SYNDROME CHARACTERISTICS OF CHILDREN’S TRAUMA
DOI:
https://doi.org/10.11603/1811-2471.2023.v.i3.14084Keywords:
injury, children, syndrome, fractures, season, regularityAbstract
SUMMARY. The aim – to study the main syndromic characteristics of children’s traumatism. Describe in detail previously little-known patterns of mutilations in children – syndrome of traumatological divergence, syndrome of traumatological triad, portrait of a child vulnerable to trauma. Knowledge of these syndromes will help in the practical activities of medical and social workers to significantly reduce the frequency of injuries in children.
To realize this goal, the following tasks were set: to investigate the main seasonal pattern of injuries; to investigate the basic pattern of damage to the child’s topographic-anatomical zones; give a general description of a child prone to injuries; to develop the main areas of prevention of children’s injuries.
Material and Methods. Monthly monitoring of child injury rates during 2020 in absolute numbers was carried out. Cases of injuries in children who were treated in the regional children’s trauma center were analyzed. 7434 children were examined. Injuries were combined into general groups – fractures of the upper and lower limbs, sprains, blunt injuries, sprained joints, wounds of the head, upper and lower limbs. The frequency of damage to each topographic and anatomical area of children was studied – head, limbs, pelvic bones, spine.
Injuries that had a common cause were separated into groups of injuries – domestic, street, school, sports, road accidents.
The mathematical dependence of injury indicators was studied in relation to children’s age, gender, season, and the surrounding environment. The obtained indicators were displayed in absolute numbers in percentages. Graphs and tables were used for a more visual demonstration of these patterns.
Results and Conclusions. More than 90 % of the cases of trauma occur on the street – 5873 (79.9 %), at home – 398 (19.0 %). Characteristic seasonal dynamics of domestic and street traumatism – syndrome of traumatological divergence – was revealed. The maximum rates of injury occur in the three summer months – the syndrome of the traumatological triad. Extremity fractures predominated. The main character traits of trauma-prone children have been revealed – a portrait of a trauma-vulnerable child.
References
Bilinskyi, P.I., Tsyura, Y.P., & Antoniv, V.R. (2021). Problemni pytannya suchasnoho osteosyntezu perelomiv plechovoyi kistky [Problematic issues of modern osteosynthesis of humerus fractures]. Travma – Trauma, 22(6). Retrieved from: https://www.mif-ua.com>archive>article/50364 [in Ukrainian].
Bodnia, O.I., & Dubovik, S.L. (2021). Khirurhichne likuvannya khvorykh z pozasuhlobovymy perelomamy dystalnoho viddilu plechovoyi kistky [Surgical treatment of patients with extra-articular fractures of the distal part of the humerus]. Travma – Trauma, 22(6). Retrieved from: https://www.mif-ua.com> archive> article/51539 [in Ukrainian].
Bondar, S.O. (2020). Medyko-sotsialne obhruntuvannya udoskonalenoyi modeli profilaktyky travmatyzmu u ditey. Anotatsiya. – Kvalifikatsiyna naukova pratsya na pravakh rukopysu [Medical and social justification of the improved model of injury prevention in children. Abstract. – Qualifying scientific work on manuscript rights]. Kyiv [in Ukrainian].
Bondar, S.O. (2018). Shkilnyy travmatyzm: osoblyvosti, tendentsiyi [School injuries: features, trends]. Profesiyna osvita: problemy ta perspektyvy – Professional education: problems and prospects, 14, 49-54 [in Ukrainian].
Bondar, S.O. (2018). Vydy ta struktura lokalizatsiyi travm yak peredumova formuvannya zdorovya zberezhuvalnykh zasad poperedzhennya dytyachoho travmatyzmu [Types and structure of localization of injuries as a prerequisite for the formation of health-preserving principles for the prevention of childhood injuries]. Ukrayina. Zdorovya natsiyi – Ukraine. The health of the nation, 2(49), 9-16 [in Ukrainian].
Herzen, G.I., Kryzhevskyi, V.V., Gapon, O.M., Movchan, O.S., Dybkalyuk, S.V., Protsyk, A.G., Bilonozkhkin, G.G., & Ostapchuk, R.M. (2022). Kompleksnyy analiz perelomiv klyuchytsi v seredniy tretyni (ohlyad literatury) [Comprehensive analysis of clavicle fractures in the middle third (literature review)]. Travma – Trauma, 23(2). Retrieved from: https://www.mif-ua.com> archive> article/51904 [in Ukrainian].
Guryev, S.O., Trutyak, I.R., & Obaranet, O.V. (2021). Stan problemy perelomiv dystalnoho metafizu plechovoyi kistky u ditey [The state of the problem of fractures of the distal metaphysis of the humerus in children]. Visnyk Vinnytskoho natsionalnoho medychnoho universytetu – Bulletin of the Vinnytsia National Medical University, 25(2), 277-280 [in Ukrainian].
Guryev, S.O., & Reznichenko Yu.V. (2016). Kliniko-epidemiolohichna kharakterystyka masyvu postrazhdalykh iz vertebrotorakalnoyu travmoyu [Clinical and epidemiological characteristics of the array of victims with vertebrothoracic trauma]. Travma – Trauma, 17(4), 108-112 [in Ukrainian].
