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Journal Article

Citation

Schneiders W, Rollow A, Rammelt S, Grass R, Holch M, Serra A, Richter S, Gruner EM, Schlag B, Roesner D, Zwipp H. J. Trauma 2007; 62(4): 996-1003.

Copyright

(Copyright © 2007, Lippincott Williams and Wilkins)

DOI

10.1097/01.ta.0000222584.48001.a0

PMID

17426559

Abstract

BACKGROUND:: Injuries are the most common cause of mortality in children,
also accounting considerably for childhood morbidity. However, data on injuries only provide valid information
on the actual risk of each injury-causing activity when taken in consideration of the relationship with
actual activity exposure data. Therefore, the primary goal of this investigation is to determine the
relative risk of normal child and adolescent activities. METHODS:: From January 1, 1999 to December 31,
2001, a school questioning in regard to social, pedagogic, and leisure activities was performed among
2,325 students ranging from 6 to 17 years old. A total of 3,645 injuries sustained by children and adolescents
treated at the surgical emergency department of the University Hospital Dresden were analyzed. Furthermore,
a danger awareness test was performed. RESULTS:: Forty-three percent of all injuries happened during
leisure time, 41% at school, 8% in traffic, and 8% at home. Bicycle riding was pointed out as the most
frequent leisure activity, regardless of gender and age. Horse riding had a 9-fold increased risk and
moped driving had a 23.75-fold increased risk for injury compared with adolescent bike riding. Horse
riding and snowboarding showed an increased risk for injury in children (5.6- and 4.2-fold, relative
to biking). The level of danger awareness was significantly lower in children with a history of frequent
injuries. CONCLUSIONS:: The riskier activities were horse-riding, moped driving, and snowboarding. The
level of danger awareness did affect the frequency of injuries. The authors recommend a danger awareness
test for all children to identify those who would benefit from injury prevention training.


Language: en

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