TY  - JOUR
PY  - 2023//
TI  - What is going on in our schools? Review of injuries among school children across the United States
JO  - Journal of surgical research
A1  - Terrani, Kristina F.
A1  - Bhogadi, Sai Krishna
A1  - Hosseinpour, Hamidreza
A1  - Spencer, Audrey L.
A1  - Alizai, Qaidar
A1  - Colosimo, Christina
A1  - Nelson, Adam
A1  - Castanon, Lourdes
A1  - Magnotti, Louis J.
A1  - Joseph, Bellal
SP  - 310
EP  - 317
VL  - 295
IS  - 
N2  - INTRODUCTION: Children spend most of their time at school and participate in many activities that have the potential for causing injury. This study aims to describe the nationwide epidemiology of pediatric trauma sustained in school settings in the United States. <br><br>METHODS: In the 3-y analysis of 2017-2019 American College of Surgeons-Trauma Quality Program, all pediatric trauma patients (≤18 y) injured in a school setting were included and stratified based on place of injury, into elementary, middle, and high school (HS) groups. Descriptive statistics and multivariable logistic regression analysis were performed to identify the independent predictors of intentional injuries. <br><br>RESULTS: 23,215 pediatric patients were identified, of which 15,264 patients were injured at elementary (57.6%), middle (17.5%), and high (25%) schools. The mean age was 9.5 y, 66.9% were male, 63.9% were white, the median injury severity score was 2 [1-4], and 95.6% had a blunt injury. Elementary school students were more likely to sustain falls (85%) and humerus fractures (43%) whereas HS students were more likely to be injured by assaults (17%). Overall, 7% of the students sustained intentional injuries. On multivariable logistic regression, male gender (odds ratio [OR] 1.54), Black race (OR 2.94), American Indian race (OR 1.88), Hispanic ethnicity (OR 1.77), positive drug screen (OR 4.9), middle (OR 5.2), and HSs (OR 10.6) were identified as independent predictors of intentional injury (all P < 0.01). <br><br>CONCLUSIONS: Injury patterns vary across elementary, middle, and HSs. Racial factors appear to influence intentional injuries along with substance abuse. Further studies to understand these risk factors and efforts to reduce school injuries are warranted to provide a safe learning environment for children.<p />  <p>Language: en</p>
LA  - en
SN  - 0022-4804
UR  - http://dx.doi.org/10.1016/j.jss.2023.11.019
ID  - ref1
ER  -