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[Diagnostic value of pediatric trauma score in blunt abdominal injuries]
Mustafa Inan1, Turan Ceylan, Süleyman Ayvaz
1Trakya University, Faculty of Medicine, Department of Pediatric Surgery, Edirne, Turkey. mustafainan@trakya.edu.tr
Insights
The pediatric trauma score (PTS) has low sensitivity and specificity for assessing blunt abdominal trauma in children. This score may not be a reliable tool for initial injury assessment and triage in these cases.
Area of Science:
- Pediatric Surgery
- Trauma Management
- Injury Assessment
Background:
- Pediatric Trauma Score (PTS) is utilized for initial injury severity assessment and triage of pediatric patients.
- Blunt abdominal trauma in children requires accurate and timely evaluation for optimal outcomes.
Purpose of the Study:
- To investigate the prognostic value of the Pediatric Trauma Score (PTS) in children with blunt abdominal trauma.
- To determine the effectiveness of PTS in predicting outcomes for pediatric blunt abdominal trauma.
Main Methods:
- Retrospective analysis of 75 children with blunt abdominal trauma treated between 1997 and 2003.
- Correlation of individual morbidity and mortality with PTS, using Mann Whitney U test and ROC curve analysis.
Main Results:
- Forty-two abdominal organ injuries were identified among the 75 patients.
- PTS scores differed significantly between patients with and without abdominal injuries (p<0.05).
- Receiver Operating Characteristic (ROC) curve analysis showed a sensitivity of 74% and specificity of 12% for PTS scores of 8.
Conclusions:
- The Pediatric Trauma Score (PTS) demonstrates low sensitivity and specificity for blunt abdominal trauma in the pediatric population.
- PTS may not be a sufficiently accurate tool for the triage and prognostic assessment of children with blunt abdominal trauma.
Background:
It was reported that pediatric trauma score (PTS) is an important tool for the initial assessment of injury severity and could help in the triage of injured children as well. The aim of this study is to investigate the prognostic value of PTS in blunt abdominal traumas.
Methods:
Between 1997 and 2003, children with blunt abdominal trauma who treated in the Department of Pediatric Surgery, Trakya University Medical Faculty were evaluated with retrospective analysis. PTS was designated for each case. Individual morbidity and mortality were correlated with PTS. Data analysis were performed with Mann Whitney U test and ROC curve statistically.
Results:
Seventy five patients were included in this study. The mean age of children was 7.5+/-4.2 years (10 months-15 years). Mechanisms of injury were as follows: automobile versus pedestrian 30, falls 18, motor vehicle crashes 14, bicycle accidents 7 and others 6. Forty two abdominal organ injuries were found.. PTS of the patients who had abdominal injuries were different statistically from others (p<0.05). On the ROC curve sensitivity and specificity were found as %74 and %12 respectively in those with PTS scores of 8.
Conclusion:
PTS was found to be of low sensitivity and specificity for blunt abdominal trauma patients.
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