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• W4382362693 abstract "Abstract Background A recent study conducted at our tertiary hospital emergency department (ED) reviewed ED consultations and found that adolescents aged 16–18 years present significantly more often for trauma and psychiatric problems than adults over 18 years. Accidental injuries are one of the greatest health risks for children and adolescents. In view of the increased vulnerability of the adolescent population, this study aimed to further analyse trauma-related presentations in adolescents. Methods We conducted a single-centre, retrospective, cross-sectional study of all adolescent trauma patients aged 16 to 18 years presenting to the adult ED at the University Hospital (Inselspital) in Bern, Switzerland, from January 2013 to July 2017. We analysed presentation data as well as inpatient treatment and cost-related data. Data between female and male patients were compared with univariable analysis. A comparison group was formed consisting of 200 randomly chosen patients aged 19–25 years old with the same presentation characteristics. Predictive factors for operative treatment were obtained by multivariable analysis. Results The study population included a total of 1,626 adolescent patients aged 16–18 years. The predominant cause for ED presentation (consistent within case and comparison groups for sex and age) were sports accidents, falls and violence. Male patients were more likely to need surgical treatment (OR 1.8 [95% CI: 1.2–2.5], p = 0.001) and consequently inpatient treatment (OR 1.5 [95% CI: 1.1–2.1], p = 0.01), associated with higher costs (median 792 Swissfrancs [IQR: 491-1,598]). Other independent risk factors for operative treatment were violence-related visits (OR 2.1 [95% CI: 1.3–3.5, p = 0.004]) and upper extremity trauma (OR 2.02 [95% CI: 1.5–2.8], p < 0.001). Night shift (OR 0.56 [95% CI: 0.37–0.86], 0.008) and walk-in consultations (OR 0.3 [95% CI: 0.2; 0.4, < 0.001] were preventive factors for operative treatment. Conclusions Male adolescents account for the majority of emergency visits and appear to be at higher risk for accidents as well as surgical treatment and/or inpatient admission due to sports accidents or injuries obtained through violence. We suggest the implementation of further preventive measures and recommendations with a focus on sport activities and violence related injuries." @default.
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• W4382362693 date "2023-06-28" @default.
• W4382362693 modified "2023-10-18" @default.
• W4382362693 title " Emergency Department Utilisation and Treatment for Trauma-Related Presentations of Adolescents aged 16-18: a retrospective cross-sectional study" @default.
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• W4382362693 doi "https://doi.org/10.21203/rs.3.rs-3038555/v1" @default.
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