Author Of 1 Presentation

 CONFERENCE CALENDAR

SEVERE PEDIATRIC TRAUMA: CHARACTERISTICS AND OUTCOMES

Presenter
Authors
Room
Mozart Hall 2
Date
20.06.2019
Session Time
09:10 - 10:40
Session Name
APLS: a dynamic dogma?
Duration
10 Minutes

Abstract

Background

Injury is the leading cause of morbidity and mortality among children older than 1 year. Each year, approximately 950,000 children and teenagers die as a result of injury around the world. Moreover, for every child who dies from an injury, 10 others acquire disabilities each year. Hence, pediatric trauma is still one of the biggest threats of the health of children [1].

Objectives

To evaluate epidemiology, type and mechanics of injury and its outcomes and compare data in different age groups.

Methods

Retrospective study was performed in Jan 2010-Dec 2017. Criteria for patient’s enrollment: all children <18 years; trauma <48 hours prior hospitalization; NISS≥9.

Results

Out of 878 patients 585(66.6%) were boys. Mean age-8.7 years. Division according age groups: 19.5% in<3 years group, 34.4% in 3–9 years, 25.3% in 10–14 years and 20.8% in ≥15 years. 82.1% experienced blunt trauma, 9.2%-thermal. Mainly children experienced trauma due to fall(39.2%), traffic accidents(29.8%), chemical/thermal burns(11.1%). Children <3 years old–mostly experienced thermal/chemical burns(39.2%) and falls(33.9%). Children ≥15 years most commonly suffered due to traffic accidents(41%). 73.2% children fully recovered, moderate disability was acquired by 19.9%, severe–4.6%, vegetative state–0.5% and 1.8% died.

Conclusion

Boys were injured more frequently. Blunt trauma was the most common in all age groups. Most frequent injuries in children were due to fall, traffic accidents and thermal/chemical burns. Youngest children usually suffered from burns or fall, while the oldest–from traffic accidents. Most of the children fully recovered, however, almost 25% of all severely injured children acquired moderate/severe disability.

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