DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20195886

How does mother's working status and number of siblings affect school age child trauma presenting to the emergency department

Serkan Dogan, Ekim Saglam Gurmen, Melis Dorter, Utku Murat Kalafat, Busra Bildik, Basar Cander

Abstract


 

Background: The aim of this study was to investigate the effects of mother working status and siblings on school-age child trauma admitted to the emergency department and to investigate school-age traumas.

Methods: This prospective study was conducted with the approval of the ethics committee in the emergency department of a training and research hospital. All demographic data of the school-aged children (66 months-18 years) who applied to the emergency department, the location of the trauma, the mechanism of occurrence, the mother's working status, the presence and number of siblings, the duration of stay in the emergency department, clinical outcome and hospital service cost were recorded.

Results: A total of 794 children were included in the study. 263(33.1%) were girls and 531(66.9%) were boys. Soft tissue trauma was the most common (94.3%). The place of the trauma was 62.7% out of school and 37.3% in school. When mother working conditions were analyzed, it was seen that 34.2% did not work. 97.1% of the children had one or more siblings. The most common trauma mechanism (65.6%) was collision and the second (60.6%) was falls. 99.1% of the patients were discharged. The length of stay in the emergency department of the Grade-schooler age group was higher than the Teen age group (p: 0,000). The length of stay in emergency department was higher in patients without siblings (p: 0.017). It was observed that those whose mothers did not work remained in the emergency room longer (p: 0,000). It was found that the ones whose mothers did not work mostly came with trauma mechanism as a result of falling (65.4%) (p: 0.044).

Conclusions: Providing education for protection from accidents in schools and out of school to all people, especially children, parents and teachers, and making safe playgrounds with solid floors will minimize accident and injury rates and severity levels.


Keywords


Child, Emergency medicine, Siblings, Trauma

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References


American College of Surgeons, Committee on Trauma, National Trauma Data Bank (NTDB). Available at: http://www.facs.org/trauma/ntdb. Accessed May 12, 2016.

American Academy of Pediatrics, Pediatric Orthopaedic Society of North America. Management of pediatric trauma. Pediatr. 2008 Apr 1;121(4):849-54.

Sala D, Fernández E, Morant A, Gascó J, Barrios C. Epidemiologic aspects of pediatric multiple trauma in a Spanish urban population. J Pediatr Surg. 2000 Oct 1;35(10):1478-81.

Hauda II WE. Pediatric trauma. In: Tintinalli JE, Kelen GD, Stapczynski JS, editors. Emergency Medicine, A Comprehensive Study Guide. International ed. USA: McGraw-Hill; 2000:1614-1623.

T Elizabeth Scott I. Child injuries in context. In: Peden M, Oyegbite K, Ozanne-Smith J, Hyder AA,

Branche C, AKM Fazlur Rahman, et al. World report on child injury prevention. Switzerland: WHO Press; 2008:1-30.

Alterman DM, Daley BJ, Kennedy A et al. Considerations in pediatric trauma, 2009. URL:http://emedicine.medscape.com/article/435031-overview. Accessed 25 July 2019.

Fabricant PD, Robles A, Downey-Zayas T, Do HT, Marx RG, Widmann RF, et al. Development and Validation of a Pediatric Sports Activity Rating Scale: The Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS). Am J Sports Med. 2013;41(10):2421-9.

Centers for Disease Prevention and Control, Health, United States, Injury, 2014. Available at: www.cdc.gov/nchs/hus/injury.htm. Accessed 28 August, 2015.

Marcin JP, Schembri MS, He J, Romano PS. A Population-Based Analysis of Socioeconomic Status and Insurance Status and Their Relatonship With Pediatric Trauma Hospitalization and Mortality Rates. Am J Public Health. 2003;93(3):461-6.

Celis A, Gomez Z, Martinez-Sotomayor A, Arcila L, Villaseñor M. Family characteristics and pedestrian injury risk in Mexican children. Inj Prev. 2003;9(1):58-61.

Soreide K, Kruger AJ, Ellingsen CL, Tjosevik KE. Pediatric trauma deaths are predominanted by severe head injuries during spring and summer. Scand J Trauma Resusc Emerg Med. 2009;17:3.

Mihalicz D, Phillips L, Bratu I. Urban vs rural pediatric trauma in Alberta: where can we focus on prevention? J Pediatr Surg. 2010;45:908-11.

Oktay C, Cete Y, Eray O, Pekdemir M, Gunerli A. Appropriateness of emergency department visits in a Turkish university hospital. Croatian Med J. 2003 Oct 1;44(5):585-91.

Tambay G, Satar S, Kozaci N, Acikalin A, Ay MO, Gulen M, et al. Retrospective analysis of pediatric trauma cases admitted to the emergency medicine department. J Acad Emer Med. 2013;12(1):8.

Sözüer EM, İkizceli İ, Avşaroğulları L, Yürümez Y,

Yavuz Y, Yücel M. Trauma caresteristic of primaryschool-age children in the Emergency Department. Türkiye Acil Tıp Derg. 2004;4:464-7.

Coreil J, Wilson F, Wood D, Liller K. Maternal employment and preventive child health practices. Prev Med. 1998;27(3):488-92.

Sever M, Saz EU, Kosargelir M. An evaluation of the pediatric medicolegal admissions to a tertiary hospital emergency department. Ulus Travma Acil Cerrahi Derg 2010;16:260-7.

Navascues del Rio JA, Romero Ruiz RM, Soleto Martin J, et al. First Spanish trauma registry: analysis of 1500 cases. Eur J Pediatr Surg. 2000;10:310-8.

Akay N, Çelik GK, Karakayalı O, Memiş M, Tanrıverdi F, Vural S, et al. The effects of blood alcohol levels on the severity of injury and on cost in the traumas caused by motor vehicle accidents. Ankara Med J. 2014;14(1):5-10.

Dogan S, Acar N, Cevik AA, Özakin E, Kaya FB, Arslantas D. The relationship between blood alcohol concentration and injury severity in patients admitted to the hospital emergency department after a motor vehicle accident. J Acad Emer Med. 2016 Sep 1;15(3):121-5.