Comparison of pediatric and adult patients with thoracic trauma in emergency department

Sevdegül KARADAŞ, Hayriye GÖNÜLLÜ, Ufuk ÇOBANOĞLU, Fatih SELVİ, Recep DURSUN, Savaş GÜNER
1.929 420

Abstract


Anatomical and physiological characteristics of adults and children with are different from each other. Therefore management of similar thoracic injuries may be different between adults and children. Adult and pediatric patients admitted to the emergency department with thoracic trauma were compared in this study. Patients were divided into adults and pediatric. They were evaluated in terms of age, gender, month of admission, etiology of the trauma, thoracic complaints and other accompanying complaints, treatment methods applied the clinics in which they were followed, and outcomes. Of the cases, 82.8 % were male in Group I, and 77.8% of the patients in Group II were male. Of the cases, 220 (64.4%) were blunt traumas, eighty-one (35.6 %) were penetrating traumas. Penetrating traumas were 85.2% in Group I. While the most frequent cause for blunt in Group I was traffic accident in vehicle (43.8%), it was out of vehicle traffic accidents (31.1%) in Group II. Pneumothorax and hemothorax were the most common injuries in both groups, and tube thoracostomy was the most common type of treatment. In addition, determining the ratio of penetrating trauma in the pediatric group was an important finding of our
study.

J. Exp. Clin. Med., 2013; 30:323-326

Keywords


Adult; emergency department; pediatric; thoracic trauma

Full Text:

323-326


DOI: http://dx.doi.org/10.5835/jecm.omu.30.04.008

References


Başoğlu, A., Akdağ, A.O., Çelik, B., Demircan, S., 2004. Göğüs travmaları 521 olgunun değerlendirilmesi. Ulus. Travma Derg. 10, 42-46.

Bayreuther, J., Wagener, S., Woodford, M., Edwards, A., Lecky, F., Bouamr, O., Dykes, E., 2009. Paediatric trauma: Injury pattern and mortality in the UK. Arch. Dis. Child. Educ. Pract. Ed. 94, 37-41.

Cangır, A.K., Nadir, A., Akal, M., Kutlay, H., Özdemir, N., Güngör, A, Kavukçu, Ş., Akay, H., Ökten, İ., Yavuzer, Ş., 2000. Toraks travması 532 olgunun analizi. Ulus Travma Derg. 6, 100-105.

Çağırıcı, U., Uç, H., Çalkavur, T., Gürcun, U., Badak, İ., Bilkay, Ö., 1998. Toraks travmaları 6 yıllık deneyimlerimiz. Ulus. Travma Derg. 4, 248-252.

Çakan, A., Yüncü, G., Olgaç, G., Ala, T., Sevinç, S., Kaya, Ş.Ö., Ceylan, K.C., Üçvet, A., 2001. Göğüs travmalı 987 olgunun analizi. Ulus. Travma Derg. 7, 236-241.

Demirhan, R., Küçük, F.H., Kargi, B.A., Altıntaş, M., Kurt, N., Gülmen, M., 2001. Künt ve penetre toraks travmalı 572 olgu. Ulus. Travma Derg. 7, 231-235.

Ekinci, S., Çiftçi, A.Ö., 2007. Çocuklarda toraks travmaları. J. Surg. Med. Sci. 3, 7-13.

Färber, D., Hahn, H., Fendt-Klug, T., Höpner, F., 1995. Thoracic trauma in childhood. Radiologic findings. Radiologe. 35, 385-390.

Ismail, M.F., Al-Refaie, R.I., 2012. Chest trauma in children, single center experience. Arch bronconeumol. 48, 362-366.

Kılıç, N., Kırıştıoğlu, İ., Türkel, T., Gürpınar, A.N., Doğruyol, H., 1998. Künt toraks travmalı çocuklardaki tedavi sonuçlarımız. Ulus. Travma Derg. 2, 120-123.

Kishen, R., Lomas, G., 2003. Thoracic trauma In: Trauma resuscitation the team approach. Carl, L., Gwinnutt, Driscoll, P., eds. BIOS Scientific Publishers Ltd, Oxford, pp. 52-78.

Leblebicioğlu, İ.H., Kaya, Y., Koçak, A.H., 2005. Göğüs travmalı 302 olgunun analizi. Turkish J Thorac Cardiovasc Surg. 13, 392-396.

Meller, J.L., Little, A.G., Shermeta, D.W., 1984. Thoracic trauma in children. Pediatrics. 74, 813-819.

Nakayama, D.K., Ramenofsky, M.L., Rowe, M.I., 1989. Chest injuries in childhood. Ann. Surg. 210, 770-775.

O’Neill, J.A., 2000. Advance in the management of pediatric trauma. Am. J. Surg. 180, 365-369.

Oikonomou, A., Prassopoulos, P., 2011. CT imaging of blunt chest trauma. Insights Imaging. 2, 281-295.

Özçelik, C., Balcı, A.E., Eren, S., Ülkü, R., Dablan, M., Eren, N., 2000. Toraks travmaları: 10 yıllık deneyim. Ulus. Travma Derg. 6, 44-49.

Peres, A., Chaves, M., Vieira, M., Santos, E., Cruz, J., Feijó, S., Correia, M., 2010. Polytraumatism in childhood - it can be more than it seems. Acta Med Port. 23, 511-514.

Regel, G., Lobenhoffer, P., Grotz, M., Pape, H.C., Lehmann, U., Tscherne, H., 1995. Treatment results of patients with multiple trauma: An analysis of 3406 cases treated between 1972 and 1991 at a German Level I Trauma Center. J. Trauma. 38, 707-708.

Şentürk, E., Doğan, Y., Yoldaş, E., 2010. Toraks travması: 1142 olgunun analizi. Tur. Toraks. Der. 11, 47-54.

Tekinbaş, C., Eroğlu, A., Kürkçüoğlu, İ.C., Türkyılmaz, A., Yekeler, E., Karaaoğlanoğlu, N., 2003. Toraks travmaları: 592 olgunun analizi. Ulus. Travma Derg. 9, 275-280.