Derkach, R.V., Guriev, S.O., Timoshenko, T.V., Karabenyuk, O.V., Pedanchenko, E.G., Khomenko, I.P., & Nechitaylo, M.Yu. (2017). Travmatyzm – hlobalna problema siohodennya [Traumatism is a global problem today]. Medychna hazeta «Zdorovya Ukrayiny 21 storichchya» – Medical newspaper "Health of Ukraine of the 21st Century", 19(416), 33-35 [in Ukrainian].
Klimat Ternopilskoyi oblasti – Vikipediya [Climate of Ternopil region – Wikipedia]. Retrieved from: https://uk.wikipedia.org/wiki/Climate_ of Ternopil_region [in Ukrainian].
Latyshev, E.E., & Bondar, S.O. (2015). Bezpeka zdorov'ya ta zhyttyediyal'nist': suchasnyy stan (za danymy analizu literaturnykh naukovykh dzherel) [Health safety and life activity: current state (according to the analysis of literary scientific sources)]. Suchasni medychni tekhnolohiyi – Modern medical technologies, 2-3 (25-26), 130-135 [in Ukrainian].
Levytskyi, A.F., & Vityaz, V.M. (2012). Pokazannya do operatyvnoho likuvannya diafizarnykh perelomiv kistok peredplichchya u ditey z vykorystannyam maloinvazyvnoho osteosyntezu tonkymy elastychnymy stryzhnyamy [Indications for surgical treatment of diaphyseal fractures of the forearm in children using minimally invasive osteosynthesis with thin elastic rods]. Travma – Trauma, 13(3). Retrieved from: https://www.mif-ua.com> archive> article/ 34195 [in Ukrainian].
Levytskyi, A.F., Vityaz, V.M., Terpylovskyi, Y.R., & Bebeshko, O.V. (2013). Zminy pidfastsialnoho tysku pry intramedulyarnomu osteosyntezi kistok peredplichchya v ditey za dopomohoyu hnuchkykh metalevykh stryzhniv [Changes in subfascial pressure during intramedullary osteosynthesis of forearm bones in children using flexible metal rods]. Travma –Trauma, 14(6). Retrieved from: https://www.mif-ua.com> archive> article/37721 [in Ukrainian].
Litvynova, L.O., Donik, O.M., & Grechishkina, N.V. (2020). Analiz dynamiky dytyachoho travmatyzmu v Ukrayini [Analysis of the dynamics of childhood injuries in Ukraine]. Suchasni medychni tekhnolohiyi – Modern medical technologies, 2, 49-53 [in Ukrainian].
Mikhalchuk, V.M., & Bondar, S.O. (2017). Osoblyvosti dytyachoho travmatyzmu v Kirovohradskiy oblasti v aspekti zahalno-ukrayinskykh tendentsiy [Peculiarities of children’s traumatism in Kirovohrad Oblast in terms of all-Ukrainian trends]. Aktualni problemy suchasnoyi medytsyny – Actual problems of modern medicine, 17(4), 185-190 [in Ukrainian].
Mikhalchuk, V.M., & Bondar, S.O. (2017). Pedahohichni umovy formuvannya bezpechnoyi povedinky u shkolyariv pid chas navchalnoho protsesu [Pedagogical conditions for the formation of safe behavior in schoolchildren during the educational process]. Profesiyna osvita: problemy i perspektyvy – Professional education: problems and prospects, 3, 32-38 [in Ukrainian].
Tyazhelov, O.A., Fishchenko, V.O., & Karpinska, O.D. (2022). Analiz rezultativ vibratsiynoyi terapiyi immobilizatsiynykh kontraktur u patsiyentiv pislya pozasuhlobovykh perelomiv verkhnioyi kintsivky [Analysis of the results of vibration therapy of immobilization contractures in patients after extra-articular fractures of the upper limb]. Travma – Trauma, 23(3). Retrieved from: https://www.mif-ua.com> archive> article/51944 [in Ukrainian].
Ustinov, O.V. (2017). Travmatyzm – holovna prychyna smerti sered molodi ta lyudey do 40 rokiv [Trauma is the main cause of death among young people and people under 40 years of age]. Ukrayinskyy medychnyy chasopys – Ukrainian medical journal, 3(143) [in Ukrainian].
Shishchuk, V.D., Terekhov, A.M., Nurein, N.M., & Mrita, E.G. (2019). Rehionalni osoblyvosti dytyachoho travmatyzmu u Sumskiy oblasti [Regional features of childhood injuries in the Sumy region]. Sumy. Retrieved from: https://essuir.sumdu.edu.ua>bitstream>Schyse [in Ukrainian].
Shimon, V.M., Sharmazanova, O.P., & Agii, V.I. (2015). Diahnostyka roztyahnennya (rozryv zvyazok) homilkovostupnevoho suhloba v ditey iz urakhuvannyam komp'yuternoho modelyuvannya [Diagnosis of sprains (tear of ligaments) of the ankle joint in children, taking into account computer modeling]. Travma – Trauma, 16(4), 6-63 [in Ukrainian].
Neil, E., Green, M.D., Marc, F., & Swiontkowski, M.D. (2003). Skeletal Trauma in Children. Elsevier Science (USA).
Warwick, D., Dunn, R., Melikyan, E., & Vadher, Y. (2009). Hand Surgery. Oxford specialist handbooks in surgery. Oxford University Press.
