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Strangulation injuries in children. Part 1. Clinical analysis

R A Sabo1, W C Hanigan, K Flessner

  • 1Department of Neurosurgery, University of Illinois College of Medicine at Peoria 61656, USA.

The Journal of Trauma
|January 1, 1996
PubMed
Summary
This summary is machine-generated.

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Strangulation injuries in children are a significant concern, with accidental causes in younger children and intentional acts in older ones. Early resuscitation and injury severity are key to survival and recovery.

Area of Science:

  • Pediatric critical care
  • Trauma surgery
  • Childhood injury prevention

Background:

  • Strangulation is a serious cause of death and injury in children.
  • A significant percentage of strangulation deaths in Peoria County involved minors.
  • Childhood strangulation injuries present with diverse etiologies and outcomes.

Purpose of the Study:

  • To analyze the clinical characteristics, causes, and outcomes of strangulation injuries in children.
  • To identify factors influencing prognosis and potential complications.
  • To inform preventative strategies for childhood strangulation.

Main Methods:

  • Retrospective clinical review of 13 pediatric patients treated for strangulation from 1985-1994.
  • Analysis of injury causes, initial severity (Glasgow Coma Scale), diagnostic imaging (cervical roentgenograms, CT scans), interventions, and patient outcomes.

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  • Comparison with previous literature on pediatric strangulation.

    • Main Results:

    • Strangulation accounted for 7.4% of child deaths in the study period.
    • The incidence was 32 per 10,000 intensive care unit admissions, with a male predominance (5.5:1).
    • Accidental strangulation occurred in younger children, while suicide/autoerotic acts were seen in older ones; 5 children had pre-existing behavioral disorders. Pulmonary complications were frequent, but elevated intracranial pressure indicated a poor prognosis.

    Conclusions:

    • The severity of initial injury and effectiveness of resuscitation significantly determine outcomes in pediatric strangulation.
    • Pulmonary complications are common, and elevated intracranial pressure is a poor prognostic indicator, suggesting monitoring.
    • Preventative measures targeting accidental strangulation in infants and intentional strangulation in children with behavioral disorders are crucial.