Evidence map›Paper›PMID 40588396›Full record

ArticleBMJ paediatrics open2025

Analysis of characteristics of children with unintentional injuries admitted in Pediatric Intensive Care Unit from 2017 to 2022 in Shanghai, China.

Limin Wang, Xuemei Zhu, Miaomiao Chen, Weiming Chen, Ping Xue, Jicui Zheng, Xiaohong Li

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Article in BMJ paediatrics open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Limin Wang *Fudan University School of Public Health, Shanghai, China.
Xuemei Zhu *Department of Critical Care Medicine, Children's Hospital of Fudan University, Shanghai, China.
Miaomiao Chen *Fudan University School of Public Health, Shanghai, China.
Weiming ChenDepartment of Critical Care Medicine, Children's Hospital of Fudan University, Shanghai, China.
Ping XueDepartment of Neurosurgery, Children's Hospital of Fudan University, Shanghai, China.
Jicui ZhengDepartment of Neurosurgery, Children's Hospital of Fudan University, Shanghai, China lixh@fudan.edu.cn zhengjicui@126.com.
Xiaohong LiFudan University School of Public Health, Shanghai, China lixh@fudan.edu.cn zhengjicui@126.com.ORCID http://orcid.org/0000-0002-8618-5549

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding the patterns of unintentional injuries (UIs) among children admitted to the Pediatric Intensive Care Unit (PICU) is crucial for effective prevention and management. We aimed to explore the demographic, situational and clinical characteristics of children with UIs admitted to the PICU.

methodsWe conducted a cross-sectional, retrospective study of patients under 18 with UIs admitted to the PICU of Children's Hospital of Fudan University from October 2017 to December 2022.

resultsA total of 395 children were admitted, with a mean (SD) age of 5.6 (3.7) years. Road traffic injuries (RTI) (146 (37%)) and high falls (119 (30.1%)) were dominant. Patients with foreign body injuries had a lower median (Q1, Q3) age of 1.6 (1.1, 1.8) years (P<0.001). Most UIs occurred when children were alone (318 (80.5%), P<0.001), during recreation (61 (15.4%), P<0.001) and indoors (212 (53.7%), P<0.001). Injury types differed significantly in hospital stay length (P<0.001) and prognosis (P<0.001). Compared with RTIs, drowning and poisoning were more likely to result in poor prognosis (drowning OR=9.778 (3.515,28.537), P<0.001; poisoning OR=3.556 (1.123,10.428), p=0.023).

conclusionsRTIs and high falls were the leading types of children with UIs admitted to the PICU. Injury patterns varied with age, situational characteristics and involved substantial medical costs. Tailored interventions based on injury patterns are essential to improve child safety and well-being.

Indexed as

Accidental InjuriesIntensive Care Units, PediatricWounds and InjuriesAccidental FallsAccidents, TrafficAdolescentChildChild, PreschoolChinaCross-Sectional StudiesFemaleHospitalizationHumansInfantMaleRetrospective StudiesAdolescent HealthChild HealthDeveloping CountriesEpidemiology

Identifiers

PMID40588396
PMCPMC12211825

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