The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study
Journal Title: Çocuk Acil ve Çocuk Yoğun Bakım Dergisi - Year 2017, Vol 4, Issue 1
Abstract
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.
Authors and Affiliations
Murat Anıl, Serdar Sarıtaş, Yüksel Bıcılıoğlu, Gamze Gökalp, Fulya Kamit Can, Ayşe Berna Anıl
Keywords
Related Articles
- EP ID EP227820
- DOI 10.4274/cayd.30074
- Views 117
- Downloads 0
Demograpghic and Epidemiological Characteristics of Subacute Sclerosing Panencephalitis Patients in Pediatric Intensive Care Unit and Attitudes of Their Parents About Home Care
Introduction: Subacute sclerosing panencephalitis (SSPE) is a chronic, progressive, and degenerative infection of the central nervous system caused by measles virus. The first aim of this study was to assess the demograp...
The Diagnosis That Should Be Made More Frequently: Brain Death
.
A Pediatric Case of Post Traumatic Pulmonary Thromboembolism
A 10-year-old male patient with a fall-related soft tissue injury of the lateral lower left extremity was admitted to the emergency room with the complaints of flank pain, chest pain, respiratory distress and fever devel...
Angioedema and Urticaria Associated with Fluoxetine in a Preadolescent Boy
Angioedema is defined as increased permeability and dilatation of the capillaries in the deep dermis or subcutaneous or submucosal tissues leading to localized swelling, often affecting the upper respiratory and gastroin...
Outcomes of High-flow Nasal Cannula Oxygen Therapy on the Vital Signs of Children with Lower Respiratory Tract Diseases
Introduction: The aim of this study was to evaluate the effects of high-flow nasal cannula oxygen (HFNC) therapy on clinical findings and outcome before, during and after the implementation, by comparing changes in vital...