Paediatric head injuries treated in a children's emergency department from Cluj-Napoca, Romania.
The aim of the study was to describe paediatric head injuries and identify factors that led to advanced care. Incident cases of head injuries that sought care from December 2008 to October 2010 at Children's Emergency Hospital Cluj-Napoca were evaluated. The main outcome was transfer or admission to advanced care. From a total of 3053 children treated for an injury, 1541 (50.4%) presented with head injury. A total of 960 (62.3%) of the children with a head injury required advanced care treatment. Young children were more likely to suffer a head injury than older children, but a higher proportion of older children required advanced care (70.3%). Children who suffered a head injury as a consequence of road traffic were almost five times more likely to require advanced care (OR: 4.97; 3.09-8.06) than being released. Our results suggest that data on injuries provide evidence-based information on the nature of injuries children are prone to, and what activity, type, and mechanism of injury impact Romanian children.
a Department of Health Management and Public Health , University of Medicine and Pharmacy Iuliu Hatieganu , Cluj-Napoca , Romania.
Diana
D
Rus
b Center for Health Policy and Public Health , Babes-Bolyai University , Cluj-Napoca , Romania.
Razvan Mircea
RM
Chereches
c Department of Occupational and Environmental Health , University of Iowa , Iowa City , United States of America.
Corinne
C
Peek-Asa
b Center for Health Policy and Public Health , Babes-Bolyai University , Cluj-Napoca , Romania.
Emanuela Oana
EO
Marton-Vasarhely
d School of Health and Environmental Health , University of Sunshine Coast , Queensland , Australia.
Florin
F
Oprescu
b Center for Health Policy and Public Health , Babes-Bolyai University , Cluj-Napoca , Romania.
Alexandra
A
Brinzaniuc
a Department of Health Management and Public Health , University of Medicine and Pharmacy Iuliu Hatieganu , Cluj-Napoca , Romania.
Floarea
F
Mocean
D000058:Accidental Falls / Q000706:statistics & numerical data; D000061:Accidents, Home / Q000706:statistics & numerical data; D000063:Accidents, Traffic / Q000706:statistics & numerical data; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000209:etiology / Q000628:therapy*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010360:Patient Transfer / Q000706:statistics & numerical data*; D012383:Romania; D014754:Violence / Q000706:statistics & numerical data; D055815:Young Adult
advanced care; children; head injury; injury database; surveillance