Comparison of Trauma Scoring Systems in Children with Chest Trauma
Objective:This study was conducted to determine the effectiveness of current trauma scoring systems in childhood traumas and to compare these scoring systems with each other.Methods:In our study, files of 208 patients (age 7.5±3.7 years) with chest trauma who have been followed in our clinic and dat...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2018-10-01
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| Series: | Bezmiâlem Science |
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http://bezmialemscience.org/archives/archive-detail/article-preview/comparison-of-trauma-scoring-systems-in-children-w/20073
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| _version_ | 1828018871597006848 |
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| author | İbrahim AYDOĞDU Nuri ŞEN Recep TUNCER Olgaç FAZLI Erbuğ KESKİN Hasan OKUR Işık OLCAY Ünal ZORLUDEMİR |
| author_facet | İbrahim AYDOĞDU Nuri ŞEN Recep TUNCER Olgaç FAZLI Erbuğ KESKİN Hasan OKUR Işık OLCAY Ünal ZORLUDEMİR |
| author_sort | İbrahim AYDOĞDU |
| collection | DOAJ |
| description | Objective:This study was conducted to determine the effectiveness of current trauma scoring systems in childhood traumas and to compare these scoring systems with each other.Methods:In our study, files of 208 patients (age 7.5±3.7 years) with chest trauma who have been followed in our clinic and data regarding their sex, age, body weight, cause of trauma, type of trauma, other system injuries, length of stay in hospital, death rate and its reasons were collected, and for each patient Pediatric trauma score (PTS), Injury severity score (ISS), New injury severity score (NISS), Revised trauma score (RTS), Trauma and injury severity score were calculated and relations between the scores were evaluated.Results:174 (83.7%) cases had blunt trauma, 34 (16.3%) cases had penetrant chest trauma. The most commonly observed pathologies were lung contusion (44.2%), hemopneumothorax (20.2%), pneumothorax (18.3%), diaphragm rupture (6.2%) and flail chest (4.8%). ISS and NISS were found to be the best scoring systems to determine mortality (p=0.0002), while RTS was found to be more reliable than PTS in triage.Conclusion:None of the scoring systems are perfect in thorax traumas. However, we believe that popularization of the use of trauma scoring systems will bring significant advantages to diagnosis and treatment. |
| first_indexed | 2024-04-10T11:09:21Z |
| format | Article |
| id | doaj.art-ba8595feeb4a47c88436da65174ef9f1 |
| institution | Directory Open Access Journal |
| issn | 2148-2373 2148-2373 |
| language | English |
| last_indexed | 2024-04-10T11:09:21Z |
| publishDate | 2018-10-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Bezmiâlem Science |
| spelling | doaj.art-ba8595feeb4a47c88436da65174ef9f12023-02-15T16:19:16ZengGalenos Publishing HouseBezmiâlem Science2148-23732148-23732018-10-016425326110.14235/bs.2018.172113049054Comparison of Trauma Scoring Systems in Children with Chest Traumaİbrahim AYDOĞDU0Nuri ŞEN1Recep TUNCER2Olgaç FAZLI3Erbuğ KESKİN4Hasan OKUR5Işık OLCAY6Ünal ZORLUDEMİR7 Department of Pediatric Surgery, Bezmialem Vakif University School of Medicine, İstanbul, Turkey Department of Pediatric Surgery, Yedikule Surp Pirgic Ermeni Vakfi Hospital, İstanbul, Turkey Department of Pediatric Surgery, Çukurova University School of Medicine, Adana, Turkey Department of Pediatric Surgery, Dumlupınar University Evliya Celebi Training and Research Hospital, Kütahya, Turkey Department of Pediatric Surgery, İstanbul University School of Medicine, İstanbul, Turkey Department of Pediatric Surgery, Çukurova University School of Medicine, Adana, Turkey Department of Pediatric Surgery, Çukurova University School of Medicine, Adana, Turkey Department of Pediatric Surgery, Çukurova University School of Medicine, Adana, Turkey Objective:This study was conducted to determine the effectiveness of current trauma scoring systems in childhood traumas and to compare these scoring systems with each other.Methods:In our study, files of 208 patients (age 7.5±3.7 years) with chest trauma who have been followed in our clinic and data regarding their sex, age, body weight, cause of trauma, type of trauma, other system injuries, length of stay in hospital, death rate and its reasons were collected, and for each patient Pediatric trauma score (PTS), Injury severity score (ISS), New injury severity score (NISS), Revised trauma score (RTS), Trauma and injury severity score were calculated and relations between the scores were evaluated.Results:174 (83.7%) cases had blunt trauma, 34 (16.3%) cases had penetrant chest trauma. The most commonly observed pathologies were lung contusion (44.2%), hemopneumothorax (20.2%), pneumothorax (18.3%), diaphragm rupture (6.2%) and flail chest (4.8%). ISS and NISS were found to be the best scoring systems to determine mortality (p=0.0002), while RTS was found to be more reliable than PTS in triage.Conclusion:None of the scoring systems are perfect in thorax traumas. However, we believe that popularization of the use of trauma scoring systems will bring significant advantages to diagnosis and treatment. http://bezmialemscience.org/archives/archive-detail/article-preview/comparison-of-trauma-scoring-systems-in-children-w/20073 Pediatric thoracic traumapediatric chest traumatrauma scoring systemstrauma scoretriage |
| spellingShingle | İbrahim AYDOĞDU Nuri ŞEN Recep TUNCER Olgaç FAZLI Erbuğ KESKİN Hasan OKUR Işık OLCAY Ünal ZORLUDEMİR Comparison of Trauma Scoring Systems in Children with Chest Trauma Bezmiâlem Science Pediatric thoracic trauma pediatric chest trauma trauma scoring systems trauma score triage |
| title | Comparison of Trauma Scoring Systems in Children with Chest Trauma |
| title_full | Comparison of Trauma Scoring Systems in Children with Chest Trauma |
| title_fullStr | Comparison of Trauma Scoring Systems in Children with Chest Trauma |
| title_full_unstemmed | Comparison of Trauma Scoring Systems in Children with Chest Trauma |
| title_short | Comparison of Trauma Scoring Systems in Children with Chest Trauma |
| title_sort | comparison of trauma scoring systems in children with chest trauma |
| topic | Pediatric thoracic trauma pediatric chest trauma trauma scoring systems trauma score triage |
| url |
http://bezmialemscience.org/archives/archive-detail/article-preview/comparison-of-trauma-scoring-systems-in-children-w/20073
|
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