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

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

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

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

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)

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

Collaborative Trauma Program

Simple actions on injury prevention

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

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

State Injury Prevention Program

Advisers since 2000

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.

Argentina

Iguazú Falls

Lanin Volcano

Buenos Aires City