A Study of Child Injury Based on Data Mining

A Prospective Observational Study of Child Injury Based on Data Mining

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.

Study Overview

• Status: Not yet recruiting
• Conditions: Child; Injuries
• Intervention / Treatment: Other: not applicable (Observational Study)

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 Type: Observational
• Enrollment (Anticipated): 10762

Contacts and Locations

• Study Contact: Name: YANG CHEN; Phone Number: +8613918374679; Email: chenyangcn@126.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 1 second to 18 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

pediatric patients between the ages of 0-18 years newly diagnosed with injuries

Description

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 Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Child injuries; pediatric patients under the age of 18 years newly diagnosed with injuries in the emergency department	Other: not applicable (Observational Study); This is an observational study and does not include interventions.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Distribution of injury categories	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.	At baseline

Secondary Outcome Measures

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

Collaborators and Investigators

• Sponsor: Children's Hospital of Fudan University

Study record dates

Study Major Dates

• Study Start (Anticipated): January 1, 2023
• Primary Completion (Anticipated): December 31, 2023
• Study Completion (Anticipated): December 31, 2024

Study Registration Dates

• First Submitted: August 25, 2020
• First Submitted That Met QC Criteria: August 26, 2020
• First Posted (Actual): August 27, 2020

Study Record Updates

• Last Update Posted (Actual): October 26, 2022
• Last Update Submitted That Met QC Criteria: October 25, 2022
• Last Verified: October 1, 2022

More Information

Terms related to this study

• Keywords: Child; Epidemiology; Injuries
• Additional Relevant MeSH Terms: Wounds and Injuries
• Other Study ID Numbers: CHFU20200816

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Undecided

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No