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Chest trauma in children: A local experience
A Al-Saigh1, F M Fazili, A R Allam
1Department of Surgery, King Khalid University Hospital, Riyadh, and Thoracic Unit, King Fahad Hospital, Medina, Saudi Arabia.
Annals of Saudi Medicine
|March 6, 2007
Summary
Pediatric chest trauma is uncommon, with road traffic accidents being a major cause. Most children with chest trauma, even with head injuries, can be treated non-surgically.
Area of Science:
- Pediatric Trauma Surgery
- Thoracic Injuries
- Emergency Medicine
Background:
- Childhood chest trauma is infrequent and underreported.
- This study details clinical experience with pediatric chest trauma.
Purpose of the Study:
- To analyze the characteristics, management, and outcomes of pediatric chest trauma.
- To identify common causes and associated injuries in children with chest trauma.
Main Methods:
- Retrospective analysis of 74 children with chest trauma over two years.
- Data collected included age, injury cause, severity, associated injuries, treatment, and outcomes.
Main Results:
- Median age was nine years; 80% had blunt trauma, 20% penetrating.
- Road traffic accidents caused 62% of injuries; head injury was most common associated trauma (19%).
- Conservative management was successful in 51%; 37% required tube thoracostomy.
Conclusions:
- Road traffic accidents are a significant cause of pediatric chest trauma in Saudi Arabia.
- Head injury is the most frequent associated extrathoracic injury.
- Most pediatric chest trauma cases can be managed conservatively.
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