The epidemiology of injury in a rural state: 5,322 cases over 6 years.


:Presently, descriptions of rural trauma are complications of national sample statistics and local data from states projected to rural areas. This study reviews all hospital discharges (36,866) for children (aged 0 to 18 years) from January 1985 through December 1990 in an entirely rural state. Fourteen percent of admissions (5,322) were due to traumatic injury and 63% of these occurred in boys. Injury rates were age dependent with children 15 to 18 years experiencing an incidence of 110/10,000; 10 to 14 years 55/10,000; 5 to 9 years 39/10,000; 1 to 4 years 35/10,000; and < 1 year 39.5/10,000. Mean age for the entire population was 11.4 +/- 5.7 years. Thirty-five percent of children had more than one major site of injury. Sixty-three percent of admissions were for blunt trauma and only 4.8% were penetrating. The remainder were due to burns, hanging, ingestion, and other toxic agents. Falls constituted the most prevalent cause of injury in this population occurring in 25.9%, motor vehicle accidents 22.9%, struck by an object 9.6%, suicide attempts 8.5%, poisoning 4.7%, fire 1.2%, drowning 0.7%, and farm machinery 0.3%. The vast majority of motor vehicle accidents involved the child as an operator or occupant of the vehicle. Less than 10% involved a pedestrian being struck and less than 5% involved a child being struck while on a bicycle. Less than 6% of all injuries involved a bicycle. Child maltreatment was recorded in less than 2% of this population. Only 3.3% of injured children required transfer to another acute care facility (1/3 because of a motor vehicle accident and 1/4 because of a fall).(ABSTRACT TRUNCATED AT 250 WORDS)


J Pediatr Surg


Vane DW,Spanknebel K,Murphy ET,Wald SL,Rogers FB,Shackford SR




Has Abstract


1993-10-01 00:00:00


1295-8; discussion 1298-300












  • Lambert-Eaton myasthenic syndrome revealing an abdominal neuroblastoma.

    abstract::Lambert-Eaton myasthenic syndrome is a paraneoplastic syndrome that may reveal a primitive tumor. Neuroblastoma in children and small cell lung carcinoma in adults are the leading tumors revealed or expressed by paraneoplastic phenomena. The clinical neurologic manifestations of Lambert-Eaton myasthenic syndrome are m...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: de Buys Roessingh AS,Loriot MH,Wiesenauer C,Lallier M

    更新日期:2009-08-01 00:00:00

  • Simplified radioisotope technique for assessing gastroesophageal reflux in children.

    abstract::There were 125 children with a strong clinical suspicion of gastroesophageal reflux and/or aspiration evaluated with gastroesophageal scintigrams. We found this examination to be more sensitive than the standard barium radiography and highly specific in detecting aspiration of gastric contents. This procedure is simpl...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Jona JZ,Sty JR,Glicklich M

    更新日期:1981-04-01 00:00:00

  • Pulmonary hypertension in giant omphalocele infants.

    abstract:BACKGROUND:Pulmonary hypoplasia has been described in cases of giant omphalocele (GO), although pulmonary hypertension (PH) has not been extensively studied in this disorder. In the present study, we describe rates and severity of PH in GO survivors who underwent standardized prenatal and postnatal care at our institut...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Partridge EA,Hanna BD,Panitch HB,Rintoul NE,Peranteau WH,Flake AW,Scott Adzick N,Hedrick HL

    更新日期:2014-12-01 00:00:00

  • Delayed blind-pouch apposition, guide wire placement, and nonoperative establishment of luminal continuity in a child with long gap esophageal atresia.

    abstract::Delayed primary esophago-esophagostomy is the most physiologically attractive approach to establish luminal continuity in children with pure esophageal atresia. However, excessive tension on the mobilized esophageal ends can lead to anastomotic separation and severe leakage. To circumvent these complications, the blin...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Gauderer MW

    更新日期:2003-06-01 00:00:00

  • The use of a lateral skin-flap perineoplasty in congenital anorectal malformations.

    abstract::A lateral skin-flap perineoplasty has been used in 15 patients born with an absent anal canal. The aim behind the introduction of this modification was the prevention of mucosal prolapse. On early assessment, this has been achieved in 11 of the cases. This represents a 50% improvement on our previous results. ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Davies MR,Cywes S

    更新日期:1984-10-01 00:00:00

  • Keys to career satisfaction: insights from a survey of women pediatric surgeons.

    abstract:BACKGROUND/PURPOSE:Declining interest in the field of surgery is attributed to lifestyle issues, more women per class, high debt, and long residency. To maintain surgery as a premier career choice, female students must find surgery to be professionally and personally rewarding. METHODS:A 35-item questionnaire was mail...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Caniano DA,Sonnino RE,Paolo AM

    更新日期:2004-06-01 00:00:00

  • Necrotizing enterocolitis in term neonates: A different disease process?

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Overman RE Jr,Criss CN,Gadepalli SK

    更新日期:2019-06-01 00:00:00

  • Esophageal motor function in congenital esophageal stenosis.

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Kawahara H,Oue T,Okuyama H,Kubota A,Okada A

    更新日期:2003-12-01 00:00:00

  • Quality of life for children with fecal incontinence after surgically corrected anorectal malformation.

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Bai Y,Yuan Z,Wang W,Zhao Y,Wang H,Wang W

    更新日期:2000-03-01 00:00:00

  • Outcome of central hepatectomy for hepatoblastomas.

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Guérin F,Gauthier F,Martelli H,Fabre M,Baujard C,Franchi S,Branchereau S

    更新日期:2010-03-01 00:00:00

  • The multiple facets of pulmonary sequestration.

