Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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ICECI Based External Causes Analysis of Severe Pediatric Injury

ICECI (International Classification of External Causes of Injuries)를 이용한 중증 소아외상의 분류

  • Ahn, Ki Ok (Department of Emergency Medicine, College of Medicine, Ewha Womans University) ;
  • Kim, Jae Eun (Department of Emergency Medicine, College of Medicine, Ewha Womans University) ;
  • Jang, Hye Young (Department of Emergency Medicine, College of Medicine, Ewha Womans University) ;
  • Jung, Koo Young (Department of Emergency Medicine, College of Medicine, Ewha Womans University)
  • 안기옥 (이화여자대학교 의과대학 응급의학교실) ;
  • 김재은 (이화여자대학교 의과대학 응급의학교실) ;
  • 장혜영 (이화여자대학교 의과대학 응급의학교실) ;
  • 정구영 (이화여자대학교 의과대학 응급의학교실)
  • Received : 2006.02.06
  • Accepted : 2006.06.12
  • Published : 2006.06.30
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Abstract

Purpose: Injury is a leading cause of morbidity and mortality for children. As an injury prevention measure, the differences in external causes of severe pediatric injuries based on ICECI were analyzed according to age groups. Methods: A retrospective study was performed for pediatric patients under 15 years of age, who had been admitted to the emergency department with severe injuries from January 1998 to December 2004. The external causes of injury were investigated according to the ICECI: intent, mechanisms, places of occurrence, objects/substances producing injury, and related activities. The patients were divided into four groups based on age: infant (<0 year), toddler (1~4 years), preschool age (5~8 years), and school age (9~15 years). Results: The injury mechanisms, the places of occurrence and the related objects/substances vary with the age groups. The most common subtype of traffic accidents was pedestrian injury in pre-school age group. Falls most frequently occurred in the toddler group. But falls from a height of less than l meter height (6 patients) occurred only in the infant group. The most common place of occurrence in the infant group was the home, and that of other groups was the road. The related objects/substances for falls, for example, household furnitures and playground equipment depended on the age group. Conclusion: The age-group specific characteristics of severe pediatric injury were analyzed successfully through the ICECI. Therefore, when establishing a plan for the prevention of pediatric injury, consideration must be given to the differences in the external causes of injuries according to age group.

Keywords

References

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