scholarly journals Presentation and outcome of femoral infected non-unions in children and adolescents

2020 ◽  
Vol 37 (1) ◽  
Author(s):  
Karim Bakhsh ◽  
Faridullah Khan Zimri ◽  
Eid Mohammad ◽  
Atiq -Ur-Rehman ◽  
Muhammad Saaiq
Keyword(s):  
Children And Adolescents ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Transport ◽  
Ilizarov Method ◽  
Road Traffic Accidents ◽  
Metabolic Bone Diseases ◽  
Case Series Study ◽  
Segmental Bone Transport ◽  
Segmental Bone

Objectives: To document the presentation of infected non-unions of femur in pediatric and adolescent population and evaluate the outcome of segmental bone transport with the Ilizarov method. Methods: This prospective case series study was carried out over a period of five years, from January 01, 2015 to December 31, 2019. The study included all children and adolescent patients who presented with femoral infected non unions. The study excluded patients above the age of 16 years and those who had pathological fractures secondary to bone pathologies such as cysts, tumors or metabolic bone diseases. Results: Out of 31 patients, 27(87.09%) were males and 4(12.90%) were females. The mean age was 13.48±1.98 years. The underlying mechanisms that lead to the causation of fractures included road traffic accidents (n=23;74.19%), fall from height (n=7;22.58%) and firearm injuries (n=1;3.22%). The bone gaps ranged from 3-5 cm with a mean of 4.00± 0.856 cm. Bone union was achieved among 28(90.32%) patients. Infection was eradicated among 27(87.09%) patients whereas the remaining patients continued to suffer persistent infection. The most common complications included pin tract inflammation/ infection among (n=31;100%) patients and stiffness of knee joint among (n=19;61.29%) patients. Conclusion: Majority of the patients were males, aged 9-16 years. Road traffic accidents were the commonest cause of the fractures. The Ilizarov method of segmental bone transport was effective in treating the majority of infected non-unions. doi: https://doi.org/10.12669/pjms.37.1.3354 How to cite this:Bakhsh K, Zimri FK, Mohammad E, Atiq-Ur-Rehman, Saaiq M. Presentation and outcome of femoral infected non-unions in children and adolescents. Pak J Med Sci. 2021;37(1):201-205. doi: https://doi.org/10.12669/pjms.37.1.3354 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

A Pilot Study to Explore the Effect of Symptom Monitoring in Children and Adolescents with Posttraumatic Stress Reactions following Road Traffic Accidents

2008 ◽  
Vol 36 (4) ◽  
pp. 431-435 ◽  
Author(s):  
Emma Hardy ◽  
Paul Stallard
Keyword(s):  
Pilot Study ◽  
Young People ◽  
Children And Adolescents ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Stress Reactions ◽  
Road Traffic Accidents ◽  
Symptom Monitoring ◽  
Number Of Children ◽  
Posttraumatic Symptoms

AbstractEach year a large number of children and adolescents develop significant posttraumatic symptoms after being involved in road traffic accidents (RTA). Consequently there is a need to develop effective interventions to prevent or minimize such reactions. The use of symptom monitoring with adults has found promising results. This pilot study explores the use of symptom monitoring with children and young people involved in RTAs. Twelve young people who met criteria on screening questionnaires for significant posttraumatic symptoms completed symptom monitoring diaries. Following completion of a diary once a day for 3 weeks, 3/12 children (25%) fell below criteria, suggesting significant posttraumatic symptoms. Feedback about self-monitoring was generally positive and suggests that symptom monitoring may be a helpful yet simple intervention for use with child trauma victims.

scholarly journals Prevalence of Posttraumatic Stress Disorder among Children and Adolescents following Road Traffic Accidents: A Meta-Analysis

2018 ◽  
Vol 63 (12) ◽  
pp. 798-808 ◽  
Author(s):  
Wenjie Dai ◽  
Aizhong Liu ◽  
Atipatsa C. Kaminga ◽  
Jing Deng ◽  
Zhiwei Lai ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Children And Adolescents ◽  
Traffic Accidents ◽  
Stress Disorder ◽  
Road Traffic ◽  
Regression Analyses ◽  
Road Traffic Accidents ◽  
Pooled Prevalence ◽  
Subgroup Analyses ◽  
Meta Regression

Objective: Children and adolescents are among the most vulnerable road users, and road traffic accidents (RTAs) can lead to not only physical injuries but also adverse psychological outcomes, particularly posttraumatic stress disorder (PTSD). However, estimates of the prevalence of PTSD among children and adolescents following RTAs varied considerably across studies. Therefore, this study aimed to estimate the pooled prevalence of PTSD among this population. Methods: A systematic search for literature was performed in the electronic databases of PubMed, Web of Science, PsycINFO, and Embase. Heterogeneity was assessed using the Cochran’s chi-square test and quantified by the I2 value. Meta-regression analyses were carried out to identify the effects of some potential moderators on the overall heterogeneity. Subgroup analyses were performed to estimate the pooled prevalence of PTSD according to some sample characteristics. Results: Eleven eligible studies with a total of 1532 children and adolescents who were involved in RTAs were included. The overall heterogeneity ( I2 = 89.7, P < 0.001) was high across the eligible studies, and the pooled prevalence of PTSD was 19.95% (95% confidence interval, 13.63% to 27.09%) by a random-effects model. No significant moderators of the overall heterogeneity were identified using meta-regression analyses. Subgroup analyses showed that the pooled prevalence of PTSD differed significantly according to the study location and gender ( P < 0.05). Conclusions: One-fifth of children and adolescents developed PTSD in the aftermath of RTAs, indicating the need for regular assessment of PTSD and timely and effective psychological interventions among this population. Furthermore, more population-based studies with a large sample size are warranted. The protocol was registered in the PROSPERO database (No. CRD42018087941).

