A Study of Child Injury Based on Data Mining

Study Overview
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Brief Summary
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A comprehensive pediatric injury burden assessment is an essential foundation for formulating injury prevention strategies and improving emergency care for injured children. Although the hospital-based passive surveillance of national injury surveillance system of medical and health institutions has been well-established in China, the monitoring points of hospitals were not stratified according to children's hospital. Aim of the project is to collect epidemiological and clinical data to describe causes, clinical features and outcomes of pediatric injuries at a Children's Hospital in Shanghai, China. The project intends to establish a method for collecting and analyzing high quality data of child injury using data mining based on the hospital information system.

Detailed Description
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Injuries are a leading cause of death for infants and children around the world. According to the Haddon Injury Control Model, 90 percent of injuries are both predictable and preventable. Injuries are preventable, not accidents. All unintentionally and intentionally injured children first visit to the emergency department are recruited in the study. Children's Hospital of Fudan University with a Regional Pediatric Trauma Centre is also the first Pediatric Injury Prevention Center established in China. We conduct a prospective cohort study to investigate the epidemiology, clinical course, and outcomes of the injured child first visit to the emergency department, which expected to serve as evidence of injury prevention and promising practices. In the study, we collect and analyze high quality data of child injury based on data mining.

Official Title
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A Prospective Observational Study of Child Injury Based on Data Mining

Conditions
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Injuries, Child

Intervention / Treatment
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* Other: not applicable (Observational Study)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All pediatric patients between the ages of 0-18 years newly diagnosed with injuries in the emergency department，and recorded ICD-10 diagnosis codes from V01 to X39 Exclusion Criteria: Patients who were dead on arrival to the emergency department are not included.

Ages Eligible for Study
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Minimum Age: 0 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Child injuries<br>pediatric patients under the age of 18 years newly diagnosed with injuries in the emergency department | Other: not applicable (Observational Study)<br>* This is an observational study and does not include interventions.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Distribution of injury categories | According to the electronic medical record system, the distribution of injury categories is defined as the proportion of various injury causes (fall，motor vehicle crash，sports, struck, foreign body) in the cohort subjects. | At baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 28 days mortality | Mortality within 28 days from Emergency Department（ED）admission based on electronic medical records system | Within 28 days from ED admission | 
| 180 days mortality | Mortality based on electronic medical records system | Within 180 days from ED admission | 
| Short-term disability | Disability accessed by the Glasgow Outcome Scale (GOS) at 180 days from ED admission. The Glasgow Outcome Scale was dichotomized into favorable outcome (moderate disability or good recovery ; GOS score of 4 or 5) and unfavorable outcome (death, vegetative state or severe disability; GOS score 1-3). | At 180 days from ED admission | 
| Percentage of ICU admission | Percentage of ICU admission from ED admission to 72 hours based on electronic medical records system | From ED admission to 72 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Injuries, Child, Epidemiology