A Study of Child Injury Based on Data Mining

Not yet recruiting

• Conditions: Injuries; Child
• Interventions: Other: not applicable (Observational Study)

• Registration Number: NCT04528810
• Lead Sponsor: Children's Hospital of Fudan University

Brief Summary

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

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.

Study Timeline

• Study First Submitted: 2020-08-25
• Study First Submitted QC: 2020-08-26
• Study First Posted: 2020-08-27
• Status Verified: 2025-02
• Last Update Submitted: 2025-02-16
• Last Update Posted: 2025-02-18
• Study Start: 2025-07-01
• Primary Completion: 2026-07-31
• Study Completion: 2027-07-31

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 10762

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.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Child injuries	not applicable (Observational Study)	pediatric patients under the age of 18 years newly diagnosed with injuries in the emergency department

Primary Outcome Measures

Name	Time	Method
Distribution of injury categories	At baseline	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.

Secondary Outcome Measures

Name	Time	Method
28 days mortality	Within 28 days from ED admission	Mortality within 28 days from Emergency Department（ED）admission based on electronic medical records system
180 days mortality	Within 180 days from ED admission	Mortality based on electronic medical records system
Percentage of ICU admission	From ED admission to 72 hours	Percentage of ICU admission from ED admission to 72 hours based on electronic medical records system
Short-term disability	At 180 days from ED admission	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).