title: Analysis of pediatric trauma data from a hospital based trauma registry in Qatar.
abstract: BACKGROUND
  Trauma is the leading killer in the young age children, but data about the injury burden on pediatric population are lacking. The aim of this study is to describe the epidemiology and outcome of the traumatic injuries among children in Qatar.
  
  
  METHODS
  This is a retrospective analysis of a trauma registry database, which reviewed all cases of serious traumatic injury (ISS ≥ 9) to children aged 0-18 years who were admitted to the national pediatric Level I trauma center at the Hamad General Hospital (HGH), over a period of one year. Data included demographics, day of injuries, location, time, type and mechanism of injuries, co-morbidity, safety equipment use, pre-hospital intubation, mode of pre-hospital transport, Glasgow Coma Scale (GCS), Injury Severity Score (ISS), emergency department (ED) intervention, hospital length of stay and mortality outcome.
  
  
  RESULTS
  The incidence of severe pediatric trauma was 163 per 280,000 children who visited the ED of HGH in 2011. Out of them, 83% were male, mean age was 9.6 ± 5.9 years and mortality rate was 1.8%. On presentation to the ED, the mean ISS was 13.9 ± 6.6 and GCS was 13.4 ± 3.8. Over half of the patients needed ICU admission. For the ages 0-4 years, injuries most frequently occurred at home; for 5-9 years (59%) and 15-18 years (68%), the street; and for 10-14 years (50%), sports and recreational sites. The most common mechanisms of injury for the age groups were falls for 0-4 years, motor vehicle collision (MVC) or pedestrian injury for 5-9 years, all-terrain vehicle (ATV)/bicycle injuries for 10-14 years, and MVC injuries for 15-18 years. Head (34%) and long bone (18%) injuries were the most common, with 18% suffering from polytrauma. None of the patients were using safety equipment when injured.
  
  
  CONCLUSIONS
  Traumatic injuries to children have an age- and mechanism-specific pattern in Qatar. This has important implications for the formulation of focused injury prevention programs for the children of Qatar.
authors: Department of Pediatrics, Division of Pediatric Emergency Medicine, Hamad Medical Corporation, Doha, Qatar ; Department of Clinical Medicine, Weill Cornell Medical College, Doha, Qatar.
authors: Khalid A
authors: KA
authors: Alyafei
authors: Department of Pediatrics, Division of Pediatric Emergency Medicine, Hamad Medical Corporation, Doha, Qatar.
authors: Fatihi
authors: F
authors: Toaimah
authors: Department of Clinical Medicine, Weill Cornell Medical College, Doha, Qatar ; Department of Surgery, Clinical Research, Section of Trauma Surgery, Hamad Medical Corporation, Doha, Qatar.
authors: Ayman
authors: A
authors: El Menyar
authors: Department of Surgery, Section of Trauma Surgery, Hamad Medical Corporation, Doha, Qatar.
authors: Hassan
authors: H
authors: Al Thani
authors: Department of Pediatrics, Division of Pediatric Emergency Medicine, Hamad Medical Corporation, Doha, Qatar.
authors: Bashir
authors: B
authors: Youssef
authors: Department of Surgery, Section of Trauma Surgery, Hamad Medical Corporation, Doha, Qatar.
authors: Muneera
authors: M
authors: Mollazehi
authors: Department of Surgery, Section of Trauma Surgery, Hamad Medical Corporation, Doha, Qatar ; Department of Surgery, College of Medicine, University of the Philippines, Manila, Philippines.
authors: Rafael
authors: R
authors: Consunji
keywords: Children; Qatar; home safety; road traffic injuries; trauma