PMID- 20438924
OWN - NLM
STAT- MEDLINE
DCOM- 20100804
LR  - 20100504
IS  - 1531-5037 (Electronic)
IS  - 0022-3468 (Linking)
VI  - 45
IP  - 5
DP  - 2010 May
TI  - Urban vs rural pediatric trauma in Alberta: where can we focus on prevention?
PG  - 908-11
LID - 10.1016/j.jpedsurg.2010.02.022 [doi]
AB  - PURPOSE: Understanding differences between rural and urban pediatric trauma is 
      important in establishing preventative strategies specific to each setting. 
      METHODS: Data were extracted from a Provincial Pediatric Trauma Registry on 
      pediatric patients (0-17 years) with Injury Severity Scores (ISS) 12 or more, 
      treated from 1996 to 2006 at 5 major trauma centers in the province. Urban and 
      rural patients were compared with respect to demographic data, as well as injury 
      type and severity. Statistical analysis was made using SPSS software (SPSS Inc, 
      Chicago, Ill) by chi(2), Fisher's Exact test, or t test with P < .05 considered 
      significant. RESULTS: Of n = 2660, 63.3% rural patients predominate; mean ISS was 
      22.5. However, rural patients had more severe injuries (ISS, 23.2 vs 21.8; P < 
      .0001). Blunt trauma was the most common mechanism overall (urban, 89.6%; rural, 
      93.2%), with most being motor vehicle accidents (MVAs). Significantly, more 
      penetrating trauma occurred in the urban setting (5.4% vs 2.6%; P < .0001). 
      Intent injuries were more common in the urban setting (15.2% vs 5.5%). Of the 
      patients, 89.2% survived the trauma. However, urban patients had a higher rate of 
      death than rural ones (13.0% vs 10.5%; P < .05). CONCLUSION: Despite the finding 
      that rural patients sustained more severe injuries, overall survival was actually 
      better when compared with urban patients. Most injuries were blunt trauma, 
      suggesting road safety should be the main target in prevention strategies. Intent 
      injuries were much higher in the urban group, thus, a need to target violence in 
      urban prevention strategies.
CI  - Copyright (c) 2010 Elsevier Inc. All rights reserved.
FAU - Mihalicz, Dana
AU  - Mihalicz D
AD  - Faculty of Medicine, Department of Pediatric General Surgery, University of 
      Alberta, Stollery Children's Hospital, Edmonton, Alberta, Canada T6G 2B7.
FAU - Phillips, Leah
AU  - Phillips L
FAU - Bratu, Ioana
AU  - Bratu I
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - J Pediatr Surg
JT  - Journal of pediatric surgery
JID - 0052631
SB  - IM
MH  - Adolescent
MH  - Age Distribution
MH  - Alberta/epidemiology
MH  - Child
MH  - Child, Preschool
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Injury Severity Score
MH  - Retrospective Studies
MH  - Rural Population
MH  - Sex Distribution
MH  - Survival Rate
MH  - Urban Population
MH  - Wounds and Injuries/epidemiology/etiology/mortality/*prevention & control
EDAT- 2010/05/05 06:00
MHDA- 2010/08/05 06:00
CRDT- 2010/05/05 06:00
PHST- 2010/01/24 00:00 [received]
PHST- 2010/02/02 00:00 [accepted]
PHST- 2010/05/05 06:00 [entrez]
PHST- 2010/05/05 06:00 [pubmed]
PHST- 2010/08/05 06:00 [medline]
AID - S0022-3468(10)00114-4 [pii]
AID - 10.1016/j.jpedsurg.2010.02.022 [doi]
PST - ppublish
SO  - J Pediatr Surg. 2010 May;45(5):908-11. doi: 10.1016/j.jpedsurg.2010.02.022.