Abstract
Injuries related to everyday accidents are very common in children and are the main reasons for hospitalization in pediatric surgery. They have similarities with neglect. The main objective is to assess the frequency and circumstances of the occurrence of unintentional accidents in children under 6 years old. The secondary objective is to specify the associated factors and eventually determine if those accidents can be related to neglect. Material and methods: This is a cross-sectional study carried out at Pediatric Surgical Emergencies Department of Rabat Children's Hospital in 2017. Results: We identified 363 cases of unintentional accidents. The variables were collected on questionnaire. 155 children were aged 6 and under. The median age was 2, 83 years with a predominance of boys (56%). Children over 2 years old were the most affected (55.48%). Low and middle-income families dominated socio-demographic factors. The mothers in almost half of the cases never went to school. In 65.4% of cases, an adult was present during the accident, often the mother (62%). The lesions involved the limbs (64%) and the head (47%). Hospitalization was 24 hours (60.8%). There was no complication in 96.8% of cases. Some risk factors associated with unintentional accidents are also found in negligence.
Highlights
Unintentional accidents include road traffic accidents, work accidents and “everyday accidents”
1.1 What are the characteristics and risk factors associated with everyday accidents in children under 6?
In 77.9% of the cases, those accidents were domestic. When it came to extra-domestic accidents, it happened in play areas
Summary
Unintentional accidents include road traffic accidents, work accidents and “everyday accidents”. Those “everyday accidents” are defined as accidents occurring in or near the home, during sport or at recreation areas, and at school. In France, unintentional injuries cause around 40,000 deaths each year, including 21,000 deaths from everyday accidents and several million emergency calls [2]. In Tunisia, domestic accidents alone represent 3.25% of the hospital incidence of the Tunis Children's Hospital with predominance among children less than 3 years old [12]. Those accidents may occur because of maltreatment or neglect.
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