| Emergency department visits for medical device-associated adverse events among children. | |
| | |
MedLine Citation:
|
PMID: 20660543 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: The purposes of this study were to provide national estimates of emergency department (ED) visits for medical device-associated adverse events (MDAEs) in the pediatric population and to characterize these events further. METHODS: ED medical record reports from the National Electronic Injury Surveillance System All Injury Program database from January 1, 2004, through December 21, 2005, were reviewed. MDAEs among pediatric patients were identified, and data were abstracted. National estimates for pediatric MDAEs were determined according to medical specialty, device category and class, injury diagnosis, and patient characteristics and outcome. RESULTS: The total estimated number of pediatric MDAEs during the 24-month period was 144,799 (95% confidence interval: 113,051-183,903), involving devices from 13 medical specialties. Contact lenses accounted for most MDAEs (23%), followed by hypodermic needles (8%). The distribution of MDAEs according to medical specialty varied according to age subgroup. The most-prevalent types of injuries included contusions/abrasions, foreign-body intrusions, punctures, lacerations, and infections. The most-frequently affected body parts were the eyeball, pubic region, finger, face, and ear. The majority of pediatric MDAEs involved class II (moderate-risk) devices. The incidence of pediatric MDAEs decreased with increasing age from early to late childhood and then spiked after 10 years of age. More girls than boys were affected at older ages (16-21 years) and more boys than girls at younger ages (< or =10 years). Hospitalizations were more likely to involve invasive or implanted devices. CONCLUSIONS: This study provides national estimates of pediatric MDAEs resulting in ED visits and highlights the need to develop interventions to prevent pediatric device-related injuries. |
| | |
Authors:
|
Cunlin Wang; Brock Hefflin; Judith U Cope; Thomas P Gross; Mary Beth Ritchie; Youlin Qi; Jianxiong Chu |
Related Documents
:
|
17271483 - Getting your medical device cleared for marketing in the u.s. 18161543 - Experience with reviewing bayesian medical device trials. 12425873 - The etiology, diagnosis, and treatment of priapism: review of the american foundation f... |
Publication Detail:
|
Type: Journal Article Date: 2010-07-26 |
Journal Detail:
|
Title: Pediatrics Volume: 126 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2010 Aug |
Date Detail:
|
Created Date: 2010-08-03 Completed Date: 2010-09-02 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
|
Languages: eng Pagination: 247-59 Citation Subset: AIM; IM |
Affiliation:
|
Food and Drug Administration, Center for Devices and Radiological Health, Office of Surveillance and Biometrics, Silver Spring, MD 20993-0002, USA. cunlin.wang@fda.hhs.gov |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Automatic Data Processing Child Emergency Medical Services / utilization* Equipment Failure / statistics & numerical data* Equipment Safety / statistics & numerical data* Female Hospitalization / statistics & numerical data Humans Male Pediatrics / statistics & numerical data* Sex Distribution Treatment Outcome Wounds and Injuries / classification, epidemiology*, rehabilitation* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Neuropsychological Status in Children After Repair of Acyanotic Congenital Heart Disease.
Next Document: Policy Statement--Cochlear Implants in Children: Surgical Site Infections and Prevention and Treatme...