Soyer Tutku, Deniz Turgut, Akman Hülya, Hançerlioğullari Oymen, Türkmen Feyza, Cesur Ozkan, Cakmak Murat
Department of Pediatric Surgery, Kirikkale University Faculty of Medicine, Kirikkale, Turkey.
Turk J Pediatr. 2009 Jul-Aug;51(4):367-70.
Traumatic injuries are the leading cause of mortality and morbidity during childhood. A retrospective study was performed to evaluate the impact of Pediatric Trauma Score (PTS) on burden of trauma in emergency care. Children admitted to the emergency room were retrospectively evaluated for age, sex, mechanism of injury, physical examination findings, and PTS. The cost of trauma was obtained by medical records. A total of 146 patients (male/female: 93/53) were enrolled. The median age was 6 (interquartile range: 3-9.25). Mechanism of injury was falls (74%), motor vehicle crashes (9.6%), non-vehicular accidents (7.5%), struck by/against (6.2%), and cuts and gunshots (2.1%). The median PTS was 10. In the evaluation of trauma burden, radiologic investigations accounted for 41%, consultations for 23.5%, laboratory investigations for 15.6%, emergency surgical interventions for 12.1%, and medical interventions for 6.8% of total trauma cost in emergency care. PTS showed no impact on burden of trauma in emergency care (p > 0.05). Total trauma cost was increased 2.1-fold in male patients, 2.6-fold in head injuries and 4.4-fold in abdominal injuries (p < 0.05). Pediatric Trauma Score had no effect on the burden of pediatric trauma in emergency care. The total cost of trauma was primarily affected by head injury and abdominal trauma. Higher costs may be related with routine radiological investigations in head and abdominal injuries.
创伤性损伤是儿童期死亡和发病的主要原因。进行了一项回顾性研究，以评估儿童创伤评分（PTS）对急诊护理中创伤负担的影响。对入住急诊室的儿童进行回顾性评估，包括年龄、性别、损伤机制、体格检查结果和PTS。通过病历获取创伤费用。共纳入146例患者（男/女：93/53）。中位年龄为6岁（四分位间距：3 - 9.25岁）。损伤机制包括跌倒（74%）、机动车碰撞（9.6%）、非车辆事故（7.5%）、被撞击/碰撞（6.2%）以及切割伤和枪伤（2.1%）。PTS中位数为10。在创伤负担评估中，放射学检查占急诊护理总创伤费用的41%，会诊占23.5%，实验室检查占15.6%，急诊手术干预占12.1%，医疗干预占6.8%。PTS对急诊护理中的创伤负担无影响（p > 0.05）。男性患者的总创伤费用增加了2.1倍，头部损伤增加了2.6倍，腹部损伤增加了4.4倍（p < 0.05）。儿童创伤评分对急诊护理中儿童创伤负担无影响。创伤总费用主要受头部损伤和腹部创伤影响。较高的费用可能与头部和腹部损伤的常规放射学检查有关。
