Characteristics | Total = 1,872 | 2019 n = 879 | 2020 n = 993 | P value |
---|---|---|---|---|
Sex, n(%) | ||||
• Female | 821(43.86) | 371(42.21) | 450 (45.32) | 0.176 |
• Male | 1,051 (56.14) | 508 (57.79) | 543 (54.68) | |
Age, (months), median (IQR) | 54 (25–102) | 64 (23–120) | 50(26–86) | < 0.001 |
Age groups, n(%) | ||||
• Infant and toddler (0 to < 3 years) | 675 (36.06) | 305 (34.70) | 370 (37.26) | < 0.001 |
• Preschooler (3 to < 6 years) | 469 (25.05) | 174 (19.80) | 295 (29.71) | |
• Child school (6 to 9 years) | 313(16.72) | 139 (15.81) | 174 (17.52) | |
• Adolescent (> 9 years) | 415 (22.17) | 261 (29.69) | 154 (15.51) | |
Ethnic group, n(%) | ||||
• Italians | 1,759 (94.01) | 814 (92.71) | 945 (95.17) | 0.025 |
• Others | 112 (5.99) | 64 (7.29) | 48 (4.83) | |
Priority ED visits, n(%) | ||||
• Emergency-Urgent | 428 (22.86) | 313 (35.61) | 115 (11.58) | < 0.001 |
• Not urgent-Delayed | 1,444 (77.14) | 566 (64.39) | 878 (88.42) | |
Admission to ED, n(%) | ||||
• Transferred from other hospital | 433 (23.14) | 350 (39.82) | 83 (8.37) | < 0.001 |
• Direct | 1,438 (76.86) | 529 (60.18) | 909 (91.63) | |
Time of injury, n(%) | ||||
• 8:00 AM-5:00 PM | 643 (41.56) | 371 (55.54) | 454 (54.63) | 0.151 |
• 5:00 PM-12 PM | 825 (55.04) | 268 (40.12) | 355 (42.72) | |
• 12PM-8AM | 51 (3.40) | 29 (4.34) | 22 (2.65) | |
Delayed time of presentation to ED, n(%) | 364 (19.45) | 134 (15.26) | 230 (23.16) | < 0.001 |
Injury mechanism, n(%) | ||||
Fall, | 1,286(68.70) | 591 (67.24) | 695 (69.99) | 0.2 |
Collision | 163 (8.71) | 76 (8.65) | 87 (8.76) | 0.930 |
Stretching/traction | 129(6.89) | 74 (8.42) | 55 (5.54) | 0.014 |
Crushing | 53(2.83) | 23 (2.62) | 30 (3.02) | 0.60 |
Burn | 10 (0.53) | 2 (0.23) | 8 (0.81) | 0.09 |
Poisoning | 40 (2.14) | 2 (0.23) | 38 (3.83) | < 0.001 |
Foreign body ingestion | 40 (2.14) | 6 (0.68) | 34 (3.43) | < 0.001 |
Foreign body inhalation | 1 (0.06) | 1 (0.11) | 0 | 0.470 |
Foreign in nose, ear, genital tract | 53 (2.83) | 15 (1.71) | 38 (3.83) | 0.006 |
Electrocution | 0 | 0 | 0 | 0 |
Drowning | 0 | 0 | 0 | 0 |
Bite injuries caused by domestic animals | 97 (5.18) | 86 (9.78) | 11 (1.11) | < 0.001 |
Injury pattern, n (%) | ||||
Soft tissues (muscles, tendons, and ligaments) contusion | 212 (11.32) | 78 (8.87) | 134 (13.49) | 0.002 |
Trauma of parenchymal organs | 19 (1.01) | 13 (1.48) | 6 (0.60) | 0.06 |
Fracture | 769 (41.10) | 411 (47.9) | 348 (35.05) | < 0.001 |
Sprain/dislocation/strain | 219 (11.70) | 142 (16.15) | 77 (7.75) | < 0.001 |
Wounds: cut/scrape/ abrasion/ scratch/laceration/erosion/ulceration/bruise | 452 (24.14) | 219 (24.9) | 233 (23.49) | 0.452 |
Head trauma | 384 (20.51) | 131 (14.90) | 253(25.48) | < 0.001 |
Other injuries | 15 (0.80) | 13 (1.48) | 2 (0.20) | 0.002 |
Body region, n(%) | ||||
Upper extremities | 709 (37.87) | 353 (40.16) | 356 (35.85) | 0.06 |
Lower extremities | 267 (14.26) | 144 (16.38) | 123 (12.39) | 0.014 |
Maxillofacial area | 219 (11.70) | 60 (6.83) | 159 (16.01) | < 0.001 |
Trunk | 82 (4.38) | 39 (4.44) | 43 (4.33) | 0.906 |
Neck | 201 (10.74) | 193 (21.96) | 8 (80.81) | < 0.001 |
Head | 394 (21.05) | 149 (16.95) | 245 (24.67) | < 0.001 |
Clinical management | ||||
Need for hospitalization, n(%) | 1,148 (61.36) | 590 (67.20) | 558 (56.19) | < 0.001 |
Need for diagnostic investigation/specialistic consultation at ED, n(%) | 1,420 (75.85) | 627 (71.33) | 793 (79.86) | < 0.001 |
Need for treatment, n(%) | 1,215 (64.94) | 539 (61.39) | 676 (68.08) | 0.002 |
Need for follow up, n(%) | 939 (50.16) | 499 (56.77) | 440 (44.31) | < 0.001 |