@article{ref1,
title="The impact of pediatric trauma in the Amish community",
journal="Journal of pediatrics",
year="2006",
author="Thomas, Nicholas J. and Ceneviva, Gary D. and Vitale, Melissa A. and Shaffer, Michele L. and Rzucidlo, Susan",
volume="148",
number="3",
pages="359-365",
abstract="OBJECTIVE: To describe the epidemiology of trauma in Amish children and to determine differences in treatment and outcome related to injury mechanism. STUDY DESIGN: In this retrospective review, data were collected on all Amish children with trauma requiring hospital admission. Demographic, interventional, and outcome data were collected. Categorical outcomes were compared by using chi-square, logistic regression, or Fisher exact test; continuous outcomes were compared with analysis of variance. RESULTS: A total of 135 trauma admissions were studied. There was a significant difference of proportion of injury by month (P < .01). The most common mechanisms of injury were falls (39%), buggy versus motor vehicle accidents (MVA; 16%), and animal injuries (14%). A total of 41% of patients required operative procedures, and 50% of subjects required intensive care. Animal injuries and buggy versus MVA were significantly associated with a requirement for surgery, increased length of stay, and increased severity (all P < .01). The overall mortality rate was 3%. There were significant associations between mechanism of injury and outcome scores (P < .05) and hospital charges (P < .05). CONCLUSIONS: The spectrum of traumatic injuries is unique among Amish children. These injuries contribute significantly to morbidity and mortality and impose a large monetary burden on the Amish community. Education may decrease the incidence of these events.<p /> <p>Language: en</p>",
language="en",
issn="0022-3476",
doi="10.1016/j.jpeds.2005.10.036",
url="http://dx.doi.org/10.1016/j.jpeds.2005.10.036"
}