Characteristics of non-accidental injuries in children and adolescents in Asia: a cross-national, multicenter cohort study

Wang PY 1 , Tseng WC 2 , Lee MC 3 , Hsu LM 4 , Shin SD 5 , Jamaluddin SF 6 Show all authors , Tanaka H 7 , Son DN 8 , Hong KJ 5 , Riyapan S 9 , Haedar A 10 , Chiang WC 11 , PATOS Clinical Research Network

Affiliations 

  • 1 Department of Pediatrics, Far Eastern Memorial Hospital, New Taipei City, Taiwan
  • 2 Graduate Institute of Clinical Medicine, Medical College, National Taiwan University, Taipei, Taiwan. littlecardiologist@gmail.com
  • 3 Department of Emergency Medicine, National Taiwan University Hospital, No. 7, Chung-Shan South Road, Taipei, 100, Taiwan
  • 4 Department of Traumatology and Critical Care, National Taiwan University Hospital, Taipei, Taiwan
  • 5 Department of Emergency Medicine, Seoul National University College of Medicine and Hospital, Seoul, Korea
  • 6 Faculty of Medicine, Universiti Teknologi MARA, Batu Caves, Malaysia
  • 7 Graduate School of Emergency Medical Service System, Kokushikan University, Tokyo, Japan
  • 8 Center for Critical Care Medicine, Bach Mai Hospital, Hanoi, Vietnam
  • 9 Department of Emergency Medicine, Faculty of Medicine, Siriraj Hospital, Bangkok, Thailand
  • 10 Department of Emergency Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia
  • 11 Department of Emergency Medicine, National Taiwan University Hospital, No. 7, Chung-Shan South Road, Taipei, 100, Taiwan. drchiang.tw@gmail.com
Sci Rep, 2023 Apr 23;13(1):6602.
PMID: 37088796 DOI: 10.1038/s41598-023-33471-x

Abstract

Children and adolescents are vulnerable to non-accidental injury. Early identification and prevention rely on detailed epidemiological studies, which are limited in Asia. This retrospective study used the registry data of Pan-Asian Trauma Outcome Study (PATOS) from October 1, 2015 to December, 31, 2020. Pediatric patients (aged  24. The study enrolled 451 patients with non-accidental injuries, accounting for 2.81% of pediatric trauma events presented to an emergency department in the PATOS registry. The overall mortality rate was 0.9%, similar to those in Western countries. Mortality rate was high in preschool children (8.7%, p = 0.017) than in other age groups. The sex-specific incidence was higher in boys (3.10% vs. 2.13%, p = 0.001). In adolescents, more events occurred on the street (25.9%), whereas home remained the most common locale in girls of all ages. In the multivariable regression analysis, abdominal and multiple injuries were risk factors for major trauma.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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