pediatric trauma program: pediatric trauma registry & information systems for epidemiology...
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Pediatric Trauma Program: pediatric trauma registry & information systems for epidemiology research, control and surveillance of injuries in Agentina
Alberto E. Iñón MD, PhD, FACSBuenos Aires-Argentina
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Pediatric Trauma Registry
First database about pediatric injuries
Starting from scratch
Pediatric Trauma Program
research
teaching & training
medical care
wo 67%
w 17% nad 16%
at scene
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0 10 20 30 40 50 60 70 80 90 100
GROUP B
GROUP A
%
DEAD ALIVE
Chi square=9.51; p= 0.002, Odds Ratio= 2.6
Assessment on the impact of the program
Pediatric Trauma Program
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n = 1410= 5.05p = 0.025 ; OR = 2.27 ; IC 95 % para OR: 1.05 – 5.1)
0
10
20
30
40
50
60
70
80
90
100
1 2 3 4 5 6 7 8 9 10 11 12
ITP-1 0 1 2 3 4 5-2 6 7 8 9
m
o
r
t
a
l
i
t
y
r
a
t
e PTS
1997-2000
1990-1994
Argentina
Mortality rate & PTS Comparison between two series - 1990/1994 - 1997/2000
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Quartile distribution of circumstances related to age groups
DROWNING
POISSONING
HEAT
FALLS
ANIMATE F
INANIMATE F
TRANSPORT
SM-F
AUTOAGR
VIOLENCE
n = 10.280 Edad en añosAge (years)
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Scenario: children burned with boiling water when a pan fall over him meanwhile he was alone in the kitchen.
Case
Model: burn with [objet] when [action] in [place]. [specific definitions].
Ilustration: burn with boiling water when a pan fall over him in kitchen. Alone.
Professor Jorge Ungaro.
Health Sciences School. National University of Mar del Plata. Argentina.
Head of Epidemiology and Injury Control of Asociación Prevención del Trauma Pediátrico
ICD code: X12.0
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Collaborative Trauma Program
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Simple actions on injury prevention
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Mortality rates related to motor vehicule accidents/ Mortality rates related to motor vehicule accidents/ 100.000 inhabitants100.000 inhabitants
- Rafaela - Prov. Santa Fe (1998-2003)- Rafaela - Prov. Santa Fe (1998-2003)
0
2
4
6
8
10
12
14
16
18
20
1998-1999 2000-2001 2002-2003
Tasa
x 1
00.0
00 h
ab.
Comparative 1998-99/2002-03. Razón rate: Comparative 1998-99/2002-03. Razón rate: 2.4 IC 95%: 1.25 - 4.6. z = 2.4 IC 95%: 1.25 - 4.6. z = 2.55212.5521 p = 0.0107 p = 0.0107
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Rafaela 1993-2001Number of burned children admitted to Hospital.
0
5
10
15
20
25
1993 1994 1996 1997 1998 1999 2000 2001
Start of the program
p <0,01
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State Injury Prevention Program
Advisers since 2000
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Conclusions
We have created a systematized data collection system based upon circumstances of occurrence. From universal to individual.
This allowed us to easily adopted IC10.
Our data bases have a common epidemiological sheet that allow us to evaluate different projects.
From a simple registry we have built a high quality information system, which could be used as a research tool and to asses results of our actions.
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Argentina
Iguazú Falls
Lanin Volcano
Buenos Aires City