Demographic Analysis of Pediatric Patients Presenting To the Emergency Department with Head Trauma

Year 2023, Volume: 12 Issue: 2, 114 - 121, 31.08.2023

Faruk Danış , Ayşegül Danış

https://doi.org/10.47493/abantmedj.1284334

Abstract

Abstract
Objective: In this study, it was aimed to analyze the demographic characteristics, mortality rates, hospitalization rates and causes of trauma in pediatric patients admitted to the emergency department with head trauma.
Materials and Methods: Pediatric patients admitted to a university hospital emergency department (tertiary emergency service) between 01.01.2015 and 31.12.2020 due to head trauma were included in this study. Demographic data of the patients, computed tomography reports of the heads, inpatient to departments or intensive care units, discharge status, Glasgow Coma Scores, Glasgow Outcome Scores were evaluated retrospectively and statistically analyzed.
Results: 691 patients were included in the study. The median age of the patients was 7.7 years (IQR;4.2-.13.1). It was observed that the most common age range for head trauma was 10-14 years (early adolescence). The most common cause of head trauma was falling (n=501 72.5%). According to GCS, the most common cause of severe trauma was traffic accidents (n=8, 72.7%).
Conclusion: In our study; Contrary to the literature, it has been determined that head trauma occurs most frequently in the 10-14 age group. In our study, we found that the most common cause of head trauma was falling, but the most common cause of death was traffic accidents.

Keywords

Craniocerebral Trauma, Emergency Service, Intracranial Hemorrhages, Trauma Centers, Pediatric Emergency Medicine

Thanks

We thank the staff of the Emergency, Radiology, Pediatrics and Neurosurgery Clinics who contributed to the diagnosis and treatment processes of the patients involved in this study.

Acil Servise Kafa Travmasi ile Başvuran Pediatrik Hastalarin Demografik Analizi

Abstract

Öz
Amaç: Bu çalışmadan acil servise kafa travması nedeniyle başvuran pediatrik hastaların demografik özelliklerinin analizi, mortalite oranları, hastaneye yatış oranları ve travma nedenlerinin belirlenmesi amaçlanmıştır.
Gereç ve Yöntemler: Bu çalışmaya, 01.01.2015-31.12.2020 tarihleri arasında bir üniversite hastanesi acil servisine (üçüncü basamak acil servis) kafa travması nedeniyle başvuran pediatrik hastalar alındı. Hastaların demografik verileri, bilgisayarlı beyin tomografisi raporları, yattığı servis ya da yoğun bakımlar, taburculuk durumları, Glaskow Koma Skor’ları, Glaskow Sonuç Skor’ları geriye dönük değerlendirildi ve istatistiksel olarak analiz edildi.
Bulgular: Çalışmaya 691 hasta dahil edildi. Hastaların yaş ortancası 7.7 yıldı (IQR;4.2-.13.1). Kafa travmasının en sık görüldüğü yaş aralığının 10-14 yaş (erken adolesan) olduğu görüldü. Kafa travmasına en sık neden olan durumun düşme olduğu görüldü (n=501 %72.5). GKS’ye göre ağır travmaya en sık sebep olan nedenin trafik kazaları olduğu görüldü (n=8, %72.7).
Sonuç: Bizim çalışmamızda; literatürden farklı olarak kafa travmasının en sık 10-14 yaş grubunda meydana geldiği tespit edilmiştir. Çalışmamızda kafa travmasının en sık nedeninin düşme olduğunu fakat en sık ölüm nedeninin trafik kazaları olduğunu tespit ettik.

Keywords

Kafa Travması, Acil Servis, Kafa İçi Kanama, Travma Merkezi, Pediatrik Acil Tıp

References

• Langlois JA, Rutland-Brown W, Thomas KE. Traumatic brain injury in the United States; emergency department visits, hospitalizations, and deaths. 2006.
• McCaig LF, Nawar EW. National hospital ambulatory medical care survey: 2004 emergency department summary. 2006.
• McCaig L, Nghi L. National Hospital Ambulatory Medical Care Survey: 2000 Emergency Department Summary. Advance data. 2002;326.
• Marlow R, Mytton J, Maconochie IK, Taylor H, Lyttle MD. Trends in admission and death rates due to paediatric head injury in England, 2000–2011. Archives of disease in childhood. 2015;100(12):1136-40.
• Tuna IC, Akpinar AA, Kozaci N. Demographic analysis of pediatric patients admitted to emergency departments with head trauma/Acil servise basvuran pediatrik kafa travmali olgularin demografik analizi. Eurasian Journal of Emergency Medicine. 2012;11(3):151.
• Babl FE, Lyttle MD, Bressan S, Borland M, Phillips N, Kochar A, et al. A prospective observational study to assess the diagnostic accuracy of clinical decision rules for children presenting to emergency departments after head injuries (protocol): the Australasian Paediatric Head Injury Rules Study (APHIRST). BMC Pediatr. 2014;14:148. Epub 20140613. doi: 10.1186/1471-2431-14-148. PubMed PMID: 24927811; PubMed Central PMCID: PMC4074143.
• Davis T, Ings A. Head injury: triage, assessment, investigation and early management of head injury in children, young people and adults (NICE guideline CG 176). Arch Dis Child Educ Pract Ed. 2015;100(2):97-100. Epub 20141021. doi: 10.1136/archdischild-2014-306797. PubMed PMID: 25335757.
• Tabatabaei S, Seddighi A. Pediatric head injury. Iranian Journal of Child Neurology. 2008;2(2):7-13.
• Jennett B, Bond M. Assessment of outcome after severe brain damage. Lancet. 1975;1(7905):480-4. doi: 10.1016/s0140-6736(75)92830-5. PubMed PMID: 46957.
• ŞAHİN S, DOĞAN Ş, AKSOY K. Çocukluk çağı kafa travmaları. Uludağ Üniversitesi Tıp Fakültesi Dergisi. 2002;28(2):45-51.
• Fylli C, Schipper IB, Krijnen P. Pediatric Trauma in The Netherlands: Incidence, Mechanism of Injury and In-Hospital Mortality. World Journal of Surgery. 2023;47(5):1116-28. doi: 10.1007/s00268-022-06852-y.
• Çıtak Tuna İ, Açıkalın Akpınar A, Kozacı N. Demographic Analysis of Pediatric Patients Admitted to Emergency Departments with Head Trauma. Journal of Academic Emergency Medicine/Akademik Acil Tip Olgu Sunumlari Dergisi. 2012;11(3).
• Brenner DJ, Elliston CD, Hall EJ, Berdon WE. Estimated risks of radiation-induced fatal cancer from pediatric CT. American journal of roentgenology. 2001;176(2):289-96.
• Maguire JL, Boutis K, Uleryk EM, Laupacis A, Parkin PC. Should a head-injured child receive a head CT scan? A systematic review of clinical prediction rules. Pediatrics. 2009;124(1):e145-e54.
• Osmond MH, Klassen TP, Wells GA, Correll R, Jarvis A, Joubert G, et al. CATCH: a clinical decision rule for the use of computed tomography in children with minor head injury. Cmaj. 2010;182(4):341-8.