Materials and Method:
The study was conducted at a university pediatric emergency department
(PED) that provides tertiary healthcare services. The home accident
cases that presented to our PED within the three-month period from March
11, 2020 to June 10, 2020 were recorded in the data form. The home
accident cases in the same period in 2019 were also recorded and
investigated retrospectively.
For the cases that presented in these periods, the demographic data, the
reason for admission to the hospital, the time of admission, the length
of hospital stay, the rate of intensive care, and the interventional
procedures (endoscopy, bronchoscopy, surgery, etc.) were recorded. The
two groups were compared in order to find any difference between two
groups.
Household accidents were classified as falls, poisoning (with drugs and
non-drug substances), caustic/corrosive ingestion, foreign body
ingestion or aspiration, stab injuries, suffocation, and burns.
Considering the age groups where the home accidents were common, the
patients were divided into two groups as ≤5 or >5 years
old.
Life-saving interventions, including bag-valve-mask (BVM) ventilation,
intubation, surgical airway, continuous positive airway pressure (CPAP),
bilevel positive airway pressure (BiPAP), defibrillation, cardioversion,
external pacing, needle thoracostomy, pericardiocentesis, thoracotomy,
intraosseous intervention, marked fluid resuscitation, blood
transfusion, major bleeding control, and the use of naloxone, dopamine,
atropine, or 50% dextrose, were also determined and recorded in the
data form according to the Emergency Severity Index
(ESI).3