Characteristics of penetrating abdominal firearm injuries in children
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Tarih
2000
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Hippokrates Verlag Gmbh
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Penetrating injuries of the abdomen which occur primarily from gunshots and stabbing become increasingly prevalent in children. Our purpose is to assess the presentation, management and outcome of children with penetrating abdominal firearm injuries (PAFI) and to evaluate the value of Injury Severity Score (ISS) for predicting injury severity and eventual morbidity and mortality in children with PAFI. Between 1985 and 1997, 69 children less than or equal to 15 years of age with PAFI were hospitalized at our institution. Their hospital records were reviewed retrospectively. Of the 69 children with PAFI, 53 were boys and 16 were girls. The mean age was 9.6. The causes of PAFI were explosives (44%), gunshot (39%) and shotgun injuries (17%). The most common organ injured was the small bowel followed by colon and liver respectively. Postoperative complications were seen in 12 children. The mean value of ISS was 16.8: 41 children had an ISS value of greater than or equal to 16. The value of ISS was significantly higher in children with complication than in those without complication. The children with ISS value greater than or equal to 16 were hospitalized significantly longer than those with less than or equal to 15 of ISS. Particularly shotgun injuries were commonly associated with severe morbidity. ISS can be useful for predicting the severity of injury and the occurrence of morbidity.
Açıklama
Anahtar Kelimeler
Penetrating Abdominal Injury, Firearm Injury, Injury Severity Score, Pediatric Trauma
Kaynak
European Journal of Pediatric Surgery
WoS Q Değeri
Q4
Scopus Q Değeri
Q1
Cilt
10
Sayı
4
