Scientific Reports (Apr 2023)

Characteristics of non-accidental injuries in children and adolescents in Asia: a cross-national, multicenter cohort study

  • Po-Yuan Wang,
  • Wei-Chieh Tseng,
  • Meng-Chang Lee,
  • Li-Min Hsu,
  • Sang Do Shin,
  • Sabariah Faizah Jamaluddin,
  • Hideharu Tanaka,
  • Do Ngoc Son,
  • Ki Jeong Hong,
  • Sattha Riyapan,
  • Ali Haedar,
  • Wen-Chu Chiang,
  • The PATOS Clinical Research Network

DOI
https://doi.org/10.1038/s41598-023-33471-x
Journal volume & issue
Vol. 13, no. 1
pp. 1 – 10

Abstract

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Abstract Children and adolescents are vulnerable to non-accidental injury. Early identification and prevention rely on detailed epidemiological studies, which are limited in Asia. This retrospective study used the registry data of Pan-Asian Trauma Outcome Study (PATOS) from October 1, 2015 to December, 31, 2020. Pediatric patients (aged 24. The study enrolled 451 patients with non-accidental injuries, accounting for 2.81% of pediatric trauma events presented to an emergency department in the PATOS registry. The overall mortality rate was 0.9%, similar to those in Western countries. Mortality rate was high in preschool children (8.7%, p = 0.017) than in other age groups. The sex-specific incidence was higher in boys (3.10% vs. 2.13%, p = 0.001). In adolescents, more events occurred on the street (25.9%), whereas home remained the most common locale in girls of all ages. In the multivariable regression analysis, abdominal and multiple injuries were risk factors for major trauma.