TY - JOUR
T1 - Characteristics of non-accidental injuries in children and adolescents in Asia
T2 - a cross-national, multicenter cohort study
AU - Wang, Po Yuan
AU - Tseng, Wei Chieh
AU - Lee, Meng Chang
AU - Hsu, Li Min
AU - Shin, Sang Do
AU - Jamaluddin, Sabariah Faizah
AU - Tanaka, Hideharu
AU - Son, Do Ngoc
AU - Hong, Ki Jeong
AU - Riyapan, Sattha
AU - Haedar, Ali
AU - Chiang, Wen Chu
AU - Rao, Ramana
AU - Abraham, George P.
AU - Ramakrishnan, T. V.
AU - Jamaluddin, Sabariah Faiwah
AU - Mohidin, Mohd Amin Bin
AU - Saim, Al Hilmi
AU - Kean, Lim Chee
AU - Anthonysamy, Cecilia
AU - Yssof, Shah Jahan Din Mohd
AU - Ji, Kang Wen
AU - Kheng, Cheah Phee
AU - Ali, Shamila Bt Mohamad
AU - Ramanathan, Periyanayaki
AU - Yang, Chia Boon
AU - Chia, Hon Woei
AU - Hamad, Hafidahwati Binti
AU - Ismail, Samsu Ambia
AU - Abdullah, Wan Rasydan B.Wan
AU - Kimura, Akio
AU - Velasco, Bernadett
AU - Gundran, Carlos D.
AU - Convocar, Pauline
AU - Sabarre, Nerissa G.
AU - Tiglao, Patrick Joseph
AU - Song, Kyoung Jun
AU - Jeong, Joo
AU - Moon, Sung Woo
AU - Kim, Joo Yeong
AU - Cha, Won Chul
AU - Lee, Seung Chul
AU - Ahn, Jae Yun
AU - Lee, Kang Hyeon
AU - Yeom, Seok Ran
AU - Ryu, Hyeon Ho
AU - Kim, Su Jin
AU - Kim, Sang Chul
AU - Sun, Jen Tang
AU - Wang, Ruei Fang
AU - Hsieh, Shang Lin
AU - Kao, Wei Fong
AU - Tianwibool, Parinya
AU - Buaprasert, Phudit
AU - Akaraborworn, Osaree
AU - Sakaf, Omer Ahmed Al
AU - Saleh Fares, L. L.C.
AU - Huy, Le Bao
AU - Van Dai, Nguyen
AU - Khruekarnchana, Pairoj
N1 - Publisher Copyright:
© The Author(s) 2023.
PY - 2023/12
Y1 - 2023/12
N2 - 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 < 20 years) with non-accidental injuries were enrolled, which were divided by age into preschool (0–6 years), child (7–12 years), and adolescent (13–19 years) groups. Baseline characteristics, injury epidemiology, and excess mortality ratio-adjusted injury severity score (EMR-ISS) were collected. Major trauma was defined as an EMR-ISS score > 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.
AB - 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 < 20 years) with non-accidental injuries were enrolled, which were divided by age into preschool (0–6 years), child (7–12 years), and adolescent (13–19 years) groups. Baseline characteristics, injury epidemiology, and excess mortality ratio-adjusted injury severity score (EMR-ISS) were collected. Major trauma was defined as an EMR-ISS score > 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.
UR - https://www.scopus.com/pages/publications/85153803719
U2 - 10.1038/s41598-023-33471-x
DO - 10.1038/s41598-023-33471-x
M3 - Article
C2 - 37088796
AN - SCOPUS:85153803719
SN - 2045-2322
VL - 13
JO - Scientific Reports
JF - Scientific Reports
IS - 1
M1 - 6602
ER -