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Paediatric head injuries treated in a children's emergency department from Cluj-Napoca,Romania
Authors:Diana Rus  Corinne Peek-Asa  Emanuela Oana Marton-Vasarhely  Florin Oprescu  Alexandra Brinzaniuc
Institution:1. Department of Health Management and Public Health, University of Medicine and Pharmacy Iuliu Hatieganu, Cluj-Napoca, Romania;2. Department of Occupational and Environmental Health, University of Iowa, Iowa City, United States of America;3. Center for Health Policy and Public Health, Babes-Bolyai University, Cluj-Napoca, Romania;4. School of Health and Environmental Health, University of Sunshine Coast, Queensland, Australia
Abstract: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.
Keywords:head injury  children  advanced care  injury database  surveillance
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