ArticleBMC pediatrics2023
Epidemiology of major paediatric trauma in a European Country - trends of a decade.
Article in BMC pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Epidemiology of road traffic injuries and fatalities among children in Ethiopia: a systematic review and meta-analysis.BMC public health · 2026Pooled it
- Pediatric Intensive Care Utilization and Outcomes in Denmark.JAMA network open · 2026Article
- [Prehospital treatment of severely injured children in Germany : Epidemiology, interventions and structural perspectives].Die Anaesthesiologie · 2026Review
- Article
- Mechanism patterns and age variations in pediatric cranio-maxillofacial trauma: a 5-year analysis of the national trauma data bank.Oral and maxillofacial surgery · 2025Review
- "Could She/He Walk Out of the Hospital?": Implementing AI Models for Recovery Prediction and Doctor-Patient Communication in Major Trauma.Diagnostics (Basel, Switzerland) · 2025Article
- Road Fatalities in Children Aged 0-17: Epidemiological Data and Forensic Aspects on a Series of Cases in a Single-Centre in Romania.Children (Basel, Switzerland) · 2024Article
- Examination of the transport characteristics of pediatric trauma patients.Turkish journal of medical sciences · 2024Observational
- PIM2, lactate, and trauma score to predict mortality in critically ill pediatric trauma patients.Jornal de pediatriaArticle
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study investigates causes, characteristics and temporal trends of paediatric major trauma over a 10-year period and assesses potential preventive areas.
methodsSingle-centre retrospective study of paediatric trauma patients admitted to a Paediatric Intensive Care Unit (PICU) in a tertiary university hospital in Europe with a level 1 paediatric trauma centre, from 2009 to 2019. Paediatric major trauma patients were defined as patients aged < 18 years with Injury Severity Score > 12, admitted for intensive care for more than 24 h following trauma. Demographic, social and clinical information, including place and mechanism of trauma, injury pattern, pre-hospital and in-hospital procedures, and length of stay in PICU was extracted from PICU medical records.
resultsTotal 358 patients included (age 11 ± 4,9 years; 67% male); 75% were involved in road traffic accidents: 30% motor vehicle collision, 25% pedestrian, 10% motorcycle and bicycle each. Falls from height injured 19% of children, 4% during sports activities. Main injuries were to head/neck (73%) and extremities (42%). The incidence of major trauma was highest in teenagers and did not show a decreasing trend during the study years. All fatalities (1,7%; n = 6) were related to head/neck injuries. Motor vehicle collisions resulted in higher need for blood transfusion (9 vs. 2 mL/kg, p = 0,006) and the highest ICU-mortality (83%; n = 5). Children in motorcycle accidents had longer ICU length-of-stay (6,4 vs. 4,2 days, p = 0,036). Pedestrians had 25% higher risk of head/neck injuries (RR 1,25; 1,07 - 1,46; p = 0,004), and higher incidence of severe brain injury (46% vs. 34%, p = 0,042). Most children in motor-vehicle/bicycle accidents were not using restraints/protective devices (45%) or were using them inappropriately (13%).
conclusionsOver the last decade, the absolute numbers of paediatric major trauma did not decrease. Road traffic accidents remain the leading cause of injury and death. Teenagers are at highest risk for severe trauma. Appropriate use of child restraints and protective equipment remain key for prevention.
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