Clinical features and prognostic analysis of severe accidental injury in children
LIANG Yufeng1 YU Li2 YANG Yiyu1 WU Zhiyuan1▲
1.Department of PICU, Guangzhou Women and Children′s Medical Center, Guangdong Province, Guangzhou 510120, China;
2.Department of Paediatrics, Guangdong Women and Children Hospital, Guangdong Province, Guangzhou 511400, China
Abstract：Objective To analyze the clinical characteristics of children with severe accidental injuries admitted to the Pediatric Intensive Care Unit (PICU), and to provide reference for the monitoring and prevention of severe accidental injuries. Methods The clinical data of 182 children aged 0-14 years with accidental injuries admitted to the PICU of Guangzhou Women and Children′s Medical Center from October 2013 to September 2016 were retrospectively analyzed. They were divided into four groups according to age: 0 year old < infant group ≤ 1 year old (49 cases); 1 year old <children group ≤ 3 years old (91 cases); 3 years old < preschool children group ≤ 6 years old (29 cases); 6 years old < school age children group ≤ 14 years old (13 cases). The types, constituent ratios, age characteristics and mortality of accidental injuries in each group were analyzed. Results A total of 182 children suffering from accidental injuries (6.06% of PICU) were included in this study, including 118 boys (64.8%) and 64 girls (35.2%). The proportion of accidental injuries in boys was higher than that in girls (P < 0.05). The occurrence of accidental injury was 82 cases (45.05%) of airway foreign body, 31 cases (17.03%) of falling injury, 26 cases (14.29%) of food/drug poisoning, 17 cases (9.34%) of traffic injury, 11 cases (6.04%) of drowning, 9 cases (4.95%) of digestive tract foreign body and 6 cases (3.30%) of burns. The incidence of airway foreign body and falling injury in each group was significantly different (P < 0.05). The incidence of airway foreign body was the highest in the children group, and the incidence of falling injury was the highest in the infant group. The mortality rate of falling injury in each group was significantly different (P < 0.05). Conclusion When formulating preventive measures for children′s accidental injury, factors such as region, age, sex and injury type should be taken into account to improve the first aid system for children′s accidental injury prevention and reduce the occurrence of accidental injury.
2019, Vol. 16 
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