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

• Published in: Scientific Reports
• Main Author: Wang P.-Y.; Tseng W.-C.; Lee M.-C.; Hsu L.-M.; Shin S.D.; Jamaluddin S.F.; Tanaka H.; Son D.N.; Hong K.J.; Riyapan S.; Haedar A.; Chiang W.-C.; Rao R.; Abraham G.P.; Ramakrishnan T.V.; Jamaluddin S.F.; Mohidin M.A.B.; Saim A.-H.; Kean L.C.; Anthonysamy C.; Yssof S.J.D.M.; Ji K.W.; Kheng C.P.; Ali S.B.M.; Ramanathan P.; Yang C.B.; Chia H.W.; Hamad H.B.; Ismail S.A.; Abdullah W.R.B.W.; Tanaka H.; Kimura A.; Velasco B.; Gundran C.D.; Convocar P.; G.Sabarre N.; Tiglao P.J.; Hong K.J.; Song K.J.; Jeong J.; Moon S.W.; Kim J.-Y.; Cha W.C.; Lee S.C.; Ahn J.Y.; Lee K.H.; Yeom S.R.; Ryu H.H.; Kim S.J.; Kim S.C.; Hsu L.-M.; Sun J.T.; Wang R.-F.; Hsieh S.-L.; Kao W.-F.; Tianwibool P.; Buaprasert P.; Akaraborworn O.; Al Sakaf O.A.; LLC S.F.; Huy L.B.; Son D.N.; Van Dai N.; Ramakrishnan T.V.; Jamaluddin S.F.; Tanaka H.; Velasco B.; Hong K.J.; Sun J.T.; Khruekarnchana P.; Son D.N.
• Format: Article
• Language: English
• Published: Nature Research 2023
• Online Access: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85153803719&doi=10.1038%2fs41598-023-33471-x&partnerID=40&md5=6e0a95d8aec25cf661a56521deb49c49

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 < 20 years) with non-accidental injuries were enrolled, which were divided by age into preschool (0–6 years), child (7–12 years), and adolescent (13–19 years) groups. Baseline characteristics, injury epidemiology, and excess mortality ratio-adjusted injury severity score (EMR-ISS) were collected. Major trauma was defined as an EMR-ISS score > 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. © The Author(s) 2023.