Evaluation and Management of Pediatric Major Trauma

Cantor, Richard M.; Leaming, James M.

doi:10.1016/s0733-8627(05)70357-6

Cited by 45 publications

(14 citation statements)

References 43 publications

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“…A number of scoring systems have been developed to facilitate consistent trauma triage, severity evaluation, management and prognostication [ 37 ]. Paediatric Trauma Score (PTS) is one of trauma scores designed to accurately assess injury severity and extent of injury, aid with the prediction of survival and subsequent morbidity [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Paediatric injuries at Bugando Medical Centre in Northwestern Tanzania: a prospective review of 150 cases

Raymond

Gilyoma

Dass

et al. 2013

J Trauma Manage Outcomes

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BackgroundInjuries continue to be the leading cause of death and disability for children. The is a paucity of published data on paediatric injuries in our local environment. This study describes the etiological spectrum, injury characteristics and treatment outcome of paediatric injuries in our local setting and provides baseline data for establishment of prevention strategies as well as treatment guidelines.MethodsThis was a descriptive cross-sectional study involving paediatric injury patients admitted to Bugando Medical Centre from August 2011 to April 2012. Statistical data analysis was done using SPSS version 17.0 and STATA version 12.0.ResultsA total of 150 patients were studied. The age of patients ranged from 1 month to 10 years with a median age of 5 years. The male to female ratio was 2.3:1. Road traffic accident was the most common cause of injury (39.3%) and motorcycle (71.2%) was responsible for the majority of road traffic accidents. Only 11 (7.3%) patients received pre-hospital care. The head /neck (32.7%) and musculoskeletal (28.0%) were the most frequent body region injured. Open wounds (51.4%), foreign bodies (31.3%) and fractures (17.3%) were the most common type of injuries sustained. The majority of patients 84 (56.0%) were treated surgically. Complication rate was 3.9%. The mean duration of hospitalization was 9.7 ± 13.1 days. Mortality rate was 12.7%. Age of the patient (< 5 years), late presentation and presence of complications were the main predictors of length of hospital stay (P < 0.001), whereas burn injuries, severe head injuries and severity of injury (Paediatric trauma score = 0–5) significantly predicted mortality (P < 0.0001).ConclusionPaediatric injuries resulting from road traffic accidents (RTAs) remain a major public health problem in this part of Tanzania. Urgent preventive measures targeting at reducing the occurrence of RTAs is necessary to reduce the incidence of paediatric injuries in this region.

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Section: Discussionmentioning

confidence: 99%

Paediatric injuries at Bugando Medical Centre in Northwestern Tanzania: a prospective review of 150 cases

Raymond

Gilyoma

Dass

et al. 2013

J Trauma Manage Outcomes

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“…Although brain and thoracic injuries are the most common causes of death and disability, abdominal trauma is the most common cause of initially unrecognized fatal injury in the pediatric population. 1 Abdominal injuries are reportedly present in approximately 30% of pediatric patients with blunt trauma and account for approximately 10% of the trauma-related deaths. 2,3 For these reasons, the identification of life-threatening abdominal injuries continues to be of paramount importance.…”

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confidence: 99%

“…The primary goals of this study were twofold: (1) to describe the injuries noted on abdominal CTs obtained during the diagnostic evaluation and management of children requiring emergent intubation secondary to blunt trauma; and (2) to derive a set of predictors of significant abdominal injuries in this population.…”

mentioning

confidence: 99%

Rate and Prediction of Traumatic Injuries Detected by Abdominal Computed Tomography Scan in Intubated Children

Flood

Mooney

2006

The Journal of Trauma: Injury, Infection, and Critical Care

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“…The difficulty in making the diagnosis is compounded by the considerable physiological reserve of children, compared to adults, that can mask a severe injury. 7,15 …”

Section: Discussionmentioning

confidence: 99%