{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T11:53:15Z","timestamp":1765885995461},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2015,7,27]],"date-time":"2015-07-27T00:00:00Z","timestamp":1437955200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CJEM"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S148180351500069X_abs1\" sec-type=\"objectives\"><jats:title>Objectives<\/jats:title><jats:p>A small proportion of pediatric sport- and recreation-related injuries are serious enough to be considered \u201cmajor trauma.\u201d However, the immediate and long-term consequences in cases of pediatric major trauma are significant and potentially life-threatening. The objective of this study was to describe the incidence and outcomes of pediatric major traumas related to sport and recreational activities in Nova Scotia.<\/jats:p><\/jats:sec><jats:sec id=\"S148180351500069X_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>This study was a retrospective case series. Data on major pediatric traumas related to sport and recreational activities on a provincial scope were extracted from the Nova Scotia Trauma Program Registry between 2000 and 2013. We evaluated frequency, type, severity, and outcomes of major traumas. Outcomes assessed included length of hospital stay, admission to a special care unit (SCU), and mortality.<\/jats:p><\/jats:sec><jats:sec id=\"S148180351500069X_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Overall, 107 children aged three to 18 years sustained a major trauma (mean age 12.5 [SD 3.8]; 84% male). Most injuries were blunt traumas (97%). The greatest proportion were from cycling (59, 53%), followed by hockey (8, 7%), skateboarding (7, 7%) and skiing (7, 7%). The Nova Scotia Pediatric Trauma Team was activated in 27% of cases. Mean in-hospital length of stay was five days (SD 5.6), and nearly half (49%) of patients required SCU admission. Severe traumatic brain injury occurred in 52% of cases, and mortality in five cases.<\/jats:p><\/jats:sec><jats:sec id=\"S148180351500069X_abs4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>Over a 13-year period, the highest incidence of pediatric major trauma related to sport and recreational activities was from cycling, followed by hockey. Severe traumatic brain injury occurred in over half of pediatric major trauma patients.<\/jats:p><\/jats:sec>","DOI":"10.1017\/cem.2015.69","type":"journal-article","created":{"date-parts":[[2015,7,27]],"date-time":"2015-07-27T04:13:18Z","timestamp":1437970398000},"page":"106-111","source":"Crossref","is-referenced-by-count":6,"title":["A Retrospective Evaluation of Pediatric Major Trauma Related to Sport and Recreational Activities in Nova Scotia"],"prefix":"10.1007","volume":"18","author":[{"given":"Robert S.","family":"Green","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael B.","family":"Butler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nelofar","family":"Kureshi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mete","family":"Erdogan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2015,7,27]]},"reference":[{"key":"S148180351500069X_ref15","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e3182037c9a"},{"key":"S148180351500069X_ref5","doi-asserted-by":"publisher","DOI":"10.1017\/S1481803500014263"},{"key":"S148180351500069X_ref22","volume-title":"Cycling Injury Hospitalizations in Canada, 2009\u20132010","year":"2011"},{"key":"S148180351500069X_ref6","doi-asserted-by":"publisher","DOI":"10.1186\/2052-1847-5-30"},{"key":"S148180351500069X_ref9","doi-asserted-by":"publisher","DOI":"10.1080\/17457300701440659"},{"key":"S148180351500069X_ref4","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0b013e3283350f32"},{"key":"S148180351500069X_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2007.12.041"},{"key":"#cr-split#-S148180351500069X_ref10.1","unstructured":"1. Nova Scotia Trauma Program. 2014, Trauma registry report on injury in Nova Scotia. Halifax: Nova Scotia Trauma Program"},{"key":"#cr-split#-S148180351500069X_ref10.2","unstructured":"2. 2014. Available at: http:\/\/www.cdha.nshealth.ca\/system\/files\/sites\/139\/documents\/trauma-registry-report-injury-nova-scotia.pdf (accessed 10 December 2014)."},{"key":"S148180351500069X_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2013.11.081"},{"key":"S148180351500069X_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199011000-00008"},{"key":"S148180351500069X_ref1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000000180"},{"key":"S148180351500069X_ref21","first-page":"8","article-title":"A 4-year review of severe pediatric trauma in eastern Ontario: a descriptive analysis","volume":"52","author":"Osmond","year":"2002","journal-title":"J Trauma"},{"key":"S148180351500069X_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2014.02.016"},{"key":"S148180351500069X_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(99)90121-3"},{"key":"S148180351500069X_ref12","volume-title":"CANSIM Table 051-0001: Estimates of population, by age group and sex for July 1, Canada, provinces and territories, annual","year":"1971"},{"key":"S148180351500069X_ref11","unstructured":"Canadian Institute for Health Information. Ontario trauma registry comprehensive data set data dictionary, May 2014. Ottawa: Canadian Institute for Health Information;2014. Available at: http:\/\/www.cihi.ca\/CIHI-ext-portal\/pdf\/internet\/SERVICES_OTR_CDS_DICT_EN (accessed 8 December 2014)."},{"key":"S148180351500069X_ref20","first-page":"1001","article-title":"Serious sports injuries requiring hospitalization seen in a pediatric emergency department","volume":"147","author":"Davis","year":"1993","journal-title":"Am J Dis Child"},{"key":"S148180351500069X_ref13","volume-title":"IBM SPSS Statistics for Windows, Version 21.0"},{"key":"S148180351500069X_ref2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197403000-00001"},{"key":"S148180351500069X_ref7","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/16.4.217"},{"key":"S148180351500069X_ref8","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0058868"},{"key":"S148180351500069X_ref14","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-3628"},{"key":"S148180351500069X_ref16","doi-asserted-by":"publisher","DOI":"10.1097\/00006565-199712000-00004"}],"container-title":["CJEM"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S148180351500069X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,31]],"date-time":"2020-12-31T23:38:18Z","timestamp":1609457898000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S148180351500069X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7,27]]},"references-count":24,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,3]]}},"alternative-id":["S148180351500069X"],"URL":"https:\/\/doi.org\/10.1017\/cem.2015.69","relation":{},"ISSN":["1481-8035","1481-8043"],"issn-type":[{"value":"1481-8035","type":"print"},{"value":"1481-8043","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,7,27]]}}}