TY - JOUR
T1 - Characteristic of school injuries in Asia
T2 - a cross-national, multi-center observational study
AU - Participating Nation Investigators
AU - Participating Site Investigators
AU - The PATOS Clinical Research Network
AU - Chen, Szu Han
AU - Lee, Meng Chang
AU - Wang, Po Yuan
AU - Ma, Matthew Huei Ming
AU - Shin, Sang Do
AU - Sun, Jen Tang
AU - Jamaluddin, Sabariah Faizah
AU - Tanaka, Hideharu
AU - Son, Do Ngoc
AU - Hong, Ki Jeong
AU - Tseng, Wei Chieh
AU - Chiang, Wen Chu
AU - Khruekarnchana, Pairoj
AU - Ramakrishnan, T. V.
AU - Van Dai, Nguyen
AU - Huy, Le Bao
AU - Saleh Fares, L. L.C.
AU - Al Sakaf, Omer Ahmed
AU - Akaraborworn, Osaree
AU - Buaprasert, Phudit
AU - Tianwibool, Parinya
AU - Riyapan, Sattha
AU - Kao, Wei Fong
AU - Hsieh, Shang Lin
AU - Wang, Ruei Fang
AU - Sun, Jen Tang
AU - Hsu, Li Min
AU - Kim, Sang Chul
AU - Kim, Su Jin
AU - Ryu, Hyeon Ho
AU - Yeom, Seok Ran
AU - Lee, Kang Hyeon
AU - Ahn, Jae Yun
AU - Lee, Seung Chul
AU - Cha, Won Chul
AU - Kim, Joo Yeong
AU - Moon, Sung Woo
AU - Jeong, Joo
AU - Song, Kyoung Jun
AU - Tiglao, Patrick Joseph
AU - Sabarre, Nerissa G.
AU - Convocar, Pauline
AU - Gundran, Carlos D.
AU - Velasco, Bernadett
AU - Kimura, Akio
AU - Wan Abdullah, Wan Rasydan B.
AU - Ismail, Samsu Ambia
AU - Hamad, Hafidahwati Binti
AU - Chia, Hon Woei
AU - Yang, Chia Boon
N1 - Publisher Copyright:
© The Author(s), under exclusive licence to the International Pediatric Research Foundation, Inc 2023.
PY - 2024/3
Y1 - 2024/3
N2 - Background: To prevent school injuries, thorough epidemiological data is an essential foundation. We aimed to investigate the characteristics of school injuries in Asia and explore risk factors for major trauma. Methods: This retrospective study was conducted in the participating centers of the Pan-Asian Trauma Outcome Study from October 2015 to December 2020. Subjects who reported “school” as the site of injury were included. Major trauma was defined as an Injury Severity Score (ISS) value of ≥16. Results: In total, 1305 injury cases (1.0% of 127,715 events) occurred at schools. Among these, 68.2% were children. Unintentional injuries were the leading cause and intentional injuries comprised 7.5% of the cohort. Major trauma accounted for 7.1% of those with documented ISS values. Multivariable regression revealed associations between major trauma and factors, including age, intention of injury (self-harm), type of injury (traffic injuries, falls), and body part injured (head, thorax, and abdomen). Twenty-two (1.7%) died, with six deaths related to self-harm. Females represented 28.4% of injuries but accounted for 40.9% of all deaths. Conclusions: In Asia, injuries at schools affect a significant number of children. Although the incidence of injuries was higher in males, self-inflicted injuries and mortality cases were relatively higher in females. Impact: Epidemiological data and risk factors for major trauma resulting from school injuries in Asia are lacking. This study identified significant risk factors for major trauma occurring at schools, including age, intention of injury (self-harm), injury type (traffic injuries, falls), and body part injured (head, thoracic, and abdominal injuries). Although the incidence of injuries was higher in males, the incidence of self-harm injuries and mortality rates were higher in females. The results of this would make a significant contribution to the development of prevention strategies and relative policies concerning school injuries.
AB - Background: To prevent school injuries, thorough epidemiological data is an essential foundation. We aimed to investigate the characteristics of school injuries in Asia and explore risk factors for major trauma. Methods: This retrospective study was conducted in the participating centers of the Pan-Asian Trauma Outcome Study from October 2015 to December 2020. Subjects who reported “school” as the site of injury were included. Major trauma was defined as an Injury Severity Score (ISS) value of ≥16. Results: In total, 1305 injury cases (1.0% of 127,715 events) occurred at schools. Among these, 68.2% were children. Unintentional injuries were the leading cause and intentional injuries comprised 7.5% of the cohort. Major trauma accounted for 7.1% of those with documented ISS values. Multivariable regression revealed associations between major trauma and factors, including age, intention of injury (self-harm), type of injury (traffic injuries, falls), and body part injured (head, thorax, and abdomen). Twenty-two (1.7%) died, with six deaths related to self-harm. Females represented 28.4% of injuries but accounted for 40.9% of all deaths. Conclusions: In Asia, injuries at schools affect a significant number of children. Although the incidence of injuries was higher in males, self-inflicted injuries and mortality cases were relatively higher in females. Impact: Epidemiological data and risk factors for major trauma resulting from school injuries in Asia are lacking. This study identified significant risk factors for major trauma occurring at schools, including age, intention of injury (self-harm), injury type (traffic injuries, falls), and body part injured (head, thoracic, and abdominal injuries). Although the incidence of injuries was higher in males, the incidence of self-harm injuries and mortality rates were higher in females. The results of this would make a significant contribution to the development of prevention strategies and relative policies concerning school injuries.
UR - https://www.scopus.com/pages/publications/85175944772
U2 - 10.1038/s41390-023-02884-9
DO - 10.1038/s41390-023-02884-9
M3 - Article
C2 - 37935885
AN - SCOPUS:85175944772
SN - 0031-3998
VL - 95
SP - 1080
EP - 1087
JO - Pediatric Research
JF - Pediatric Research
IS - 4
ER -