Children under 14 years of age with intentional injuries. Hospital Universitario del Valle 2012-2013
Main Article Content
Abstract
Background: Violence was declared a priority public health problem by the World Health
Organization.
Objective: To determine the sociodemographic, clinical and variable characteristics related to surgical access of children under 14 years of age with intentional injuries.
Methods: By means of an observational cross-sectional study, information was taken from the Trauma Registry and from the medical records of the Hospital Universitario del Valle, of children under 14 years of age with intentional injuries between January 1, 2012 and December 31, 2013.
Results: We evaluated 283 records, with a median age of 9 years (5-12), 60% male, most of the injuries were classified as penetrating trauma (69%). 48% were taken to a surgical procedure, those with face lesions were more likely (OR = 5.86, CI = 1.45 - 23.63), with lesions in the lower limbs (OR = 4.50, CI = 1.22 - 16.68) and with wound by punctured short weapon (OR = 2.35, IC = 1.02 - 5.37).
Conclusions: Community interpersonal violence prevailed over the family and / or couple: 58% of the injuries occurred in the public road, in 57% the probable aggressor was unknown and in 83% the minor entered with a family member. Although the severity of the trauma and mortality (4%) were low, the vast majority (81%) graduated with some degree of disability, 67% with mild disability, 7% moderate and 7% severe, to be managed later.
Downloads
Article Details
Creative Commons
License Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)
You are free to:
Share - copy and redistribute the material in any medium or format.
Adapt - remix, transform, and build upon the material The licensor cannot revoke these freedoms as long as you follow the license terms.
• Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
• NonCommercial — You may not use the material for commercial purposes.
• ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
• No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
References
2. Bonilla-Escobar FJ, Gutiérrez MI. Injuries are not accidents: towards a culture of prevention. Colomb Med. 2014;45(3):132-35.
3. Nielsen JW, Shi J, Wheeler K, Xiang H, Kenney BD. Resource use in pediatric blunt and penetrating trauma. Int J Surg Res. 2016;202(2);436-442.
4. Cleves D, Gómez C, Dávalos DM, García X, Astudillo RE. Pediatric trauma at a general hospital in Cali, Colombia. J Pediatr Surg. 2016;51(8):1341-1345.
5. Ordoñez CA, Morales M, Rojas-Mirquez JC, Bonilla-Escobar FJ, Badiel M, Miñán F, González A, et al. Registro de trauma de la Sociedad Panamericana de Trauma: un año de experiencia en dos hospitales en el suroccidente colombiano. Colomb Med. 2016;47(3):148-154.
6. Insuasty JR, Beltrán SM. Comportamiento de las lesiones por violencia interpersonal, Colombia, 2013. Instituto Nacional de Medicina Legal y Ciencias Forenses. FORENSIS. 2013;6:285-332. Recuperado:
www.medicinalegal.gov.co/documents/10180/FORENSIS+2013+6+violencia+interpersonal.pdf/
7. Bejarano M, Rendón LF. Lesiones de causa externa en menores y mayores de 18 años en un hospital colombiano. Rev Panam Salud Publica. 2009;25(3):234-41.
8. Teasdale G, Jennett B. Assessment of coma and impaired consciousness: A practical scale. Lancet. 1974;2:81-84.
9. Senkowski CK, McKenney MG. Trauma Scoring Systems: A Review. J Am Coll Surg. 1999;189(5):491-503.
10. Alcaldía Municipio de Santiago de Cali. Observatorio Social Santiago de Cali. Muertes por homicidios, Enero 01 a diciembre 31 2012-2013. Disponible en: http://www.cali.gov.co/descargar.php?id=41300
11. Wilches L, Barbosa AC, Flórez J, Cogollos A, Flórez G. Caracterización del trauma pediátrico en un Hospital Militar de la ciudad de Bogotá, Colombia. Rev Fac Med Univ Nac Colomb. 2015;23(2):50-59.
12. Correa MA, González G, Herrera MH, Orozco A. Epidemiología del trauma pediátrico en Medellín, Colombia 1992-1996. Colomb Med. 2000;31(2):77-80.
13. Walther AE, Falcone RA, Pritts TA, Hanseman DJ, Robinson BR. Pediatric and adult trauma centers differ in evaluation, treatment and outcomes for severely injured adolescents. J Pediatr Surg. 2016;51(8):1346-1350.
14. Miyata S, Cho J, Lebedevskiy O, Matsushima K, Bae E, Bliss DW. Trauma experts versus pediatric experts: comparison of outcomes in pediatric penetrating injuries. Int J Surg Res. 2017;208;173-179.
15. Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R. World report on violence and health. Geneva: World Health Organization;2002.
16. Acero A, Escobar F, Castellanos G. Factores de riesgo para violencia y homicidio juvenil. Rev Colomb Psiquiatr. 2007;36(1):78-97.