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Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi
2021, Cilt 35, Sayı 1, Sayfa(lar) 046-050
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Çocukluk Çağı Travmalarında Mortalite Belirleyicileri
Yunus ÇOLAKOĞLU1, Ünal BAKAL2, Mehmet SARAÇ2, Tugay TARTAR2, Tarık AKKUŞ2, Ahmet KAZEZ2
1Sağlık Bakanlığı Diyarbakır Çocuk Hastanesi, Çocuk Cerrahisi Kliniği Diyarbakır, TÜRKİYE
2Fırat Üniversitesi, Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, Elazığ, TÜRKİYE
Keywords: Trauma; child, mortality, physiological parameters, abdomen, thorax

Objective: It was aimed to investigate the general characteristics of traumas in our region, which are among the most common causes of death in childhood, and the aspects affecting mortality.

Materials and Methods: Ethics committee approval was obtained for the study. The data of patients who were followed up and treated for trauma in a period of nine years in a pediatric surgery clinic of a tertiary care university hospital were evaluated. Traumatic pediatric patients were divided into two groups as Group 1 (patients discharged as exitus) and Group 2 (patients survived). Age, gender, body weight, injury site and organs, blood pressure, pulse, endotracheal intubation, resuscitation, blood transfusion, hemogram and type of trauma of the patients were examined.

Results: Data on 410 pediatric trauma cases were analyzed in the study. There was no significant relationship between age, weight, abdominal injury and mortality (P>0.05). On the other hand, a significant relationship was found between blood pressure, pulse, hemoglobin and aspartate aminotransferase/alanine aminotransferase levels, endotracheal intubation, resuscitation, blood transfusion and mortality (P<0.05).

Conclusion: Childhood traumas occur mostly on highways. Some physiological and biochemical parameters were found to be significant determinants of mortality. Close monitoring of these parameters after trauma and early corrective approaches may be recommended to prevent mortality.


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