Öztan Mustafa Onur, Anıl Murat, Anıl Ayşe Berna, Yaldız Demet, Uz İlhan, Turgut Ali, Köse Işıl, Acar Kerim, Sofuoğlu Turhan, Akbulut Gökhan
Department of Pediatric Surgery, Katip Çelebi University Faculty of Medicine, İzmir-Turkey.
Ulus Travma Acil Cerrahi Derg. 2019 Jan;25(1):20-28. doi: 10.5505/tjtes.2018.82780.
Trauma is an important health problem in children, and improvement in national trauma care is only possible through the knowledge gathered from trauma registry systems. This information is not available in our country, because there is no current trauma registry system at the hospitals. Our aim is to explain the trauma registry system we have developed and present the first year's data.
The planned trauma registry system was integrated into the emergency department registry system of 14 hospitals in Izmir province. The data of pediatric multiple trauma patients have been recorded automatically through the registry system. Demographics, vital signs, mechanism, type of trauma, anatomical region, ISS, PTS, GCS, length of hospital stay and need for blood transfusion/endotracheal intubation/surgery/hospitalization were evaluated by patient transfer status and outcome.
At the end of one year, a total of 356 pediatric major trauma patients were included in the study. The most common type of trauma was blunt trauma (91.9%) and the mechanism was vehicle-related traffic accidents (28.1%). In the group with the worse outcome than the Glasgow outcome score, age was greater, ISS was higher and PTS was lower. Motorcycle accidents, sports injuries, and penetrating injuries were more frequent in this group. All the scales were significantly different between direct and transferred patients. The referral time to the hospital of the transferred patients were longer than directly admitted patients, but the results were not different.
Pediatric major trauma is an important cause of mortality and morbidity, and our trauma registry system, which is a successful example abroad, is not enough in the country. We hope that the trauma registry system we planned and started the pilot application will be expanded to include other hospitals throughout the country with the aim of developing a national registry system.
创伤是儿童面临的一个重要健康问题，只有通过创伤登记系统收集的知识，才能改善国家的创伤护理。我国尚无此类信息，因为医院目前没有创伤登记系统。我们的目的是解释我们开发的创伤登记系统，并展示第一年的数据。
计划中的创伤登记系统被整合到伊兹密尔省14家医院的急诊科登记系统中。儿科多发伤患者的数据通过登记系统自动记录。通过患者转运状态和结局评估人口统计学、生命体征、机制、创伤类型、解剖区域、损伤严重度评分（ISS）、创伤严重度概率（PTS）、格拉斯哥昏迷评分（GCS）、住院时间以及输血/气管插管/手术/住院需求。
一年结束时，共有356名儿科严重创伤患者纳入研究。最常见的创伤类型是钝性创伤（91.9%），机制是与车辆相关的交通事故（28.1%）。在格拉斯哥结局评分结局较差的组中，年龄更大，ISS更高，PTS更低。该组中摩托车事故、运动损伤和穿透伤更为常见。直接就诊患者和转诊患者之间所有量表均有显著差异。转诊患者到医院的转诊时间比直接入院患者长，但结局无差异。
儿科严重创伤是死亡和发病的重要原因，我们的创伤登记系统在国外是成功范例，但在国内还不够完善。我们希望我们计划并开始试点应用的创伤登记系统能够扩展到全国其他医院，以建立一个国家登记系统。
