Water safety: age-specific changes in knowledge and attitudes following a school-based intervention.

Objectives: To explore whether an intervention during mandatory schooling can lead to age-specific changes in water safety knowledge and attitudes.

Methods: Age-specific questionnaires were distributed to 202 kindergarten and grade one pupils, 220 elementary school pupils and 337 pupils attending the first three high school grades in Greater Athens. The information was used to design an educational package that was subsequently presented to pupils of the same grades and similar socio-demographic profiles attending different schools in the same area.

Patient and injury characteristics in abusive abdominal injuries.

Objective: To identify patient and injury characteristics associated with suspected child abuse in the setting of blunt abdominal trauma.

Patients: We extracted from the National Pediatric Trauma Registry phases 2 and 3 (October 1995 to April 2001; N = 106,135) all cases of blunt abdominal injury, excluding motor vehicle injuries, in patients aged 0 to 4 years.

Main Outcome Measures: Independent variables included age, mortality, nutritional status, and injury type.

Functional status after childhood traumatic brain injury.

Background: Identification of children after traumatic brain injury (TBI) likely to have functional deficits at trauma center discharge will facilitate care.

Methods: Two logistic regression models were derived from data on 4,439 children after TBI 7 to 14 years old enrolled in the National Pediatric Trauma Registry between 1994 and 2001 to predict physical and cognitive disabilities.

Results: Children with open or multiple fractures or closed fractures or injured by motor vehicles were 8.

Management of blunt pediatric hepatic and splenic injury: similar process, different outcome.

Though nonoperative management of stable children with blunt solid organ injury has been shown to be effective, we hypothesize that hepatic injuries represent a higher mortality risk than splenic injuries and that combination hepatosplenic injury is a marker of even greater mortality potential. A multi-institutional pediatric trauma registry was queried for all children with blunt injuries to the liver (H) or spleen (S), excluding those with severe brain injury. Incidence and mortality of H, S, and all combinations of H/S were compared.

Outcomes in children and young adults who are hospitalized for firearms-related injuries.

Objectives: To compare outcomes by intent of nonfatal firearms-related injuries in a hospitalized population, newborn to 19 years of age, and estimate the national incidence of ensuing disability.

Methods: Descriptive statistics and comparative analysis using chi(2), odds ratio, and t test were applied to data from the National Pediatric Trauma Registry (NPTR) and the National Electronic Injury Surveillance System of the US Consumer Product Safety Commission. Demographics, preinjury medical history, scene of injury, primary body part injured, severity of injury, utilization of resources, short-term and long-term disability, medical cause of disability, and disposition at discharge were studied.

Blunt abdominal injury in the young pediatric patient: child abuse and patient outcomes.

This study sought to evaluate injury causes and patient outcomes in young children with abdominal injuries. Cases of blunt abdominal injury (N = 927) to children ages 0 to 4 years were extracted from the National Pediatric Trauma Registry. Measures included hospital utilization (days hospitalized, intensive care unit use, and surgery) and patient outcome (in-hospital fatality, discharge to rehabilitation facility, home rehabilitation, and home nursing).

Pediatric trauma caused by personal watercraft: a ten-year retrospective.

Background/purpose: Evidence indicates that young adults are at significant risk for powered personal watercraft (PWC)-related injuries. This article examines the nature of PWC injuries sustained in the pediatric population over a 10-year period.

Methods: Retrospective analysis was conducted of trauma registry charts on 66 pediatric patients, aged 5 to 19 years, hospitalized for PWC-related injuries between 1990 and 1999.

Kidney and testicle injuries in team and individual sports: data from the national pediatric trauma registry.

Purpose: We define the risk of kidney or testicle injury in children who play contact sports.

Materials And Methods: National Pediatric Trauma Registry data from 50 United States pediatric trauma centers for 1990 to 1999 were analyzed. The data were from age groups 5 to 11, 12 to 14 and 15 to 18 years.

The incidence of recreational genitourinary and abdominal injuries in the Western New York pediatric population.

Purpose: We estimate the incidence of recreation related pediatric abdominal, testis and kidney injuries.

Materials And Methods: Trauma registry data at the regional pediatric trauma center for 1993 to 2000 were analyzed for recreational injuries. The data were divided into the 3 age groups of 5 to 11, 12 to 14 and 15 to 18 years.

Pediatric trauma is very much a surgical disease.

Objective: The evolution of nonoperative management of certain solid visceral injuries has stimulated speculation that management of the severely injured child is no longer a surgical exercise. The authors hypothesized that the incidence of injuries that require surgical evaluation is disproportionately high in children at risk of death or disability from significant injury.

Methods: National Pediatric Trauma Registry data were queried for all patients with ICDA-9-CM diagnoses requiring at least surgical evaluation.