dietrich AM, Knazik SR, Mulligan-Smith D, Sweeney RL, et al. Injury prevention and control in children. Ann Emerg Med 2001;38:405-14. https://doi.org/10.1067/mem.2001.115882
  5. WHO. International Classification of External Causes of Injury (ICECI) [Internet]. WHO; 1998 [Updated 2003]. Available from: http://www.who.int/classifications/icd/adaptations/iceci/en/index.html.
  6. Lee HJ, Park SY, Lee YH, Do BS, Lee SB. Clinical analysis of the pediatric patients seen in the emergency medical center. Korean J Pediatr 2005;48:1061-7.
  7. Park JH, Bae YS. Causes of childhood injuries observed at the emergency rooms of five hospitals in Daegu. J Prev Med Public Health 1988;21:224-37.
  8. Yoon OB, Kang HS. Characteristics of children admitted to a pediatric emergency department following an accident. J Kor Clinical Nurs Res 2009;15:79-91.
  9. Ahn BH, Chung YH, Kim YW, Kim KB. Statistical study on pediatric emergency room patients. J Korean Pediatr Soc 1992;35:621-9.
  10. Shin KS. Clinical analysis on accident of children. J Korean Pediatr Soc 1982;25:77-80.
  11. Park TJ. Clinical study of childhood accident. J Korean Pediatr Soc 1986;29:60-70.
  12. Kim CM. Clinical study of childhood accidents from a hospital over ten years with regard to foreign body aspiration. Korea J Pediatr 2002;45:1134-40.
  13. Choi HJ. Statistical study on childhood accidents. J Korean Pediatr Soc 1981;24:33-9.
  14. Lee MS, Eum KD, Lee EH, Lee KM, Min JY, Ha TK. A study on childhood injury in general population. Korean J Public Health 2001;38:41-50.
  15. Langley JD, McLoughlin E. Injury mortality and morbidity in New Zealand. Accid Anal Prev 1989;21:243-54. https://doi.org/10.1016/0001-4575(89)90015-8
  16. Kim SJ, Lee JS, Cha HD, Baek TW, Kwo TC, Kang JM. Statistical study on pediatric emergency room patients. J Korean Pediatr Soc 1988;31:93-9.
  17. Park JH, Wi DH. Clinical analysis of the pediatric patients visiting emergency centre. J Korean Soc Emerg Med 1998;9:445-51.
  18. Seo SS, Lee JW, Kim CY, Shin JW. Clinical and statistical studies on the emergency room patients. J Korean Pediatr Soc 1979;22:46-53.
  19. Ryu JM, Yoon CH, Choi SH, Cho KG. The statistical studies on the emergency room patients under the 15 years of age. J Korean Pediatr Soc 1985;28:372-7.
  20. Crawley-Coha T. Childhood injury: a status report. J Pediatr Nurs 2001;16:371-4. https://doi.org/10.1053/jpdn.2001.27608
  21. Burt CW, Fingerhut LA. Injury visits to hospital emergency departments: United States, 1992-95. Vital Health Stat 13. 1998;1-76.

Cited by

  1. Prehospital Pain Management in Children With Traumatic Injuries vol.31, pp.5, 2010, https://doi.org/10.1097/pec.0000000000000313
  2. Traumatismo craneoencefálico en niños. Hospital General de Medellín y Clínica Somer de Rionegro, 2010-2017 vol.33, pp.1, 2010, https://doi.org/10.17533/udea.iatreia.36