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Voth M, Sommer K, Schindler C, et al. Rise of extremity fractures and sport accidents in children at 8-12 years and increase of admittance via the resuscitation room over a decade. Eur J Trauma Emerg Surg. 2021;doi: 10.1007/s00068-021-01785-y.
Voth, M., Sommer, K., Schindler, C., Frank, J., & Marzi, I. (2021). Rise of extremity fractures and sport accidents in children at 8-12 years and increase of admittance via the resuscitation room over a decade. European journal of trauma and emergency surgery : official publication of the European Trauma Society, . https://doi.org/10.1007/s00068-021-01785-y
Voth, M, et al. "Rise of extremity fractures and sport accidents in children at 8-12 years and increase of admittance via the resuscitation room over a decade." European journal of trauma and emergency surgery : official publication of the European Trauma Society vol. (2021). doi: https://doi.org/10.1007/s00068-021-01785-y
Voth M, Sommer K, Schindler C, Frank J, Marzi I. Rise of extremity fractures and sport accidents in children at 8-12 years and increase of admittance via the resuscitation room over a decade. Eur J Trauma Emerg Surg. 2021 Sep 14; doi: 10.1007/s00068-021-01785-y. Epub 2021 Sep 14. PMID: 34519864.
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Eur J Trauma Emerg Surg. 2021 Sep 14; doi: 10.1007/s00068-021-01785-y. Epub 2021 Sep 14.

Rise of extremity fractures and sport accidents in children at 8-12 years and increase of admittance via the resuscitation room over a decade.

European journal of trauma and emergency surgery : official publication of the European Trauma Society

M Voth, K Sommer, C Schindler, J Frank, I Marzi

Affiliations

  1. Department of Trauma, Hand and Reconstructive Surgery, University Hospital, Goethe University Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany. [email protected].
  2. Department of Trauma, Hand and Reconstructive Surgery, University Hospital, Goethe University Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.

PMID: 34519864 DOI: 10.1007/s00068-021-01785-y

Abstract

INTRODUCTION: In an emergency department, the majority of pediatric trauma patients present because of minor injuries. The aim of this study was to evaluate temporal changes in age-related injury pattern, trauma mechanism, and surgeries in pediatric patients.

METHODS: This retrospective study included patients < 18 years of age following trauma from 01/2009 to 12/2018 at a level I trauma center. They were divided into two groups: group A (A: 01/2009 to 12/2013) and group B (B: 01/2014 to 12/2018). Injury mechanism, injury pattern, and surgeries were analyzed. As major injuries fractures, dislocations, and organ injuries and as minor injuries contusions and superficial wounds were defined.

RESULTS: 23,582 patients were included (58% male, median age 8.2 years). There was a slight increase in patients comparing A (n = 11,557) and B (n = 12,025) with no difference concerning demographic characteristics. Significant more patients (A: 1.9%; B: 2.4%) were admitted to resuscitation room, though the number of multiple injured patients was not significantly different. In A (25.5%), major injuries occurred significantly less frequently than in B (27.0%), minor injuries occurred equally. Extremity fractures were significantly more frequent in B (21.5%) than in A (20.2%), peaking at 8-12 years. Most trauma mechanisms of both groups were constant, with a rising of sport injuries at 8-12 years.

CONCLUSION: Although number of patients increases only slightly over a decade, there was a clear increase in major injuries, particularly extremity fractures, peaking at 8-12 years. At this age also sport accidents significantly increased. At least, admittance to resuscitation room rose but without an increase of multiple injured patients.

© 2021. The Author(s).

Keywords: Emergency room; Injury; Pediatric; Trauma

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