Simone de Campos Vieira Abib1, Alessandra Mara Françóia2, Renata Waksman3, Maria Inês Dolci4, Hélio Penna Guimarães5, Frederico Moreira5, Marcus Vinícius BoarettoCezillo1, Adenauer Marinho Góes6. 1. Associate Professor, Department of Surgery, Universidade Federal de São Paulo (UNIFESP). President, Organização Não Governamental (ONG) Criança Segura, Brazil. Conception and design of the study, analysis and acquisition of data, approval the final version to be published. 2. Ms, National Coordinator, ONG Criança Segura, São Paulo-SP, Brazil. Design of the study, analysis and acquisition of data. 3. PhD, Department of Childhood Safety, Sociedade Brasileira de Pediatria, São Paulo-SP, Brazil. Design of the study, critical revision, approval the final version to be published. 4. Associação Brasileira de Defesa do Consumidor (PROTESTE), São Paulo-SP, Brazil. Design of the study, critical revision, approval the final version to be published. 5. PhD, Teaching and Simulation Center of HCor (CETES-HCor), São Paulo-SP, Brazil. Statistical analysis. 6. Associate Professor, Department of Surgery, UNIFESP, and Universidade Federal do Pará (UFPA), Brazil. Critical revision, approval the final version to be published.
Abstract
PURPOSE: : To evaluate severity and built a pilot of a national databank about pediatric trauma and to determine its severity. METHODS: : Prospective study of unintentional pediatric trauma in five hospitals in the city of São Paulo, Brazil. RESULTS: : 916 patients in 4 months. 61.5% of traumatized children were male, average 6.5 years. 48. 4% were falls. Most families had an average monthly income less than three minimum wages. 42% of accidents occurred at home. 18.9% of children were alone. 59,8% of parents thought it could be prevented. 26.5% of children had previous accidents. GCS was severe: 5 patients, moderate: 8 patients. 21 patients were intubated (2.4%), RTS <7 in 10.2%, PTS<8 in 3.6%. 8.5% patients were considered severe, which was related to falls (p=0.001); sports (p=0.045); pedestrian (p=0.006); child education (p=0.015) and cared by male (p=0.007). CONCLUSIONS: : Severity occurred in 8.5% and was associated to falls, sports, traffic, child education, and cared by male. Simple preventive measures could have prevented most of the accidents. The tested tool for details was successful and can be used throughout the country.
PURPOSE: : To evaluate severity and built a pilot of a national databank about pediatric trauma and to determine its severity. METHODS: : Prospective study of unintentional pediatric trauma in five hospitals in the city of São Paulo, Brazil. RESULTS: : 916 patients in 4 months. 61.5% of traumatized children were male, average 6.5 years. 48. 4% were falls. Most families had an average monthly income less than three minimum wages. 42% of accidents occurred at home. 18.9% of children were alone. 59,8% of parents thought it could be prevented. 26.5% of children had previous accidents. GCS was severe: 5 patients, moderate: 8 patients. 21 patients were intubated (2.4%), RTS <7 in 10.2%, PTS<8 in 3.6%. 8.5% patients were considered severe, which was related to falls (p=0.001); sports (p=0.045); pedestrian (p=0.006); child education (p=0.015) and cared by male (p=0.007). CONCLUSIONS: : Severity occurred in 8.5% and was associated to falls, sports, traffic, child education, and cared by male. Simple preventive measures could have prevented most of the accidents. The tested tool for details was successful and can be used throughout the country.
Authors: Fabio Botelho; Paul Truche; David P Mooney; Luke Caddell; Kathrin Zimmerman; Lina Roa; Nivaldo Alonso; Alexis Bowder; Domingos Drumond; Simone de Campos Vieira Abib Journal: Trauma Surg Acute Care Open Date: 2020-07-21