TY  - JOUR
A1  - Voth, Maika
A1  - Sommer, Katharina
A1  - Schindler, Cora
A1  - Frank, Johannes
A1  - Marzi, Ingo
T1  - Rise of extremity fractures and sport accidents in children at 8–12 years and increase of admittance via the resuscitation room over a decade
T2  - European journal of trauma and emergency surgery
N2  - Introduction: In an emergency department, the majority of pediatric trauma patients present because of minor injuries. The aim of this study was to evaluate temporal changes in age-related injury pattern, trauma mechanism, and surgeries in pediatric patients. Methods: This retrospective study included patients < 18 years of age following trauma from 01/2009 to 12/2018 at a level I trauma center. They were divided into two groups: group A (A: 01/2009 to 12/2013) and group B (B: 01/2014 to 12/2018). Injury mechanism, injury pattern, and surgeries were analyzed. As major injuries fractures, dislocations, and organ injuries and as minor injuries contusions and superficial wounds were defined. Results: 23,582 patients were included (58% male, median age 8.2 years). There was a slight increase in patients comparing A (n = 11,557) and B (n = 12,025) with no difference concerning demographic characteristics. Significant more patients (A: 1.9%; B: 2.4%) were admitted to resuscitation room, though the number of multiple injured patients was not significantly different. In A (25.5%), major injuries occurred significantly less frequently than in B (27.0%), minor injuries occurred equally. Extremity fractures were significantly more frequent in B (21.5%) than in A (20.2%), peaking at 8–12 years. Most trauma mechanisms of both groups were constant, with a rising of sport injuries at 8–12 years. Conclusion: Although number of patients increases only slightly over a decade, there was a clear increase in major injuries, particularly extremity fractures, peaking at 8–12 years. At this age also sport accidents significantly increased. At least, admittance to resuscitation room rose but without an increase of multiple injured patients.
KW  - Pediatric
KW  - Trauma
KW  - Injury
KW  - Emergency room
Y1  - 2021
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/63481
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-634816
SN  - 1863-9941
N1  - Open Access funding enabled and organized by Projekt DEAL. No funding was received for conducting this study.
N1  - Early View-Version: Online Version of Record before inclusion in an issue.
VL  - 2021
PB  - Springer Medizin
CY  - Heidelberg
ER  -