Pediatric trauma in Estonia

1
Pediatric trauma in Estonia

• Ragnar Lõivukene
• Karin Varik
• Tartu University Hospital

2
Sad statistics

• More than 20 000 children die annually due to
  injury and more than 50 000 children and
  adolescens become disabled worldwide.

3
Estonia 45 226 km2 Population 1,3 mlj
4
Qualified medical aid for children in Estonia

• Regional hospitals 2
• Tallinn Childrens Hospital
• Tartu University Hospital
• Central hospitals 4
• General hospitals 11
• Local hospitals

5
Causes of death in children aged 1-4 years in
Estonia
6
Causes of death in children aged 5-14 years in
Estonia
7
Accidents as the cause of death in children aged
up to 14 years in Estonia
8
General data about trauma cases in Tartu
University Hospital

• Total number of children in Estonia 295 996
  (2007)
• Total number of children with injury
• (age 0-19 years, 2007)
• In Estonia In TU Hospital
• 65 700 9 600 (14)

9
Injuries in children and adolescens treated at TU
Hospital

10
Trauma patients by age groups (in-patients)
11
Type of trauma (external cause, in-patients)
Vehicle accident Accidental injury
Intentional self-harm Assault
12
Type of trauma by age, 2007 (in-patients)
13
Accidental injuries 2007

• Falls (365)
• Exposure to inanimate mechanical forces (60)
• Exposure to animate mechanical forces (41)
• Contact with heat (fire, hot substances, hot
  liquid) (63)
• Accidental poisonings (55)
• Other injuries (7)

14
Vehicle accidents by age groups 2007
15
Most common injuries in children (in-patient)
16
Time of trauma
17
Trauma patients by age groups (out-patients)
18
Type of trauma (external cause, out-patients)

• Accidental injury 7951
• Assault 464
• Vehicle accidents 297
• Undetermined intent 43
• Intentional self-harm 35

19
Vehicle accidents by age groups 2007
(out-patients)
20
Injuries in children (out-patient)
21
Intentional self-harm

• Drug intoxication (401)
• Alcohol intoxication (3)
• Hanging, suffocation (2)
• Sharp objects (9)

22
Violence, assault

• Physical violence (314/71)
• Maltreatment (57/13)
• Assault with blunt object (38)
• Assault with sharp object (10)
• According to age
• Aged 15 19 years 71
• Aged 10 14 years 24

23
Trauma scene
24
Events

• 1. Conference, 9. 06.2006, Results of recording,
  coding and collecting data of external trauma
  causes at the emergency unit of TU Hospital
• 2. Conference 19.04.2008 Childrens helth
  traumas and injuries in children
• 3. Round table 8.05.2007 Traumas and injuries in
  children according to the data of TU Hospital
  (For schools of Tartu)
• 4. Round table 18.05.2007 Traumas and injuries in
  children according to the data of TU Hospital
  (For pse-school institutions of Tartu)
• 5. Childrens injuries, statistics, first aid.
  Together with project Safe Tartu, for schools
  and pre-school facilities, parents, pupils