DOS Kongressen 2014 ·
183
Children and adolescents admitted to the level
1 trauma centre at Odense University Hospital
2002-2011.
Rasmus Hviid Larsen, Danny Stefan Ekström, Jens Martin Lauritsen,
Christian Færgemann
Department of Orthopedics and Traumatology, Odense University Hospital
Background:
Prevention of mortality and severe injury following trauma re-
quires unbiased epidemiological surveillance. The epidemiology of children or
adolescents admitted to a Danish trauma centre is largely unknown in particular
in relation to home- and leisure risk areas.
Purpose / Aim of Study:
To describe the epidemiology and severity of po-
tential severely injured children and adolescents admitted to Odense University
Hospital (OUH).
Materials and Methods:
A descriptive study including all children and adoles-
cents aged 0-17 admitted to the level 1 trauma centre at OUH 2002- 2011.
Data was extracted from the multiple trauma register and medical records.
Findings / Results:
950 children and adolescents were included. The median
age was 13 (0-17) years. Boys accounted for 60.6 % of the cases. Accidents
accounted for 97.2 %, violence 1.4 %, and self-inflicted injuries 0.4 %. More
than ¾ of the injuries occurred either in traffic or at home. The occurrence was
greatest in the summer (34.0 %), during weekends (48.9 %), and in the hours
between 12.00 and 20.00 (59.2 %). 58.5 % of the injuries were due to traffic.
Of these 39.7 % were passengers in motor vehicles, 27.5 % drivers/passengers
of a scooter/MC, 21.8 % bicyclists and 10.3 % pedestrians. The median ISS and
MAIS was 4 (1-75) and 2 (1-6), respectively. Head/face injuries accounted for
36.5 % and extremities for 30.9 % of all injuries. 153 (16.1 % suffered from
severe injuries (ISS>15). Altogether, 49 (5.2 %) died due to their injuries. The
mortality among severely injured was 31.4 %.
Conclusions:
Based on a local trauma register it was possible to describe the
epidemiology and severity of potential severely injured children and adolescents
admitted to a level trauma centre.
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