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Unpowered scooter injuries in children and risk factors for traumatic brain injuries: An 8-year cross-sectional study using a national registry in South Korea

Authors
 Ha Ni Lee  ;  Joong Wan Park  ;  Jae Yun Jung  ;  Do Kyun Kim  ;  Young Ho Kwak  ;  Soyun Hwang  ;  Eui Jun Lee  ;  Jin Hee Kim  ;  Jie Hee Jue 
Citation
 INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, Vol.55(1) : 111197, 2024-01 
Journal Title
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
ISSN
 0020-1383 
Issue Date
2024-01
MeSH
Adolescent ; Brain Injuries, Traumatic* / epidemiology ; Child ; Child, Preschool ; Cross-Sectional Studies ; Female ; Head Protective Devices ; Humans ; Male ; Registries ; Republic of Korea / epidemiology ; Retrospective Studies ; Risk Factors
Keywords
Child ; Republic of Korea ; Traumatic brain injury ; Wounds and injuries
Abstract
Introduction: Head trauma accounts for a large proportion of unpowered scooter injuries in children. Traumatic brain injury (TBI) is the leading cause of considerable mortality and morbidity in children, who are the main users of unpowered scooters. The aim of this study was to explore the characteristics of unpowered scooter injuries in children and to identify predictors of the occurrence of TBI. Methods: A multicentre observational retrospective study was conducted using the Emergency Department-based Injury In-depth Surveillance (EDIIS) database in South Korea. Children aged 2 to 18 years old with unpowered scooter injuries between 2011 and 2018 were eligible for inclusion in this study, and the primary outcome was TBI defined based on the International Classification of Diseases, 10th Revision (ICD-10) code. Results: The annual rate of unpowered scooter injuries per 1,000 injured patients increased throughout the study period from 1.4 in 2011 to 16.4 in 2018 (P for trend < 0.001). Of the 3,892 children who had unpowered scooter injuries, 353 (9.2 %) had TBI. Children were at a higher risk of unpowered scooter TBI if they were aged between 2 and 5 years (adjusted odds ratio [aOR]: 1.37; 95 % confidence interval (CI): 1.09–1.73), were male (aOR: 1.45; 95 % CI: 1.14–1.86), were injured either on sidewalks (aOR: 1.80; 95 % CI: 1.20–2.70) or on driveways (aOR: 2.31; 95 % CI: 1.41–3.79), and experienced a fall (aOR: 1.98; 95 % CI: 1.15–3.43). Additionally, children injured after a blunt force were at a lower risk of TBI (aOR: 0.28; 95 % CI: 0.15–0.53). Conclusion: Unpowered scooter injuries in children are increasing in South Korea. It is essential for younger children riding unpowered scooters to wear helmets and for caregivers to actively supervise their children to prevent TBI. © 2023 Elsevier Ltd
Full Text
https://www.sciencedirect.com/science/article/pii/S0020138323009142
DOI
10.1016/j.injury.2023.111197
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
Yonsei Authors
Hwang, Soyun(황소연)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/198595
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