Epidemiology of hand injuries in hospitalized children in Chengdu area
Objective To summarize the epidemiological characteristics of hand injuries in children aged under 14 year in Chengdu area and to provide rationales for formulating preventive strategies.Methods From January 2018 to December 2022,the relevant clinical data were retrospectively reviewed for 1202 children with hand injury.There were 782 boys and 420 girls with a median age of(4.98±3.78)(0-14)years.Age distribution,onset time,location,cause and type of injury were recorded.Results Among 1202 children,infant group(＜3 years)had the highest incidence age(36.3％,436/1202)while junior high school group(12-14 years)was the lowest(9.1％,110/1202).The monthly incidence was the highest in March(11.6％,139/1202)and the lowest in November(6.6％,79/1202).The seasonal incidence was the highest in spring(28.3％,340/1202)and the lowest in autumn(22.3％,268/1202).Onset time was the highest in 18:00 to 19:59(19.6％,236/1202).The injuries mostly occurred at home(71.0％,854/1202).The major causes of injury were cutting(38.9％,468/1202)and crush(29.4％,353/1202).Tool damage(59.8％,280/468)predominated in cutting injury and door extrusion(73.9％,261/353)in extrusion injury.Fingers were most susceptible to injuries(85.5％,1028/1202)and distal digital injure was the most common(55.7％,573/1028).The major injury types were amputation(41.0％,493/1202)and vascular nerve tendon injury(38.6％,464/1202).The most common type of amputation was distal digital amputation(91.5％,451/493)and 15 cases(1.2％,15/1202)undergone finger amputation.Conclusion Occurring mostly at home,hand injuries in children are often caused by tool damage and door extrusion.Fingertips are most susceptible to injuries.Amputation rate is low with a better prognosis.Enhancing the consciousness of safety,assessing risks in environment,keeping knife usage at bay and adopting taking anti-trap function of hand can effectively lower the possibility of various injuries.
Wounds and injuriesEpidemiologyChildPreventive measure
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