Abstract
Objective: The
aim of the study was to evaluate the causes of trauma, diagnostic treatment
methods and the results in the patients who were admitted to the emergency
department with pediatric thoracic and abdominal trauma.
Method: In this study, between January
2014 and December 2018, 959 patients under 18 years of age who were admitted to
emergency department due to thorax and abdominal trauma were included. Of
these, 557 (58.1%) were male, with a mean age of 9.3 years (range, 1-16 years).
Demographic characteristics, trauma patterns and mortality results of these
patients were evaluated retrospectively.
Results: 933
(97.3%) of the cases were blunt and 2 (2.7%) were penetrating traumas. Of the
trauma cases, 436 (4.5%) were falls from lower than one meter, 323 (33.7%) were
falls from higher than one meter, 174 (18.1%) were in or non vehicle traffic
accidents, 26 (2.7%) were penetrating or sharp object injuries. Mortality was
most common in men. In addition, mortality was observed in 11 (1.14%) cases
with a fall from height and then 4 (0.4%) cases in a non-vehicle traffic
accident. Abdominal organ injury was mostly in the liver, but mortality was
more frequent in spleen injuries. Thoracal, lumbar and simple rib fractures
were detected mostly in falls, and hemo and pneumothorax were detected in
non-vehicle traffic accidents.
Conclusions: Most of the thoracic and abdominal
traumas can be treated by conservative methods. Mortality and morbidity rates
can be decreased by determining the multidisciplinary approach of other system
injuries and by giving early decision of procedures.
Keywords
Emergency pediatric thoracic and abdominal traumas intra-abdominal organ injuries mortality
Supporting Institution
none
Project Number
none
Thanks
none
References
- Reference1-DiGuiseppi C, Roberts IG. Individual-level injury prevention strategies in the clinical setting. Future Child 2000; 10:53-82.2-Brook U, Boaz M. Children hospitalized for accidental injuries: Israeli experiences. Patient Education and Counseling 2003; 51: 177-82.3-Fingerhut LA, Annest JL, Baker SP, et al. Injury mortality among children and teenagers in the United States. Inj Prev 1996; 2:93-4.4 - Sieben RL, Leavitt JD, French JH. Falls as childhood accidents: an increasing urban risk. Pediatrics 1971; 47:886-92.5. Ceylan S, Acıkel CH, Dundaroz R, et al. To determine the incidence and trauma characteristics of patients admitted to the emergency department of a training hospital. Turkey Clinics J Med Sci 2002; 22:156-61.6. Wang MY, Kim KA, Griffith PM, et al. Injuries from falls in the pediatric population: an analysis of 729 cases. J Pediatr Surg 2001; 36:1528-347-Cooper A, Barlow B, DiScala C, et al. Mortality and truncal injury: The pediatric perspective. J Pediatr Surg 1994; 29:33-8.8- Dalkılıç G, Öncel M., Acar H, et al. KEAH Emergency Surgery Clinic's four-year traumacasting of diseases. Turkish Journal of Trauma and Emergency Surgery 1998; 4:17-22.9- Al-Saigh A, Fazili FM, Allam AR. Chest trauma in children: A local experience. Ann Saudi Med. 1999; 19:106-9.10- Cohen MC. Pulmonary contusion: review of the clinical entity. J Trauma 1997; 42: 973-9. 11- Grene R. Lung alterations in thoracic trauma. J Thorac Imaging 1987; 2: 1-11.12-Meller JL, Little AG, Shermeta DW. Thoracic trauma in children. Pediatrics 1984; 74:813-819.13-Çobanoğlu U., Melek M. Thorax Traumas Due to Fall in Childhood.J Clin Anal Med 2011;2(3):11-5.14- Peterson RJ, Tepas JJ III, Edwards FH, Niranjan K, Pieper P, Ceithaml EL. Pediatric and adult thoracic trauma: age-related impact on presentation and outcome. Ann Thorac Surg 1994; 58:14-8.15-Melek M., Çobanoğlu U. Childhood Chest Trauma and Hemothorax. Van Medical Journal: 2009;16 (4):147-150.16-Gaines BA. Intra-abdominal Solid Organ Injury in Children: Diagnosis and Treatment. The Journal of Trauma. 2009;67:S135–S139.17- American Academy of Pediatrics. Committee on Injury and Poison Prevention. Falls from Heights: Windows, roofs, and balconies. Pediatrics 2001;107:1188-1191.18- Committee on injury and poison prevention, American Academy of Pediatrics. Falls from heights: windows, roofs, and balconies. Pediatrics 2001;107:1188–1191.
Abstract
Project Number
none
References
- Reference1-DiGuiseppi C, Roberts IG. Individual-level injury prevention strategies in the clinical setting. Future Child 2000; 10:53-82.2-Brook U, Boaz M. Children hospitalized for accidental injuries: Israeli experiences. Patient Education and Counseling 2003; 51: 177-82.3-Fingerhut LA, Annest JL, Baker SP, et al. Injury mortality among children and teenagers in the United States. Inj Prev 1996; 2:93-4.4 - Sieben RL, Leavitt JD, French JH. Falls as childhood accidents: an increasing urban risk. Pediatrics 1971; 47:886-92.5. Ceylan S, Acıkel CH, Dundaroz R, et al. To determine the incidence and trauma characteristics of patients admitted to the emergency department of a training hospital. Turkey Clinics J Med Sci 2002; 22:156-61.6. Wang MY, Kim KA, Griffith PM, et al. Injuries from falls in the pediatric population: an analysis of 729 cases. J Pediatr Surg 2001; 36:1528-347-Cooper A, Barlow B, DiScala C, et al. Mortality and truncal injury: The pediatric perspective. J Pediatr Surg 1994; 29:33-8.8- Dalkılıç G, Öncel M., Acar H, et al. KEAH Emergency Surgery Clinic's four-year traumacasting of diseases. Turkish Journal of Trauma and Emergency Surgery 1998; 4:17-22.9- Al-Saigh A, Fazili FM, Allam AR. Chest trauma in children: A local experience. Ann Saudi Med. 1999; 19:106-9.10- Cohen MC. Pulmonary contusion: review of the clinical entity. J Trauma 1997; 42: 973-9. 11- Grene R. Lung alterations in thoracic trauma. J Thorac Imaging 1987; 2: 1-11.12-Meller JL, Little AG, Shermeta DW. Thoracic trauma in children. Pediatrics 1984; 74:813-819.13-Çobanoğlu U., Melek M. Thorax Traumas Due to Fall in Childhood.J Clin Anal Med 2011;2(3):11-5.14- Peterson RJ, Tepas JJ III, Edwards FH, Niranjan K, Pieper P, Ceithaml EL. Pediatric and adult thoracic trauma: age-related impact on presentation and outcome. Ann Thorac Surg 1994; 58:14-8.15-Melek M., Çobanoğlu U. Childhood Chest Trauma and Hemothorax. Van Medical Journal: 2009;16 (4):147-150.16-Gaines BA. Intra-abdominal Solid Organ Injury in Children: Diagnosis and Treatment. The Journal of Trauma. 2009;67:S135–S139.17- American Academy of Pediatrics. Committee on Injury and Poison Prevention. Falls from Heights: Windows, roofs, and balconies. Pediatrics 2001;107:1188-1191.18- Committee on injury and poison prevention, American Academy of Pediatrics. Falls from heights: windows, roofs, and balconies. Pediatrics 2001;107:1188–1191.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Letters to the Editor |
| Authors | |
| Project Number | none |
| Publication Date | June 30, 2019 |
| Acceptance Date | June 25, 2019 |
| Published in Issue | Year 2019 |