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The Neglected Disease of Modern Society: Trauma. Outcomes and Prognostic Factors for Pediatric Trauma Patients in PICU [TP]
TP. 2022; 3(2): 38-42 | DOI: 10.4274/TP.galenos.2022.14622

The Neglected Disease of Modern Society: Trauma. Outcomes and Prognostic Factors for Pediatric Trauma Patients in PICU

Adem Dursun1, Habibe Selver Durmuş2, Serkan Özsoylu3, Başak Nur Akyıldız4
1Kayseri City Hospital, Clinic of Pediatrics, Division of Pediatric Intensive Care, Kayseri, Türkiye
2Sivas Government Hospital, Clinic of Pediatrics, Sivas, Türkiye
3Evliya Çelebi Training and Research Hospital, Clinic of Pediatrics, Division of Pediatric Intensive Care, Kütahya, Türkiye
4Erciyes University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Intensive Care, Kayseri, Türkiye

Objective: In this study it was aimed to investigate the demographic and clinical characteristics of pediatric trauma patients requiring follow-up in Pediatric Intensive Care Unit (PICU) and to contribute the data in this field by assessing the outcomes and prognostic factors.
Methods: This retrospective, observational study was carried out in the 12- bed medical PICU. We reviewed the clinical records of all trauma patients.
Results: A total of 99 patients (61 males and 38 females) were enrolled in this study. Eight patients died and the mortality rate was found as 8%. In univariate logistic regression analysis, presence of brain edema was associated to 12 folds increase in the mortality [Odds ratio (OR): 12; 95% confidence interval (CI): 2.23-64.48]. Presence of subarachnoid hemorrhage (SAH) was associated to 15 folds increase in the mortality (OR: 15; 95% CI: 2.75-81.58). Pediatric trauma score (PTS)<8 was associated to 1.17 folds increase in the mortality (OR: 1.17; 95% CI: 1.05-1.31). In the multivariate logistic regression analysis presence of brain edema was associated to 6,492 folds increase in the mortality (OR: 6,492; 95% CI: 1.078-39.06) and presence of SAH was associated to 8.68 folds increase in the mortality (OR: 8.68; 95% CI: 1.451-51.933).
Conclusion: The Glasgow coma scale score, PTS score and presence of SAH and brain edema are the factors effective on mortality in PICU.

Keywords: Trauma, child, PICU

Adem Dursun, Habibe Selver Durmuş, Serkan Özsoylu, Başak Nur Akyıldız. The Neglected Disease of Modern Society: Trauma. Outcomes and Prognostic Factors for Pediatric Trauma Patients in PICU. TP. 2022; 3(2): 38-42

Corresponding Author: Adem Dursun, Türkiye
Manuscript Language: English
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