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Bratu I,Flageole H,Chen MF,Di Lorenzo M,Yazbeck S,Laberge JM

    更新日期:2001-05-01 00:00:00

  • Captopril reduces the severity of bowel damage in a neonatal rat model of necrotizing enterocolitis.

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Zani A,Eaton S,Leon FF,Malerba A,Hall NJ,De Coppi P,Smith VV,Pierro A

    更新日期:2008-02-01 00:00:00

  • Vascular anomalies in 5,621 patients: guidelines for referral.

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Greene AK,Liu AS,Mulliken JB,Chalache K,Fishman SJ

    更新日期:2011-09-01 00:00:00

  • Prognostic evaluation of biofeedback response in patients treated for anorectal malformation.

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    journal_title:Journal of pediatric surgery

    pub_type: 临床试验,杂志文章


    authors: Caruso AM,Catalano P,Li Voti G,Salerno S,Casuccio A,Di Pace MR,Cimador M

    更新日期:2015-10-01 00:00:00

  • Central line associated blood stream infections in gastroschisis patients: A nationwide database analysis of risks, outcomes, and disparities.

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Snyder AN,Burjonrappa S

    更新日期:2020-02-01 00:00:00

  • Multiphoton microscopy to identify and characterize the transition zone in a mouse model of Hirschsprung disease.

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Aggarwal A,Jain M,Frykman PK,Xu C,Mukherjee S,Muensterer OJ

    更新日期:2013-06-01 00:00:00

  • Childhood intussusception: a comparative study of nonsurgical management.

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    journal_title:Journal of pediatric surgery

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Hadidi AT,El Shal N

    更新日期:1999-02-01 00:00:00

  • Transamniotic fetal feeding. II. A model of intrauterine growth retardation using the relationship of "natural runting" to uterine position.

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Flake AW,Villa RL,Adzick NS,Harrison MR

    更新日期:1987-09-01 00:00:00

  • High ligation in adolescents: Is it enough?

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Taylor MA,Cutshall ZA,Eldredge RS,Kastenberg ZJ,Russell KW

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  • Survivin inhibits apoptosis induced by TRAIL, and the ratio between survivin and TRAIL receptors is predictive of recurrent disease in neuroblastoma.

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Azuhata T,Scott D,Griffith TS,Miller M,Sandler AD

    更新日期:2006-08-01 00:00:00

  • Giant prostatic utricle associated with proximal hypospadias: repair by mucosa divesting and muscular tunnel obliteration.

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Zhou L,Hwang AH,Xie HW,Deng CH,Li XH,Hardy BE

    更新日期:2007-11-01 00:00:00

  • Rotation of the gut: fact or fantasy?

    abstract::Clinicians, as well as embryologists, believe that normally a process of rotation of the midgut takes place that can be hampered at any stage resulting in the different types of "malrotations." However, a "malrotated" gut has never been observed in normal embryos. Therefore all theories on the normal and abnormal deve...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Kluth D,Kaestner M,Tibboel D,Lambrecht W

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  • Surgical repair of combined gastroschisis and sternal cleft.

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Schmidt AI,Jesch NK,Glüer S,Ure BM

    更新日期:2005-06-01 00:00:00

  • Citrulline levels following proximal versus distal small bowel resection.

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Gutierrez IM,Fisher JG,Ben-Ishay O,Jones BA,Kang KH,Hull MA,Shillingford N,Zurakowski D,Modi BP,Jaksic T

    更新日期:2014-05-01 00:00:00

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Haber BA,Erlichman J,Thayu M,Flake AW,Rand EB

    更新日期:2006-07-01 00:00:00

  • Prediction of affected MEN2A gene carriers by DNA linkage analysis for early total thyroidectomy: a progress in clinical screening program for children with hereditary cancer syndrome.

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Shimotake T,Iwai N,Yanagihara J,Tokiwa K,Tanaka N,Yamamoto M,Takai S

    更新日期:1992-04-01 00:00:00

  • Preduodenal portal vein--a cause of intestinal obstruction?

    abstract::A preduodenal position of the portal vein is a rare anomaly reported in 52 cases in the literature. Two additional cases are reported here. In 54% of the cases of preduodenal portal vein (PPV) was combined with high intestinal obstruction and in one half of these cases PPV was considered obstructive. A critical review...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Esscher T

    更新日期:1980-10-01 00:00:00

  • Reduced-size grafts--the solution for hepatic artery thrombosis after pediatric liver transplantation?

    abstract::Reduced-size liver grafts (RSG) were developed to alleviate the donor shortage for pediatric patients, particularly those requiring emergency transplantation. In theory, the large size of the hepatic artery available for anastomosis from RSG, as opposed to whole pediatric grafts, is less likely to lead to hepatic arte...

    journal_title:Journal of pediatric surgery

    pub_type: 临床试验,杂志文章


    authors: Jurim O,Csete M,Gelabert HA,Millis JM,Olthoff K,Imagawa D,Shaked A,McDiarmid SV,Busuttil RW

    更新日期:1995-01-01 00:00:00

  • Ghrelin is a suppressor of testicular damage following experimentally induced cryptorchidism in the rat.

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Kheradmand A,Dezfoulian O,Alirezaei M,Hadian B

    更新日期:2014-04-01 00:00:00

  • Bevacizumab and interferon reduce venous recanalization following sclerotherapy.

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Kulungowski AM,Hassanein AH,Foster CC,Greene AK,Fishman SJ

    更新日期:2016-10-01 00:00:00