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Patterns and Gender Dominance in Paediatric Trauma in a Tertiary Care Centre in Swat
Keywords:
gender dominance, paediatric trauma, patternsAbstract
Objective: To determine patterns of trauma in paediatric population presenting to Orthopaedic Department in a tertiary care hospital of Swat.
Methods: This retrospective study was conducted in department of orthopaedics and traumatology, Saidu Group of Teaching Hospitals, Swat from January, 2017 to December, 2017. The medical records of all patients (0-14 years) with trauma admitted in our unit were analysed retrospectively. Demographic details of the included subjects were noted down.
Results: A total of 675 patients were included in our study; 478 males and 197 females. Patients with 6-10 years were 49%, 0-5 years were 26% and 11-14 years, 25%. Supra condylar humerus fracture (26.8%) preceded shaft of femur fracture (23%), followed by radius, ulna fracture (14%), then other injuries like small bone fractures, soft tissue injuries and foreign bodies. Only 2 cases of pelvic and pathological fractures each were noted. Fall injuries surpassed road traffic accidents.
Conclusion: Male boys below ten years were common. History of fall resulting in supracondylar fractures were the commonest mode of injury sustained
References
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2. Pant P. R, Towner E, Pilkington P, Ellis M, Manandhar D. Community perceptions of unintentional child injuries in Makwanpur district of Nepal: A qualitative study. BMC Public Health. 2014; 14(1):476
3. Landin LA. Fracture Patterns in Children. Analysis of 8,682 Fractures with Special Reference to Incidence, Etiology and Secular Changes in a Swedish Urban Population 1950-1979. Acta Orthop Scand Suppl 1983; 202: 1-109.
4. Sibert JR, Maddocks GB, Brown BM. Childhood accidents: an endemic of epidemic proportion. Arch Dis Child. 1981;56:225–27.
5. Jones G, Cooley HM. Symptomatic fracture incidence in those under 50 years of age in southern Tasmania. J Paediatr Child Health.
2002;38:278–83.
6. Mattila V, Parkkari J, Kannus P.Occurrence and risk factors of unintentional injuries among 12- to 18-year-old Finns: a survey of 8219 adolescents. Eur J Epidemiol. 2004;19:437–44.
7. Peden M, Oyegbite K, Ozanne-Smith J, Hyder AA, Branche C, Rahman AKMF,et al. World report on child injury prevention. World Health Organization; 2008.
8. Cheng JC, Ng BK, Ying SY. A 10-year study of the changes in the pattern and treatment of 6,493 fractures. J Pediatr Orthop. 1999;19:344–50.
9. Lyons RA, Sellstrom E, Delahunty AM. Incidence and cause of fractures in European districts. Arch Dis Child. 2000;82:452–55.
10. Brudvik C, Hove LM. Childhood fractures in Bergen, Norway: identifying high-risk groups and activities. J Pediatr Orthop. 2003; 23:629– 34.
11. Alexandrescu RO,’Brien J, Lecky FE. A review of injury epidemiology in the UK and Europe: Some methodological considerations in constructing rates. BMC Public Health. 2009;9:226.
12. World Health Organization. Child and Adolescent Injury Prevention: A Global Call for Action. World Health Organization; March, 2005. Available from: http://www.who.int/violence_injury_prevention/other_injury/childhood/en/index.html. [Last accessed on 2008 Apr 13].
13. Cross DS, Hall M R. Child pedestrian safety: The role of behavioural science. Med J Aust. 2005;182(7):318–19
14. Oboirien M. Pattern of paediatric trauma in Sokoto, North West Nigeria. Afr J Paediatr Surg 2013;10:172-5.
15. Chabok, Ramezani, Kouchakinejad, & Saneei, 2012; de Sousa Petersburgo et al., 2010; Durkin, Olsen, Barlow, Virella, & Connolly, 1998; Edwards, Green, Lachowycz, Grundy, & Roberts, 2008.
16. Jones IE, Williams SM, Dow N. How Many Children Remain Fracture-free During Growth? A Longitudinal Study of Children and Adolescents Participating in the Dunedin Multidisciplinary Health and Development Study. Osteoporos Int 2002; 13(12): 990-5.
17. Younes N , El Hajj MA , Bizdikian AJ , Gannagé-Yared MH. An epidemiological evaluation of fractures and its determinants among Lebanese schoolchildren: a cross-sectional study. Arch Osteoporos. 2019 Jan 15;14(1):9. doi: 10.1007/s11657-019-0559-4.
18. Donaldson LJ, Reckless IP, Mindell JS. The Epidemiology of Fractures in England. J Epidemiol Community Health 2008; 62(2): 174-80.
19. Valerio G, Gallè F, Mancusi C. Pattern of Fractures Across Pediatric Age Groups: Analysis of Individual and Lifestyle Factors. BMC Public Health 2010; 10: 656. Htpp://www.biomedcentral.com/1471-2458/10/656. Accessed on 8.9.2012
20. Gupta PP, Malla GB, Bhandari R, Kalawar RS. Patterns of Injury and Mortality in Pediatric Patients Attending Emergency Department in a Tertiary Care Center in Eastern Nepal JNMA.2017 July ;56(207):331-34 •
21. Jalalvandi F, Arasteh P, Faramani RS, Esmaeilivand M. Epidemiology of Pediatric Trauma and Its Patterns in Western Iran: A Hospital Based Experience. Glob J Health Sci. 2016 Jun; 8(6): 139–46.
22. Bayreuther J, Wagener S, Woodford M, Edwards A, Lecky F, Bouamra O,et al. Paediatric trauma: injury pattern and mortality in the UK. Arch Dis Child Educ Pract Ed. 2009
23. Apr;94(2):37-41.
24. Loon CP, Bruyne J, Chandran PS. P6: Paediatric Trauma: Patterns of Injury Presenting to A Paediatric Trauma And Emergency Unit In A Tertiary Hospital In Malaysia. Malaysian Journal of Pediatrics & Child Health. 2010;16(2).
25. Buschmann C, Kühne CA, Lösch C, Nast-Kolb D, Ruchholtz S. Major trauma with multiple injuries in German children: a retrospective review. J Pediatr Orthop. 2008 Jan-Feb;28(1):1-5.
26. Naranje SM, Erali RA, Warner WC Jr, Sawyer JR, Kelly DM. Epidemiology of Pediatric Fractures Presenting to Emergency Departments in the United States. J Pediatr Orthop. 2016 Jun;36(4):e45-8.
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Published
2019-04-15
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Original Articles
How to Cite
Patterns and Gender Dominance in Paediatric Trauma in a Tertiary Care Centre in Swat. (2019). Journal of Pakistan Orthopaedic Association, 30(4), 148-152. https://jpoa.org.pk/index.php/upload/article/view/269
