Blunt chest trauma in childhood

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dc.contributor.authorInan, Mustafa
dc.contributor.authorAyvaz, Suleyman
dc.contributor.authorSut, Necdet
dc.contributor.authorAksu, Burhan
dc.contributor.authorBasaran, Umit N.
dc.contributor.authorCeylan, Turan
dc.date.accessioned2024-06-12T10:54:54Z
dc.date.available2024-06-12T10:54:54Z
dc.date.issued2007
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: Although thoracic injuries are uncommon in children, their rate of morbidity and mortality is high. The aim of this study was to evaluate the clinical features of children with blunt chest injury and to investigate the predictive accuracy of their paediatric trauma scores (PTS). Methods: Between September 1996 and September 2006, children with blunt thoracic trauma were evaluated retrospectively. Clinical features and PTS of the patients were recorded. Results: There were 27 male and 17 female patients. The mean age was 7.1 +/- 3.4 years, and the mean PTS was 7.6 +/- 2.4. Nineteen cases were injuries caused by motor vehicle/pedestrian accidents, 11 motor vehicle accidents, 8 falls and 6 motor vehicle/bicycle or motorbike accidents. The following were noted: 28 pulmonary contusions, 12 pneumothoraxes, 10 haemothoraxes, 9 rib fractures, 7 haemopneumothoraxes, 5 clavicle fractures and 2 flail chests, 1 diaphragmatic rupture and 1 pneumatocele case. The cut-off value of PTS to discriminate mortality was found to be <= 4, at which point sensitivity was 75.0% and specificity was 92.5%. Twenty-seven patients were treated non-operatively, 17 were treated with a tube thoracostomy and two were treated with a thoracotomy. Four patients who suffered head and abdominal injuries died (9.09%). Conclusion: Thoracic injuries in children expose a high mortality rate as a consequence of head or abdominal injuries. PTS may be helpful to identify mortality in children with blunt chest trauma. Blunt thoracic injuries in children can be treated with a non-operative approach and a tube thoracostomy.en_US
dc.identifier.doi10.1111/j.1445-2197.2007.04186.x
dc.identifier.endpage685en_US
dc.identifier.issn1445-1433
dc.identifier.issn1445-2197
dc.identifier.issue8en_US
dc.identifier.pmid17635284en_US
dc.identifier.scopus2-s2.0-34447344886en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage682en_US
dc.identifier.urihttps://doi.org/10.1111/j.1445-2197.2007.04186.x
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19208
dc.identifier.volume77en_US
dc.identifier.wosWOS:000248043300020en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofAnz Journal Of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBlunt Thoracic Traumaen_US
dc.subjectMotor Vehicle Accidenten_US
dc.subjectPaediatric Trauma Scoreen_US
dc.subjectPulmonary Contusionen_US
dc.subjectInjury Severityen_US
dc.subjectThoracic Traumaen_US
dc.subjectScoreen_US
dc.subjectPredictoren_US
dc.titleBlunt chest trauma in childhooden_US
dc.typeArticleen_US

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