Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Trauma Outcomes in Pediatric Nonfatal Road Traffic Accidents

Version 1 : Received: 14 February 2024 / Approved: 15 February 2024 / Online: 15 February 2024 (06:51:13 CET)

A peer-reviewed article of this Preprint also exists.

Popa, Ș.; Bulgaru-Iliescu, D.; Ciongradi, C.I.; Surd, A.O.; Candussi, I.-L.; Popa, I.P.; Sârbu, I. Trauma Outcomes in Pediatric Nonfatal Road Traffic Accidents. Children 2024, 11, 425. Popa, Ș.; Bulgaru-Iliescu, D.; Ciongradi, C.I.; Surd, A.O.; Candussi, I.-L.; Popa, I.P.; Sârbu, I. Trauma Outcomes in Pediatric Nonfatal Road Traffic Accidents. Children 2024, 11, 425.

Abstract

Background: By 2025, road traffic injuries are projected to rank third in the global burden of disease, posing a significant challenge that affects health, social well-being, and economic aspects. According to data from the Romanian Police National Statistics Center, there has been an average of 342 traffic accidents per year involving pediatric patients over the past 10 years. Materials and Methods: A retrospective research study was conducted, encompassing 358 cases of road traffic accidents identified for the study. Data collection was conducted at "St. Mary’s" Emergency Hospital for Children in Iasi, Romania, from January 2015 to December 2022. To facilitate statistical analyses, participants were categorized into three specific age groups, correlating between the anatomical region affected and different types of accidents was examined, and the classification of injury types was determined based on the characteristics of the harm inflicted. Results: An oscillating trend is observed from 2015 to 2020, with its lowest value recorded in 2017 at around 6.8% and its peak in 2019 at 20.1%. Notably, post-pandemic (Covid-19), the cases underwent a substantial decline of approximately 50%. At least 78.7% of those who did not undergo orthopedic reduction required surgery, whereas among those who underwent orthopedic reduction, only 23.4% needed surgery. Regarding the frequency of complications 7,9% of the total cases experienced complications. Conclusion: The increased frequency of pediatric traffic accidents is attributed to the extensive services provided by "St. Mary’s" Emergency Hospital for Children, Iasi, to a significant number of patients from both rural and urban areas across the seven counties of the Moldova, Romania.

Keywords

road traffic accidents; children; adolescents; orthopedic interventions; fractures; safety

Subject

Public Health and Healthcare, Public, Environmental and Occupational Health

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