Risk of Pneumonia in Pediatric Patients Following Minor Chest Trauma: A Population-Based Retrospective Cohort Study

Ying-Hsiang Chou, Li-Hsiu Tai, Chi-Ho Chan, Haw-Yu Liu, Han-Wei Yeh, Yu-Hsun Wang, Chiao-Wen Lin, Shun-Fa Yang, Ying-Cheng Chen and Chao-Bin Yeh
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Ying-Hsiang Chou: Department of Radiation Oncology, Chung Shan Medical University Hospital, Taichung 402, Taiwan
Li-Hsiu Tai: Department of Emergency Medicine, School of Medicine, Chung Shan Medical University, Taichung 402, Taiwan
Chi-Ho Chan: Department of Microbiology and Immunology, Chung Shan Medical University, Taichung 402, Taiwan
Haw-Yu Liu: Department of Emergency Medicine, School of Medicine, Chung Shan Medical University, Taichung 402, Taiwan
Han-Wei Yeh: School of Medicine, Chang Gung University, Taoyuan 333, Taiwan
Yu-Hsun Wang: Department of Medical Research, Chung Shan Medical University Hospital, Taichung 402, Taiwan
Chiao-Wen Lin: Institute of Oral Sciences, Chung Shan Medical University, Taichung 402, Taiwan
Shun-Fa Yang: Department of Medical Research, Chung Shan Medical University Hospital, Taichung 402, Taiwan
Ying-Cheng Chen: Institute of Medicine, Chung Shan Medical University, Taichung 402, Taiwan
Chao-Bin Yeh: Department of Emergency Medicine, School of Medicine, Chung Shan Medical University, Taichung 402, Taiwan

IJERPH, 2021, vol. 18, issue 9, 1-10

Abstract: This study investigated the association between minor chest trauma and the risk of pneumonia among pediatric patients in a Taiwanese health care setting. For this retrospective population-based cohort study, the Longitudinal Health Insurance Database was used to analyze the data of patients with a minor chest injury between 2010 and 2012. Data were analyzed through a multivariate analysis with a multiple Cox regression model. Patients were divided into a chest trauma group ( n = 6592) and a non-chest trauma group ( n = 882,623). An increased risk of pneumonia was observed in the chest trauma group (hazard ratio = 1.23; 95% confidence interval = 1.02–1.49) compared to the non-chest trauma group. In conclusion, this population-based cohort study demonstrated that pediatric patients with minor chest trauma are at an increased risk of pneumonia. The short-term adverse effects of pneumonia could be severe when a patient suffers from mild chest trauma.

Keywords: minor chest trauma; pediatric patients; pneumonia (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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