scholarly journals Ocular injuries following road traffic accidents: A hospital based case series study

2020 ◽  
Vol 6 (2) ◽  
pp. 266-269
Author(s):  
Jayashree M Padmaraj ◽  
◽  
Anupama C Shetgar ◽  
Darshini L Mallkarjunaswamy ◽  
Divya Ramanna ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Case Series ◽  
Road Traffic Accidents ◽  
Case Series Study ◽  
Ocular Injuries ◽  
Series Study

Post-traumatic stress disorder in children and adolescents following road traffic accidents

1998 ◽  
Vol 172 (5) ◽  
pp. 443-447 ◽  
Author(s):  
K. A. H. Mirza ◽  
B. R. Bhadrinath ◽  
Ian M. Goodyer ◽  
Carol Gilmour
Keyword(s):  
Children And Adolescents ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Traffic Accidents ◽  
Stress Disorder ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Post Traumatic Stress ◽  
Accident And Emergency ◽  
Post Traumatic

BackgroundPost-traumatic stress disorder (PTSD) can be a persistent and disabling psychiatric disorder. There is little systematic research into the psychiatric consequences of road traffic accidents (RTAs) in children and adolescents.MethodA consecutive sample of 8–16-year-olds attending an accident and emergency department following RTAs were screened for PTSD. Potential cases and their parent(s) were interviewed with semi-structured research instruments about six weeks and six months after the accident.ResultsFifty-three (45%) of the 119 subjects fell above PTSD cut-off on the Frederick's Reaction Index. Thirty-three (75%) of the 44 cases met DSM–IV criteria for PTSD. In half of these other psychiatric disorders were present, including major depressive disorder and anxiety disorders. Being female, involvement in car accidents and pre-existing depression and anxiety were associated with developing PTSD. Seventeen per cent of the sample continued to be symptomatic six months after the accident.ConclusionsPTSD is a common consequence of RTAs. Liaison with accident and emergency departments would enhance the early detection and follow-up of children at risk of developing PTSD.

Posttraumatic Syndromes in Children and Adolescents after Road Traffic Accidents – A Prospective Cohort Study

2006 ◽  
Vol 39 (4) ◽  
pp. 159-164 ◽  
Author(s):  
Ingo Schäfer ◽  
Claus Barkmann ◽  
Peter Riedesser ◽  
Michael Schulte-Markwort
Keyword(s):  
Cohort Study ◽  
Children And Adolescents ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents

Road traffic accidents: Early psychological consequences in children and adolescents

1997 ◽  
Vol 170 (4) ◽  
pp. 358-362 ◽  
Author(s):  
Alain Dl Gallo ◽  
Joanne Barton ◽  
William Li. Parry-Jones
Keyword(s):  
Children And Adolescents ◽  
Traumatic Stress ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Case Reports ◽  
Psychological Consequences ◽  
Road Traffic Accidents ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
Post Traumatic

BackgroundAlthough road traffic accidents are a major cause of injury and death in children and adolescents, research into their psychological consequences consists mainly of case reports.MethodA prospective study was made of young road traffic accident victims; 57 subjects, aged 5–18 years, who had been injured in road traffic accidents, and their parents, were interviewed 2–16 days post-accident and re-examined after 12–15 weeks.ResultsPost-accident stress symptoms occurred at both times. There was a decrease of symptom severity between the two interviews, but at the later time, 14% still suffered from moderate or severe post-traumatic stress disorder, 17% from serious traffic-related fears, and parents reported increased mood disturbance in their children compared with the pre-accident period. High levels of distress during and immediately after the accident were associated with severe post-traumatic stress symptoms.ConclusionsThere is an urgent need for healthcare staff working with children and adolescents involved in road traffic accidents to be aware of the potential psychological consequences and the importance of the immediate accident experience on subsequent coping.

ADHD is a Risk Factor of Road Crashes: A Purposive Study of Finding Relation between ADHD and Road Traffic Accident in Bangladesh

2018 ◽  
Vol 9 (08) ◽  
pp. 20531-20536
Author(s):  
Nusrat Shamima Nur ◽  
M. S. l. Mullick ◽  
Ahmed Hossain
Keyword(s):  
Risk Factor ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Fatality Rate ◽  
Road Traffic Accidents ◽  
Road Crashes ◽  
Road Crash ◽  
Day By Day

Background: In Bangladesh fatality rate due to road traffic accidents is rising sharply day by day. At least 2297 people were killed and 5480 were injured in road traffic accidents within 1st six months of 2017.Whereas in the previous year at 2016 at least 1941 people were killed and 4794 were injured within the 1st six months. No survey has been reported in Bangladesh yet correlating ADHD as a reason of impulsive driving which ends up in a road crash.

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