Mechanisms, patterns and outcomes of paediatric polytrauma in a UK major trauma centre

Abstract

Introduction Paediatric trauma is a significant burden to healthcare worldwide and accounts for a large proportion of deaths in the UK. Methods This retrospective study examined the epidemiological data from a major trauma centre in the UK between January 2012 and December 2014, reviewing all cases of moderate to severe trauma in children. Patients were included if aged ≤16 years and if they had an abbreviated injury scale score of ≥2 in one or more body region. Results A total of 213 patients were included in the study, with a mean age of 7.8 years (standard deviation [SD]: 5.2 years). The most common cause of injury was vehicle related incidents (46%). The median length of hospital stay was 5 days (interquartile range [IQR]: 4-10 days). Approximately half (52%) of the patients had to stay in the intensive care unit, for a median of 1 day (IQR: 0-2 days). The mortality rate was 6.6%. The mean injury severity score was 19 (SD: 10). Pearson's correlation coefficient showed a positive correlation for injury severity score with length of stay in hospital (p<0.001). Conclusions There is significant variation in mechanism of injury, severity and pattern of paediatric trauma across age groups. A multidisciplinary team approach is imperative, and patients should be managed in specialist centres to optimise their care and eventual functional recovery. Head injury remained the most common, with significant mortality in all age groups. Rib fractures and pelvic fractures should be considered a marker for the severity of injury, and should alert doctors to look for other associated injuries.

Study of Pediatric Injuries: Patterns and Outcome

“…This can be explained in context that most of Saudi people start to drive car at this age. This study in agreement with Elisabeth et al, (8) Gohar Naqvi et al, (20) study, which reported the same thing. Around 16.7% of this study participants did require hospital treatment which means that the injury was trivial.…”

“…This is can be explained by the uncommon pedestrian trauma in Saudi Arabia in general and most of RTAs are victims in our study either were drivers or passengers. This in agreement with Sharma et al, (17) Hyder et al, (19) This against Kundal, et al, (5) Gohar Naqvi et al, (20) study in which the most cases of trauma were caused by RTA. The involvement of male and female children is more or less equal in both RTA and fall in our study.…”

Study of the characteristics and burden of pediatric trauma in low resource settings.

“…The study conducted by G Naqvi et al 2017, revealed highest proportion of pediatric trauma admissions in the third quarter of the year. 19 One previously published study reported increased frequency of pediatric trauma admissions in spring and summer months. 20 Due to the biological, behavioral, social and cultural factors, males are more prone to be involved in injuries.…”

Multiple Trauma Structuring in Children With Estimation According to Iss System and Concentrations of S100b Protein Markers and Cystatin C

“…Именно потому лечение политравмы сопряжено с большими трудностями [1,2]. Однако, большие сложности возникают при оказании помощи детям с политравмой не только на догоспитальном этапе, но и в период стационарного лечения травматиче-ского шока [3,4]. В то же время объективно анализировать патологические процессы без классификации -задача, чаще всего, нереальная, поскольку классификация любой болезни и, тем более -травматической, предполагает оценку, как минимум, по тяжести и динамике развития.…”