Childhood Accidents and Factors Associated with Accidental Death in Khon Kaen Hospital

Abstract

Injuries in children are a major public health problem worldwide. In Thailand, injuries are the leading cause of death for children under 15 years. The objectives of this study were to find the incidence of injury in children aged 0-15 years at the Emergency Department Khon Kaen hospital and factors that correlate with mortality group. This is a retrospective cohort study using the trauma registry database from 2017-2021 to analyze the incidence, causes, nature and consequences of accidents and the relationship between factors and mortality by Multiple Logistic Regression. The results of the study revealed that since 2017-2021 There were 17,029 child patients, 78 deaths, representing 0.46%. The highest cause of death was traffic accident, 78.2%. The most age group that died was 6-15 years old. The most organs that caused of death were the head and neck. The most common places of accidents are roads or highways. And the most time when the accident caused the death was 4 pm to 12 pm. In terms of first aid before delivery, it was found that 93.6% received respiratory care, 75.6% had hemostasis, 80.8% had cervical spine fixation, 60.3% had extremities fixation and 88.5% had intravenous fluid administration. In term of the severity level score assessed, it was found that most deaths were had GSC 0-8, ISS 25-49 and RTS 0-2.99, respectively. There were 2 factors that related death, namely the time of the incident from 0.01-8.00 hrs. and those whose bleeding has been stopped bleed. Therefore, close supervision should be given to patients with these factors.