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Mortality due to trauma in childhood
U Zorludemir1, Y Ergören, S Yücesan
1Department of Pediatric Surgery, Cukurova University, Faculty of Medicine, Adana, Turkey.
Insights
This study analyzed pediatric trauma mortality in 390 children. Early admission, additional organ injuries, and high Modified Injury Severity Scale (MISS) scores significantly increase mortality risk in children with abdominal or thoracic trauma.
Area of Science:
- Pediatric Trauma Surgery
- Emergency Medicine
- Clinical Outcomes Research
Background:
- Pediatric trauma, encompassing abdominal and/or thoracic injuries, presents a significant clinical challenge.
- Understanding factors influencing mortality is crucial for improving patient outcomes.
Purpose of the Study:
- To retrospectively investigate mortality rates and associated risk factors in a cohort of pediatric trauma patients.
- To identify specific clinical parameters linked to increased mortality in children with abdominal and/or thoracic trauma.
Main Methods:
- Retrospective analysis of 390 children with abdominal and/or thoracic trauma.
- Evaluation of age groups, admission time, additional system injuries, and mortality rates.
- Utilized the Modified Injury Severity Scale (MISS) to assess trauma severity.
Main Results:
- The overall mean mortality rate was 7.9%.
- Mortality rates were 6.7% for thoracic, 7.5% for abdominal, and 14.7% for combined trauma.
- Early admission, additional organ injuries, and MISS scores > 25 were identified as significant risk factors for mortality.
Conclusions:
- Early admission and the presence of additional organ injuries are critical indicators of increased mortality risk in pediatric trauma.
- A Modified Injury Severity Scale (MISS) score greater than 25 is associated with a substantially higher risk of death.
- Preschool-aged children did not exhibit a different mortality rate compared to other age groups in this cohort.
Abstract:
Mortality rates and factors affecting the mortality rates were studied retrospectively in 390 children with abdominal and/or thoracic trauma. Age groups, admission time, additional system injuries, and mortality rate were used as parameters. The severity of trauma injury was evaluated according to the Modified Injury Severity Scale. The mean mortality rate in all the groups was 7.9%. The rate was 6.7% for thoracic, 7.5% for abdominal, and 14.7% for combined trauma. This study demonstrates that early admitted children, children with additional organ injuries, and MISS scores greater than 25 have much more risk of mortality, and the mortality rate in preschool children is not different from the other groups.