Comparison of pre-PICU and per-PICU interventions, clinical features and neurologic outcomes of motor vehicle collision trauma and other mechanisms of trauma in children
BACKGROUND: Motor vehicle collisions (MVCs) are the number one cause of death in the pediatric age group. The aim of this study was to determine the differences between MVCs and other trauma mechanisms (OTMs) in patients who were followed up at a pediatric intensive care unit (PICU).
METHODS: Data were retrospectively collected for pediatric trauma patients hospitalized at a third level PICU between 2014 and 2018. Patients have been divided into two groups as MVC and OTM. Demographic data, pre-PICU interventions (cardiopulmonary resuscitation, intubation, injury severity scores, time period before intensive care), intensive care interventions (invasive mechanical ventilation, non-invasive mechanical ventilation, need for surgery, type of surgery, need for transfusion, and inotrope therapy) were compared between two groups. Outcomes were evaluated by survival, discharge from hospital, Pediatric Cerebral Performance Cate-gory (PCPC) at discharge, tracheotomy presence, and amputation performed.
RESULTS: During the 5-year study period, 135 patients were hospitalized for trauma. The injured body regions were the head and neck (61.5%), abdomen and lumbar spine (39.4%), and extremities and pelvis (36.3%). Multiple trauma was mostly seen in the MVC trauma group (p=0.001). The need for invasive mechanical ventilation and inotrope therapy was greater in the MVC group (p=0.002, 0.001 respectively). One hundred and twenty-three patients (91.1%) survived. The mortality rate was higher in the MVC group (p=0.026). The PCPC results were better in the OTM group (p=0.017).
CONCLUSION: MVCs lead to more multiple trauma cases than OTMs. Invasive mechanical ventilation, inotropes, and other inten-sive care interventions were necessary much more often in MVC victims than in OTM patients.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:28 |
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| Enthalten in: |
Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES - 28(2022), 4 vom: 01. Apr., Seite 456-463 |
| Sprache: |
Englisch |
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| Weiterer Titel: |
Çocuklarda motorlu araç çarpışma travması ve diğer travma mekanizmalarının çocuk yoğun bakım öncesi ve çocuk yoğun bakım kabulünde uygulanan müdahaleler, klinik özellikler ve nörolojik sonuçların karşılaştırılması |
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| Beteiligte Personen: |
Özcan, Serhan [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 02.05.2022 Date Revised 03.10.2023 published: Print Citation Status MEDLINE |
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| doi: |
10.14744/tjtes.2022.86617 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM340143533 |
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| 100 | 1 | |a Özcan, Serhan |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Comparison of pre-PICU and per-PICU interventions, clinical features and neurologic outcomes of motor vehicle collision trauma and other mechanisms of trauma in children |
| 246 | 3 | 3 | |a Çocuklarda motorlu araç çarpışma travması ve diğer travma mekanizmalarının çocuk yoğun bakım öncesi ve çocuk yoğun bakım kabulünde uygulanan müdahaleler, klinik özellikler ve nörolojik sonuçların karşılaştırılması |
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| 500 | |a Date Revised 03.10.2023 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Motor vehicle collisions (MVCs) are the number one cause of death in the pediatric age group. The aim of this study was to determine the differences between MVCs and other trauma mechanisms (OTMs) in patients who were followed up at a pediatric intensive care unit (PICU) | ||
| 520 | |a METHODS: Data were retrospectively collected for pediatric trauma patients hospitalized at a third level PICU between 2014 and 2018. Patients have been divided into two groups as MVC and OTM. Demographic data, pre-PICU interventions (cardiopulmonary resuscitation, intubation, injury severity scores, time period before intensive care), intensive care interventions (invasive mechanical ventilation, non-invasive mechanical ventilation, need for surgery, type of surgery, need for transfusion, and inotrope therapy) were compared between two groups. Outcomes were evaluated by survival, discharge from hospital, Pediatric Cerebral Performance Cate-gory (PCPC) at discharge, tracheotomy presence, and amputation performed | ||
| 520 | |a RESULTS: During the 5-year study period, 135 patients were hospitalized for trauma. The injured body regions were the head and neck (61.5%), abdomen and lumbar spine (39.4%), and extremities and pelvis (36.3%). Multiple trauma was mostly seen in the MVC trauma group (p=0.001). The need for invasive mechanical ventilation and inotrope therapy was greater in the MVC group (p=0.002, 0.001 respectively). One hundred and twenty-three patients (91.1%) survived. The mortality rate was higher in the MVC group (p=0.026). The PCPC results were better in the OTM group (p=0.017) | ||
| 520 | |a CONCLUSION: MVCs lead to more multiple trauma cases than OTMs. Invasive mechanical ventilation, inotropes, and other inten-sive care interventions were necessary much more often in MVC victims than in OTM patients | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Akyüzlüer Güneş, Merve Setenay |e verfasserin |4 aut | |
| 700 | 1 | |a Havan, Merve |e verfasserin |4 aut | |
| 700 | 1 | |a Perk, Oktay |e verfasserin |4 aut | |
| 700 | 1 | |a Azapağası, Ebru |e verfasserin |4 aut | |
| 700 | 1 | |a Gün, Emrah |e verfasserin |4 aut | |
| 700 | 1 | |a Botan, Edin |e verfasserin |4 aut | |
| 700 | 1 | |a Ergun, Ergun |e verfasserin |4 aut | |
| 700 | 1 | |a Ateş, Ufuk |e verfasserin |4 aut | |
| 700 | 1 | |a Kahiloğulları, Gökmen |e verfasserin |4 aut | |
| 700 | 1 | |a Kendirli, Tanıl |e verfasserin |4 aut | |
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