Etiology and characteristics of accidental injury in 350 children in PICU / 中国小儿急救医学

ABSTRACT

Objective:To analyze the causes and characteristics of children′s accidental injuries, and provide reference for preventing accidental injury in children.Methods:The case data of 350 children who were hospitalized due to accidental injury in the PICU at Shengjing Hospital of China Medical University from June 2017 to May 2020 were collected, and their age characteristics, family factors, accident time, location, cause of injury and prognosis were analyzed.Results:A total of 350 children with accidental injury were treated during three years, accounting for 12.2% of the total number of children admitted to the PICU during the same period, and the fatality rate was 10.6%.There were 200 males and 150 females; infants and young children were still the high-risk group of accidental injuries, accounting for 42.9%, while adolescent children accounted for 27.4%.The top three causes of accidental injury were poisoning in 149 cases (42.6%), traffic injury in 75 cases (21.4%), and fall injury in 65 cases (18.6%). The accident occurred most frequently in summer, mainly from 12∶00 to 18∶00, the average hospitalization days were 8.04 days, and the average hospitalization cost was 28 686.74 yuan.Conclusion:At present, accidental injuries of children are still an important factor endangering children′s health.The fatality rate is high and the characteristics of the disease are closely related to age, season, location, etc.Targeted prevention and intervention measures should be carried out according to different characteristics.