South Clin Ist Euras. 2024; 35(2): 180-185 | DOI: 10.14744/scie.2024.16878

Pediatric Trauma in a Tertiary Care Center: A Comprehensive Analysis Evaluation of Trauma Cases in Pediatric Intensive Care Unit

Cansu Günerhan¹, Abdulrahman Özel², Servet Yuce³, Emrah Can⁴, Meltem Erol^1
1Department of Pediatrics, Health Sciences University Turkey, Baðcýlar Training And Research Hospital, Istanbul, Türkiye
²Department of Pediatrics, Health Sciences University Turkey, Baðcýlar Training and Research Hospital, Pediatric Intensive Care Unit, Istanbul, Türkiye
³Department of Public Health, Istanbul Faculty of Medicine, Istanbul University, Ýstanbul, Turkiye
⁴Health Sciences University, Ýstanbul Baðcýlar Training and Research Hospital, Clinic of Neonatal Intensive Care, Ýstanbul, Türkiye

INTRODUCTION: In this study, the demographic characteristics, causes of trauma, prognosis, and types of trauma of pediatric trauma patients followed in a single center over a period of three years were retrospectively examined.
METHODS: Data of pediatric patients admitted to our (single-center, 8-bed) pediatric intensive care unit due to trauma between January 2020 and January 2023 were retrospectively reviewed from computer records.
RESULTS: This study includes 122 pediatric trauma cases (37 females and 85 males) with an average age of 75±59 months admitted to intensive care with a diagnosis of trauma. The most frequently observed type of trauma was falls from a height in 68 cases (55.7%), the most affected anatomical region was the head and neck region in 75 cases (61.5%), and the most common pathology was intracranial hemorrhage in 55 cases (45.1%). Surgery was necessary for 36% of the cases, and the predominant reason for surgical intervention was observed in 22 cases (18%), primarily attributed to falls from a height. During the course of their stay in the intensive care unit, 13 cases (10.6%) experienced mortality, indicating a mortality rate of 10.6%.
DISCUSSION AND CONCLUSION: Traumas remain a significant cause of mortality and morbidity in the pediatric age group today

Keywords: Falls from a height, intracranial hemorrhage, mortality, pediatric trauma; prognosis.

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Çocuk Yoðun Bakým Ünitesindeki Pediatrik Travma Vakalarýnýn Kapsamlý Bir Analizi

Cansu Günerhan¹, Abdulrahman Özel², Servet Yuce³, Emrah Can⁴, Meltem Erol^1
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GÝRÝÞ ve AMAÇ: Bu çalýþmada, tek merkezde üç yýl boyunca takip edilen çocuk travma hastalarýnýn demografik özellikleri, travma nedenleri, prognozlarý ve travma tipleri retrospektif olarak incelenmiþtir.
YÖNTEM ve GEREÇLER: Ocak 2020 ve Ocak 2023 tarihleri arasýnda travma nedeniyle çocuk yoðun bakým ünitemize (tek merkezli, 8 yataklý) kabul edilen çocuk hastalarýn verileri bilgisayar kayýtlarýndan retrospektif olarak incelendi.
BULGULAR: Bu çalýþma, travma tanýsý ile yoðun bakýma kabul edilen yaþ ortalamasý 75±59 ay olan 122 çocuk travma olgusunu (37 kýz ve 85 erkek) içermektedir. En sýk gözlenen travma tipi 68 olguda (%55.7) yüksekten düþme, en sýk etkilenen anatomik bölge 75 olguda (%61.5) baþ ve boyun bölgesi ve en sýk görülen patoloji 55 olguda (%45.1) intrakraniyal hemorajiydi. Olgularýn %36’sýnda cerrahi müdahale gerekmiþtir ve 22 olguda (%18) cerrahi müdahalenin en önemli nedeni yüksekten düþme olarak görülmüþtür. Yoðun bakým ünitesinde 13 hasta (%10.6) exitus olmuþtur, bu da %10.6’lýk bir mortalite oranýna iþaret etmektedir.
TARTIÞMA ve SONUÇ: Travmalar, günümüzde pediatrik yaþ grubunda önemli bir mortalite ve morbidite nedeni olmaya devam etmektedir.

Anahtar Kelimeler: Mortalite, pediatrik travma, prognoz, yüksekten düþme.

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