The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study

ANIL, Murat; ANIL, Ayşe Berna; CAN, Fulya Kamit; BICILIOGLU, YÜKSEL; Gokalp, Gamze; Saritas, Serdar

The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study

Murat ANIL, (İzmir Tepecik Eğitim ve Araştırma Hastanesi, Çocuk Acil Kliniği, İzmir, Türkiye)

Serdar SARITAŞ, (İzmir Tepecik Eğitim ve Araştırma Hastanesi, Çocuk Acil Kliniği, İzmir, Türkiye)

Yüksel BICILIOĞLU, (İzmir Tepecik Eğitim ve Araştırma Hastanesi, Çocuk Acil Kliniği, İzmir, Türkiye)

Gamze GÖKALP, (İzmir Tepecik Eğitim ve Araştırma Hastanesi, Çocuk Acil Kliniği, İzmir, Türkiye)

Fulya Kamit CAN, (Tepecik Eğitim ve Araştırma Hastanesi, Pediatrik Yoğun Bakım Kliniği, İzmir, Türkiye)

Ayşe Berna ANIL (İzmir Katip Çelebi Üniversitesi, Tıp Fakültesi, Çocuk Yoğun Bakım Bilim Dalı, İzmir, Türkiye)

Çocuk Acil ve Yoğun Bakım Dergisi

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Yıl: 2017 Cilt: 4 Sayı: 1 Sayfa Aralığı: 1 - 7 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study

Öz:

Amaç: Çalışmanın amacı, üst düzey bir çocuk acil servisine künt yüksek enerjili travma nedeniyle başvuran çocuklardaki ciddi travmayı öngörmede, Pediyatrik Travma Skoru'nun (PTS) etkin olup olmadığının araştırılmasıdır.Yöntemler: Akut künt yüksek enerjili travma nedeniyle Tepecik Eğitim ve Araştırma Hastanesi'ne başvuran 15 yaşından küçük çocuklar ileriye yönelik olarak incelendi. PTS yaralı acil servise geldiği anda hesaplandı. Hastalar iki gruba ayrıldı: PTS <=8 (ciddi travma) ve PTS >8 (ciddi olmayan travma).Bulgular: İki yüz on üç çocuk (ortalama yaş: 6,1±3,9 yıl; en küçük: 10 gün - en büyük: 15 yıl) çalışmaya alındı. Acil serviste koagülasyon testi ve toraks tomografisi sıklığı, acil serviste kritik girişim ve tedavi gereksinimi, hastaneye yatış oranı, yoğun bakım gereksinimi, mekanik ventilatör gereksinimi, ameliyat, kan transfüzyonu, ölüm sıklığı PTS <=8 grubunda daha fazlaydı (p<0,05). PTS <=8'in duyarlılığı %56,2; özgüllüğü %90,8 (AUROC: 0,682; %95 CI: 0,610-0,755) olarak hesaplandı. PTS hastanede yatış süresi (r=-0,493; p<0,001) ve acil serviste izlenme süresi (r=-0,442; p<0,01) ile anlamlı korelasyon göstermekteydi.Sonuç: Künt yüksek enerjili travmadan etkilenmiş çocuklarda, üst düzey bir acil servise başvuru sırasında ölçülen PTS, kritik girişim ve tedavi ihtiyacını ve mortaliteyi öngörmede iyi bir belirteçtir. Fakat hastaneye yatışı öngörmedeki etkinliği orta düzeydedir.

Anahtar Kelime:

Konular: Acil Tıp Pediatri

Pediyatrik Travma Skorunun Çocuk Acil Servisindeki Performansı: İleriye Yönelik Bir Çalışma

Öz:

