Verdeja-Morales E, Valle-Borjas P, Mendoza-Contreras A

Language: Spanish
References: 18
Page: 175-179
PDF size: 115.99 Kb.

ABSTRACT

Objective: To show traumatic injures in children under sixteen years old, managed from April 2004 to March 2005, in Cerralvo General Hospital, Nuevo León, Mexico. Materials and methods: Cross-Sectional Study. We filled out special formats in every pediatric patient seen in our hospital for traumatic lesion. Results: We attended 535 children (65.0% were male and 34.9% female). Most of the patients (81.3%) had no health insurance. We checked 49.8% on Saturday, Sunday and Monday. Most of the accidents were at home (55.7%), and 44.4% were in the evening. Wounds, contusions and fractures accounted for 79.2% of the lesions. The head was affected with 37.8%, the upper extremity in 29.9% and the lower extremity in 22.4%. The injures were caused by falls in 46.7%, followed by blunt objects in 11.9% and motor vehicles in 11.7%. Conclusion: We conclude that injures in small cities as in northeast Nuevo Leon, are less serious than injures in big cities.

REFERENCES

1. Canty T, Canty T Jr, Brown C: Injuries of gastrointestinal tract from blunt trauma in children. A 12 year Experience at a Designated Pediatric Trauma Center. J Trauma 1999; 46(2): 234-40.

2. James HB, James RK: Rockwood and Wilkins’ Fractures in children. 5a ed., España: Marban; 2003: 12-24.

3. Staheli LT. Practice of pediatric orthopaedics. España: Marban; 2003: 203-19.

4. Danseco E, Miller T, Spicer R. Incidence and Cost of 1987-1994 Childhood injuries: Demographic Breakdowns. Pediatrics 2000; 105(2): 1-8.

5. García H, Reyes D, Diegoperez J, Mercado A: Traumatismo craneal en niños: frecuencia y algunas características epidemiológicas. Rev Med IMSS 2003; 41(6): 495-501.

6. Aviña VG, Meneses GF, Aspiazu LJ: Estado actual de morbilidad y mortalidad causadas por accidentes en México. Creación del Programa Nacional para la Prevención de Accidentes 1998. Rev Mex Ortop Trauma 1999; 13(5): 412-8.

7. Ramenofsky M, Morse T: Standard of care the critically injured Pediatric Patient. J Trauma 1982; 22(11): 921-2.

8. Adesunkanmi AR, Oginni LM, Oyelami OS, Badmus OS: Epidemiology of childhood injury. J Trauma 1998; 44(3): 506-12.

9. Waisman I, Núñez JM, Sánchez J: Epidemiología de los accidentes en la infancia en la Región Centro Cuyo. Arch Arg Pediatr 2000; 98(1): 2-11.

10. Celis A, Gomez L, Armas J: Tendencias de mortalidad por traumatismos y envenenamientos en adolescentes. Salud Pública Méx 2003; 45(1): 8-15.

11. Wood J, Rubin DM, Nance ML, Christian CW: Distinguishing inflicted versus accidental abdominal injuries in young children. J Trauma 2005; 59(5): 1203-8.

12. Nimkin K, Spevak MR, Kleinman PK: Fractures of the hands and feet in child abuse: imaging and pathologic features. Radiology 1997; 203(1): 233-6.

13. García ZG, Borges GG: El Alcohol y el riesgo de traumatismo en tres servicios de urgencias de Acapulco, México. Bol Ofic Sanit Panam 1991; 111(3): 231-9.

14. Híjar MM, Tapia YR: Análisis de la demanda por lesiones traumáticas a servicios de urgencia de 12 Hospitales pediátricos de la ciudad de México. Bol Med Hosp Infant Méx 1991; 48(10): 722-9.

15. Babaren AC: Características epidemiológicas y económicas de los casos de accidentes de tránsito atendidos en el Hospital Nacional Cayetano Heredia. Rev Med Hered 2004; 15(1): 30-6.

16. Santiago OR, Rodríguez GL, Rodríguez GR: Frecuencia de niños atendidos por lesiones esqueléticas accidentales en un Hospital General. Rev Mex Pediatr 2000; 67(3): 103-6.

17. Soriano SE, Sánchez RJ, Oliva AD, Bunuel AJC, Girona BR, Morera JC: Accidentes atendidos en un Área Básica de Salud de Girona, España. Rev Esp Sal Pub 2002; 76(1): 57-64.

18. Miltner E, Salwender H-J: Influencing factors on the injury severity of restrained front seat occupants in car- to- car head-on collisions. Accid Anal Prev 1995; 27(2): 143-50.