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Pediatría (Asunción)
versão On-line ISSN 1683-9803
Resumo
ROJAS ORTELLADO, Rocío Lorena; MESQUITA RAMIREZ, Mirta Noemí e GODOY SANCHEZ, Laura E. Trauma in neonates presenting to the pediatric emergency department: frequency, mechanisms and forms of presentation. Pediatr. (Asunción) [online]. 2023, vol.50, n.3, pp.154-162. ISSN 1683-9803. https://doi.org/10.31698/ped.50032023003.
Introduction:
The World Health Organization (WHO) estimates that approximately 100 children die every hour from traumatic injuries.
Objective:
To describe the frequency, mechanisms and types of trauma in neonates in the pediatric emergency department of a hospital.
Materials and methods:
This was an observational, descriptive, transversal, and ambispective study. Neonates with a diagnosis of trauma who presented to the pediatric emergency department of a hospital from January 2015 to December 2019 were included. Variables: age, sex, town of origin, birth weight, gestational age, type of delivery, mechanism and type of trauma and evolution, Data were analyzed in SPSS. The protocol was approved by the ethics committee.
Results:
90 neonates were included, the frequency of trauma was 1.4%, the mean age was 14.6 ±7.7 days. 92% were born by vaginal delivery, 27% were macrosomic at birth. The mechanism of trauma was obstetric in 75.6%, accidents at home in 23.3% and there was 1 case of a traffic accident. The types of injuries were long bone fractures, seen in 47.8%, brachial plexus injury in 15.5%, and head trauma in 13.33%. 10% were hospitalized.
Conclusions:
The frequency of neonatal trauma in the pediatric emergency was 1.4%. The mean age was 14.6 ±7.7 days. 75.6% were obstetric in origin and 23.3% were accidents at home and 1 case of a traffic accident. The types of injuries were long bone fractures in 47.8%, brachial plexus injury in 15.5%, and head trauma in 13.3%.
Palavras-chave : Trauma; neonate; pediatric emergencies; obstetric..