Introduction: The aim of this study was to assess the efficacy of the Pediatric Trauma Score (PTS) in predicting significant trauma in patients presenting with blunt trauma to a high-level pediatric emergency department.Methods: Patients younger than 15 years of age presenting to the pediatric emergency department of the Tepecik Training and Research Hospital with acute high-energy blunt trauma were analyzed prospectively. The PTS was calculated on arrival at the pediatric emergency department. The patients were classified into two groups as follows: patients with a PTS of <=8 comprised the significant trauma group, while patients with a PTS of >8 made up the non- significant trauma group.Results: Two-hundred-thirteen children with a mean age of 6.1±3.9 years (range: 10 days-15 years) were included in the study. The frequency of coagulation testing and thorax computed tomography in the pediatric emergency department, need for critical interventions and therapies in the pediatric emergency department, rate of hospitalization, need for transfer to the pediatric intensive care unit, mechanical ventilation, operation, blood transfusion, and mortality rate were statistically higher in the significant trauma group (p<0.05). PTS <=8 exhibited a sensitivity of 56.2% and a specificity of 90.8% for hospitalization (AUROC: 0.682; 95% confidence interval: 0.610-0.755). The PTS was significantly correlated with length of hospital stay (r=-0.493; p<0.001) and length of observation in the pediatric emergency department (r=-0.442; p<0.01).Conclusion: PTS on arrival at a high-level pediatric emergency department is a good predictor of the need for critical interventions/therapies and mortality in children with high-energy blunt trauma. However, its accuracy is moderate for the prediction of hospitalization.

Anahtar Kelime:

Konular: Acil Tıp Pediatri

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ANIL M, Saritas S, BICILIOGLU Y, Gokalp G, CAN F, ANIL A (2017). The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study. , 1 - 7.
Chicago	ANIL Murat,Saritas Serdar,BICILIOGLU YÜKSEL,Gokalp Gamze,CAN Fulya Kamit,ANIL Ayşe Berna The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study. (2017): 1 - 7.
MLA	ANIL Murat,Saritas Serdar,BICILIOGLU YÜKSEL,Gokalp Gamze,CAN Fulya Kamit,ANIL Ayşe Berna The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study. , 2017, ss.1 - 7.
AMA	ANIL M,Saritas S,BICILIOGLU Y,Gokalp G,CAN F,ANIL A The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study. . 2017; 1 - 7.
Vancouver	ANIL M,Saritas S,BICILIOGLU Y,Gokalp G,CAN F,ANIL A The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study. . 2017; 1 - 7.
IEEE	ANIL M,Saritas S,BICILIOGLU Y,Gokalp G,CAN F,ANIL A "The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study." , ss.1 - 7, 2017.
ISNAD	ANIL, Murat vd. "The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study". (2017), 1-7.

APA	ANIL M, Saritas S, BICILIOGLU Y, Gokalp G, CAN F, ANIL A (2017). The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study. Çocuk Acil ve Yoğun Bakım Dergisi, 4(1), 1 - 7.
Chicago	ANIL Murat,Saritas Serdar,BICILIOGLU YÜKSEL,Gokalp Gamze,CAN Fulya Kamit,ANIL Ayşe Berna The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study. Çocuk Acil ve Yoğun Bakım Dergisi 4, no.1 (2017): 1 - 7.
MLA	ANIL Murat,Saritas Serdar,BICILIOGLU YÜKSEL,Gokalp Gamze,CAN Fulya Kamit,ANIL Ayşe Berna The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study. Çocuk Acil ve Yoğun Bakım Dergisi, vol.4, no.1, 2017, ss.1 - 7.
AMA	ANIL M,Saritas S,BICILIOGLU Y,Gokalp G,CAN F,ANIL A The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study. Çocuk Acil ve Yoğun Bakım Dergisi. 2017; 4(1): 1 - 7.
Vancouver	ANIL M,Saritas S,BICILIOGLU Y,Gokalp G,CAN F,ANIL A The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study. Çocuk Acil ve Yoğun Bakım Dergisi. 2017; 4(1): 1 - 7.
IEEE	ANIL M,Saritas S,BICILIOGLU Y,Gokalp G,CAN F,ANIL A "The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study." Çocuk Acil ve Yoğun Bakım Dergisi, 4, ss.1 - 7, 2017.
ISNAD	ANIL, Murat vd. "The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study". Çocuk Acil ve Yoğun Bakım Dergisi 4/1 (2017), 1-7.