The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study
Introduction: The aim of this study was to assess the efficacy of the Pediatric Trauma Score (PTS) in predicting significant trauma in patients presenting with blunt trauma to a high-level pediatric emergency department. Methods: Patients younger than 15 years of age presenting to the pediatric eme...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2017-04-01
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| Series: | Journal of Pediatric Emergency and Intensive Care Medicine |
| Subjects: | |
| Online Access: | http://www.caybdergi.com/article_14835/The-Performance-Of-The-Pediatric-Trauma-Score-In-A-Pediatric-Emergency-Department-A-Prospective-Study |
| _version_ | 1797907971596877824 |
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| author | Murat Anıl Serdar Sarıtaş Yüksel Bıcılıoğlu Gamze Gökalp Fulya Kamit Can Ayşe Berna Anıl |
| author_facet | Murat Anıl Serdar Sarıtaş Yüksel Bıcılıoğlu Gamze Gökalp Fulya Kamit Can Ayşe Berna Anıl |
| author_sort | Murat Anıl |
| collection | DOAJ |
| description | Introduction: The aim of this study was to assess the efficacy of the Pediatric Trauma Score (PTS) in predicting significant trauma in patients presenting with blunt trauma to a high-level pediatric emergency department.
Methods: Patients younger than 15 years of age presenting to the pediatric emergency department of the Tepecik Training and Research Hospital with acute high-energy blunt trauma were analyzed prospectively. The PTS was calculated on arrival at the pediatric emergency department. The patients were classified into two groups as follows: patients with a PTS of ≤8 comprised the significant trauma group, while patients with a PTS of >8 made up the non- significant trauma group.
Results: Two-hundred-thirteen children with a mean age of 6.1±3.9 years (range: 10 days-15 years) were included in the study. The frequency of coagulation testing and thorax computed tomography in the pediatric emergency department, need for critical interventions and therapies in the pediatric emergency department, rate of hospitalization, need for transfer to the pediatric intensive care unit, mechanical ventilation, operation, blood transfusion, and mortality rate were statistically higher in the significant trauma group (p<0.05). PTS ≤8 exhibited a sensitivity of 56.2% and a specificity of 90.8% for hospitalization (AUROC: 0.682; 95% confidence interval: 0.610-0.755). The PTS was significantly correlated with length of hospital stay (r=-0.493; p<0.001) and length of observation in the pediatric emergency department (r=-0.442; p<0.01).
Conclusion: PTS on arrival at a high-level pediatric emergency department is a good predictor of the need for critical interventions/therapies and mortality in children with high-energy blunt trauma. However, its accuracy is moderate for the prediction of hospitalization. |
| first_indexed | 2024-04-10T10:45:12Z |
| format | Article |
| id | doaj.art-34c0157dc6164e1abea1c817defa568d |
| institution | Directory Open Access Journal |
| issn | 2146-2399 2148-7332 |
| language | English |
| last_indexed | 2024-04-10T10:45:12Z |
| publishDate | 2017-04-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Journal of Pediatric Emergency and Intensive Care Medicine |
| spelling | doaj.art-34c0157dc6164e1abea1c817defa568d2023-02-15T16:20:21ZengGalenos YayineviJournal of Pediatric Emergency and Intensive Care Medicine2146-23992148-73322017-04-01411710.4274/cayd.30074The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective StudyMurat Anıl0Serdar Sarıtaş1Yüksel Bıcılıoğlu2Gamze Gökalp3Fulya Kamit Can4Ayşe Berna Anıl5Tepecik Training and Research Hospital, Clinic of Pediatric Emergency Medicine, İzmir, TurkeyTepecik Training and Research Hospital, Clinic of Pediatric Emergency Medicine, İzmir, TurkeyTepecik Training and Research Hospital, Clinic of Pediatric Emergency Medicine, İzmir, TurkeyTepecik Training and Research Hospital, Clinic of Pediatric Emergency Medicine, İzmir, TurkeyTepecik Training and Research Hospital, Clinic of Pediatric Intensive Care, İzmir, Turkeyİzmir Katip Çelebi University Faculty of Medicine, Department of Pediatric Intensive Care Unit, İzmir, TurkeyIntroduction: The aim of this study was to assess the efficacy of the Pediatric Trauma Score (PTS) in predicting significant trauma in patients presenting with blunt trauma to a high-level pediatric emergency department. Methods: Patients younger than 15 years of age presenting to the pediatric emergency department of the Tepecik Training and Research Hospital with acute high-energy blunt trauma were analyzed prospectively. The PTS was calculated on arrival at the pediatric emergency department. The patients were classified into two groups as follows: patients with a PTS of ≤8 comprised the significant trauma group, while patients with a PTS of >8 made up the non- significant trauma group. Results: Two-hundred-thirteen children with a mean age of 6.1±3.9 years (range: 10 days-15 years) were included in the study. The frequency of coagulation testing and thorax computed tomography in the pediatric emergency department, need for critical interventions and therapies in the pediatric emergency department, rate of hospitalization, need for transfer to the pediatric intensive care unit, mechanical ventilation, operation, blood transfusion, and mortality rate were statistically higher in the significant trauma group (p<0.05). PTS ≤8 exhibited a sensitivity of 56.2% and a specificity of 90.8% for hospitalization (AUROC: 0.682; 95% confidence interval: 0.610-0.755). The PTS was significantly correlated with length of hospital stay (r=-0.493; p<0.001) and length of observation in the pediatric emergency department (r=-0.442; p<0.01). Conclusion: PTS on arrival at a high-level pediatric emergency department is a good predictor of the need for critical interventions/therapies and mortality in children with high-energy blunt trauma. However, its accuracy is moderate for the prediction of hospitalization.http://www.caybdergi.com/article_14835/The-Performance-Of-The-Pediatric-Trauma-Score-In-A-Pediatric-Emergency-Department-A-Prospective-StudyPediatric Trauma Scorehigh-energy traumamortalityhospitalization |
| spellingShingle | Murat Anıl Serdar Sarıtaş Yüksel Bıcılıoğlu Gamze Gökalp Fulya Kamit Can Ayşe Berna Anıl The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study Journal of Pediatric Emergency and Intensive Care Medicine Pediatric Trauma Score high-energy trauma mortality hospitalization |
| title | The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study |
| title_full | The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study |
| title_fullStr | The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study |
| title_full_unstemmed | The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study |
| title_short | The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study |
| title_sort | performance of the pediatric trauma score in a pediatric emergency department a prospective study |
| topic | Pediatric Trauma Score high-energy trauma mortality hospitalization |
| url | http://www.caybdergi.com/article_14835/The-Performance-Of-The-Pediatric-Trauma-Score-In-A-Pediatric-Emergency-Department-A-Prospective-Study |
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