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因创伤性损伤前往急诊科就诊的儿童的预后情况。

Prognosis in children with traumatic injuries referring to the emergency department.

作者信息

Akbaryan Farzad, Derakhshanfar Hojjat, Heidari Kamran, Vafaei Ali, Matin Somaieh

机构信息

Department of Emergency Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Emergency Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Chin J Traumatol. 2019 Dec;22(6):323-327. doi: 10.1016/j.cjtee.2019.07.009. Epub 2019 Sep 26.

Abstract

PURPOSE

Trauma may lead to serious complications in children patients. The purpose of this study was to investigate prognosis in children with traumatic injuries.

METHODS

This cross-sectional study was conducted on all of the children (<18 years old) who had suffered traumatic injuries and transferred to the emergency department of Imam Hussein Hospital by emergency medical services. After selecting the children, a checklist including information such as demographic characteristics, trauma type, consciousness level, and final outcome was recorded. Finally, the data were analyzed using t-test, Chi-square test and ANOVA.

RESULTS

In total of 564 children were investigated. Among them, 70% were males, and 33.2% were in the age range of 5-12 years. The mechanism of injuries in 97.9% of the cases was blunt trauma. The most common chief complaint among the affected children was nausea. The majority of them had stable vital signs and normal neurological tests results. However, 1.06% of them died during hospitalization. The results indicated that the final outcome in the children affected by traumatic injuries is significantly related to the type of trauma, the location of traumatic event, the vehicle used to transport them to emergency departments and their Glasgow coma scale score (p < 0.05).

CONCLUSION

Considering the young age of the child patients and over half of trauma happened at home, it is important to raise parents' awareness about the risky places and activities, which were likely to result in traumatic injuries for children.

摘要

目的

创伤可能导致儿童患者出现严重并发症。本研究旨在调查创伤性损伤患儿的预后情况。

方法

本横断面研究针对所有遭受创伤性损伤并由紧急医疗服务转运至侯赛因伊玛目医院急诊科的儿童(<18岁)开展。选定儿童后,记录一份包含人口统计学特征、创伤类型、意识水平和最终结局等信息的清单。最后,使用t检验、卡方检验和方差分析对数据进行分析。

结果

共调查了564名儿童。其中,70%为男性,33.2%年龄在5至12岁之间。97.9%的病例损伤机制为钝器伤。受影响儿童中最常见的主要症状是恶心。他们中的大多数生命体征稳定,神经学检查结果正常。然而,1.06%的患儿在住院期间死亡。结果表明,创伤性损伤患儿的最终结局与创伤类型、创伤事件发生地点、将他们转运至急诊科所使用的交通工具以及他们的格拉斯哥昏迷量表评分显著相关(p<0.05)。

结论

鉴于儿童患者年龄较小且半数以上的创伤发生在家中,提高家长对可能导致儿童创伤性损伤的危险场所和活动的认识非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d836/6921176/ba34e06b051a/gr1.jpg

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