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2019, vol. 5, br. 12, str. 150-154
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Vanbolnički traumatizam u dečijem uzrastu
Out-of-hospital traumatism in children
aResuscitacioni Savet Srbije
bKlinički centar Kragujevac
Sažetak
CILJ RADA: Analiza epidemioloških podataka traume koju su doživele osobe 0-18 godina. METODOLOGIJA RADA: U metodologiji su korišćeni podaci iz Programa EuReCa_Srbija Trauma registar (ESTR) Resuscitacionog Saveta Srbije (RSS), prospektivne opservacione multicentrične studije. ESTR događaji su prikupljani u periodu septembar-decembar 2018 onlajn upitnikom jedinstvene baze iz deset istraživačkih centara. Obrada podataka rađena u SPSS-10. REZULTATI: U posmatranom periodu ukupno povređenih od 0-18 godina, zabeleženo je 393/3396 (11%) ESTR događaja. Na terenu se intervenisalo 114/393 (29,1 %), a ambulantno 279/393 (70,9%). Starost pacijenata je u proseku 11,55 ± 5,45 godina. Najčešća mesta povređivanja su: prebivalište 200/393 (50,9%), ulica 102/393 (26,0%), škola/obdanište 43/393 (10,9%). Zadesnih povreda je bilo 321/393 (81,7%), samopovređivanja 4/393 (1,1%), nasilnih povreda 22/393 (5,6%). Otvorenih povreda je bilo 152/393 (38,7%). Povrede posmatranog uzrasta su najčešće usled: pada 180/393 (45,8%), saobraćaja 60/393 (15,3%), oštrih 31/393 (7,9%) i tupih 30/393 (7,6%) predmeta. Povrede glave i vrata je bilo 154/393 (39,2%), grudnog koša 3/393 (0,8%), abdomen/karlica 5/393 (1,3%), ekstremiteta 214/393 (54,4%). Prva pomoć očevidaca pružena kod 11/393 (2,7%). Hospitalni transfer zabeležen kod 116/393 (29,5 %). ZAKLJUČAK: Udeo povreda kod dece je značajno manji u odnosu na udeo dece u broju stanovnika. Ova studija ukazuje da se deca manje povređuju u odnosu na ostale populacione starosne grupe. Zabrinjavaju podaci o nepružanju prve pomoći očevica i roditelja. Neophodno je dalje praćenje podataka da bi se razumeli razlozi za izostajanje ukazivanja prve pomoći, te sprovođenje adekvatnih mera kako bi se uticalo na smanjenje povreda kod dece.
Abstract
AIM: Trauma accidents epidemiology data analysis in 0 -18 years old. METHODOLOGY: EuReCa_Srbija Trauma register (ESTR) created by the Serbian Resuscitation Council was used as prospective, observational, multicentric study. ESTR data was collected in September-December 2018 as online, uniformed register from 10 investigator centres. Statistics was performed by SPSS-10. RESULTS: In the observed period in ESTR events, the total number of injured in 0-18 years, was 393/3396 (11%). In-field interventions were 114/393 (29,1 %), emergency room care in 279/393 (70,9%). Average age interval is 11,55 ± 5,45. Most common places of accidents: residence 200/393 (50,9%), street 102/393 (26,0%), school/nursery 43/393 (10,9%). Accidental injuries were registered in 321/393 (81,7%), self-harm 4/393 (1,1%), violent injuries 22/393 (5,6%), opened trauma injuries at 152/393 (38,7%). Commonest cause-mechanisms: due to falls 180/393 (45,8%), traffic 60/393 (15,3%), sharp-31/393 (7,9%) blunt-forces 30/393 (7,6%). Head/neck region injuries was recorded in 154/393 (39,2%), thorax 3/393 (0,8%), abdomen/pelvis 5/393 (1,3%), extremities 214/393 (54,4%). Bystander first aid was performed 11/393 (2,7%). Hospital transfer was executed in 116/393 (29,5 %). CONCLUSION: The incidence of injuries in children is significantly lower compared to their total population percentage. This study showed that children are less injured than the rest of the population groups. Withholding bystander/parental first aid is very concerning. The follow up is necessary to understand the reasons behind the lack of providing first aid on scene and to act accordingly with equal importance to implement adequate to decrease the possibilities of injuries in children.
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