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Rual Vs Urban Mechanism Of Injury In Pediatric Trauma Fatalities
Samara L Lewis
Oklahoma Children's Hospital, Oklahoma City, OK

Background (issue): Trauma is the leading cause of death in children. Previous studies have shown that the mechanism of injury (MOI) for pediatric traumas differs based on rural versus urban locations. Our goal was to identify the MOI for pediatric trauma fatalities for rural vs urban locations within our state to help guide injury prevention efforts.
Methods: After IRB approval, a retrospective, single-institution review of a level 1 pediatric trauma center of all trauma fatalities from 2010-2019 (age<18) was performed. MOI, patient demographics, injury prevention, and geographic location were collected. Patients were divided into five age cohorts and locations were categorized as urban vs rural. Frequencies and proportions were used to summarize data.
Findings: The majority of children were from urban locations 61.2% (112/183), with children age 15-18 making up the largest proportion (36.1% (66/183)). Children in middle age groups (5-9 and 10-14) had higher percentage of rural locations compared to urban (15.49% vs 10.71 and 22.54% vs 10.71%). MVC related fatalities were more common in children from rural location 53.52% than urban 24.1%. Violence-related fatalities were more likely to occur in children from urban locations (25% vs 12.68%). Children age 15-18 in rural locations were less likely to wear a seatbelt as compared to urban (73.7% vs 55.56%).
Conclusions (implications for practice): Higher rates of pediatric fatalities in MVC occur in children from rural areas, which correlates to children from rural areas being less likely to use seatbelts. This highlights an area where specific education and prevention strategies could be implemented within our state.


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