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. 2023 Jul 3:11:1200886.
doi: 10.3389/fped.2023.1200886. eCollection 2023.

Analysis of clinical characteristics and health resource costs in children hospitalised for injuries in southern Sichuan, China

ZiWei Lu  1   2 , YinSu Wang  1   2 , Min Nie  1   2 , JiaQin Li  1   2 , YanHong Yu  1   2 , Yuan Zhuang  1   2 , Xiaoyan Mao  1   2 , Xing Shen  1   2
Affiliations

Analysis of clinical characteristics and health resource costs in children hospitalised for injuries in southern Sichuan, China

ZiWei Lu et al. Front Pediatr. .

Abstract

Aim: To investigate the clinical characteristics and health resource costs among children hospitalised for injuries in southern Sichuan, China, and to provide guidance for prevention and treatment.

Methods: We collected clinical data concerning children aged from 29 days to 18 years hospitalised for injuries from January 1, 2017, to December 31, 2021, retrospectively analysing the basic characteristics, evolution of injury characteristics over time, risk factors for events with adverse outcomes, and health resource costs.

Results: Among 5,826 hospitalised children with injuries, males (63.6%), those in rural areas (40.3%), and adolescents (33.5%) were most commonly injured. Most injuries occurred at home (52.6%), and during summer. The most common injury types were falls, burns, road traffic injuries, poisoning, and foreign body injuries (32.0%, 17.9%, 13.6%, 8.8%, and 7.9%, respectively). After 2019, the proportion of intentional injuries among adolescent girls was significantly higher. Road traffic injuries most commonly led to poor clinical outcomes (95%CI: 5.39-31.51), followed by falls (95%CI: 2.20-10.67). Adolescents were at higher risk of poor prognosis. Injuries occurring in rural areas, adolescents, road traffic injuries, and falls cost high health resource.

Conclusion: Injuries among children remain serious, with males and adolescents from villages predominantly affected. Attention should be paid to intentional injuries among adolescent females also. Targeted prevention and control measures for road traffic injuries and falls should be strengthened.

Keywords: children; clinical characteristics; health resource costs; hospitalization; injury.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Incidence rate of common injury types from 2017 to 2021.
Figure 2
Figure 2
Annual changes in injury modes of children hospitalized due to injury.
See this image and copyright information in PMC

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