Analysis of characteristics of children with unintentional injuries admitted in Pediatric Intensive Care Unit from 2017 to 2022 in Shanghai, China.

IF 2.3 4区医学 Q2 PEDIATRICS

BMJ Paediatrics Open Pub Date : 2025-06-30 DOI:10.1136/bmjpo-2025-003339

Limin Wang, Xuemei Zhu, Miaomiao Chen, Weiming Chen, Ping Xue, Jicui Zheng, Xiaohong Li

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Abstract

Background: Understanding the patterns of unintentional injuries (UIs) among children admitted to the Pediatric Intensive Care Unit (PICU) is crucial for effective prevention and management. We aimed to explore the demographic, situational and clinical characteristics of children with UIs admitted to the PICU.

Methods: We conducted a cross-sectional, retrospective study of patients under 18 with UIs admitted to the PICU of Children's Hospital of Fudan University from October 2017 to December 2022.

Results: A total of 395 children were admitted, with a mean (SD) age of 5.6 (3.7) years. Road traffic injuries (RTI) (146 (37%)) and high falls (119 (30.1%)) were dominant. Patients with foreign body injuries had a lower median (Q1, Q3) age of 1.6 (1.1, 1.8) years (P＜0.001). Most UIs occurred when children were alone (318 (80.5%), P＜0.001), during recreation (61 (15.4%), P＜0.001) and indoors (212 (53.7%), P＜0.001). Injury types differed significantly in hospital stay length (P＜0.001) and prognosis (P＜0.001). Compared with RTIs, drowning and poisoning were more likely to result in poor prognosis (drowning OR=9.778 (3.515,28.537), P＜0.001; poisoning OR=3.556 (1.123,10.428), p=0.023).

Conclusions: RTIs and high falls were the leading types of children with UIs admitted to the PICU. Injury patterns varied with age, situational characteristics and involved substantial medical costs. Tailored interventions based on injury patterns are essential to improve child safety and well-being.

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2017 - 2022年上海市儿科重症监护病房收治儿童意外伤害特点分析

背景：了解儿科重症监护病房（PICU）儿童意外伤害（UIs）的模式对于有效预防和管理至关重要。我们的目的是探讨入PICU的UIs患儿的人口学、情境和临床特征。方法：对2017年10月至2022年12月复旦大学儿童医院PICU收治的18岁以下UIs患者进行横断面回顾性研究。结果：共入院395例患儿，平均（SD）年龄5.6（3.7）岁。道路交通伤害（146例（37%））和高处坠落（119例（30.1%））占主导地位。异物损伤患者的中位年龄（Q1, Q3）较低，为1.6（1.1,1.8）岁（P<0.001）。大多数尿路感染发生在儿童独处时（318例（80.5%），P<0.001）、娱乐时（61例（15.4%），P<0.001）和室内（212例（53.7%），P<0.001）。损伤类型在住院时间（P<0.001）和预后（P<0.001）上存在显著差异。与rti相比，溺水和中毒更容易导致预后不良(溺水OR=9.778 (3.515,28.537)， P<0.001；中毒OR=3.556 (1.123,10.428), p=0.023)。结论：尿路感染和高位跌倒是入PICU的儿童尿路感染的主要类型。伤害模式因年龄、情境特征而异，并涉及大量医疗费用。基于伤害模式的量身定制的干预措施对于改善儿童安全和福祉至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMJ Paediatrics Open Medicine-Pediatrics, Perinatology and Child Health

CiteScore

4.10

自引率

3.80%

发文量

124