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Penetrating thoracic trauma in a pediatric population
M Reinhorn1, H L Kaufman, E F Hirsch
1Boston City Hospital, Boston University Medical Center, Massachusetts, USA.
The Annals of Thoracic Surgery
|May 1, 1996
Summary
Penetrating chest trauma in children is rising. High Injury Severity Score and low pH predict worse outcomes, indicating a need for specialized trauma care. Autotransfusion may aid treatment.
Area of Science:
- Pediatric Trauma Surgery
- Thoracic Injury Management
- Emergency Medicine
Background:
- Pediatric penetrating thoracic trauma is a growing concern.
- Understanding this patient demographic is crucial for effective care.
- Identifying prognostic factors aids in managing these critical cases.
Purpose of the Study:
- To describe the pediatric population with penetrating thoracic trauma.
- To identify prognostic factors influencing patient outcomes.
- To inform management strategies for these injuries.
Main Methods:
- Retrospective chart and trauma registry review.
- Analysis of 65 patients aged 18 years or younger.
- Inclusion criteria: admission for penetrating thoracic trauma.
Main Results:
- Adolescent males comprised the majority of patients.
- Injury Severity Score > 25 and corrected admission pH < 7.3 correlated with increased mortality and surgical intervention.
- Isolated thoracic injuries had a high mortality rate.
Conclusions:
- Injury Severity Score and corrected admission pH are independent predictors of mortality and operative need in pediatric penetrating chest injuries.
- Penetrating thoracic wounds require focused trauma team attention.
- Autotransfusion shows potential benefit in pediatric trauma patients.
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