Thoracic firearm injuries in children: management and analysis of prognostic factors

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dc.contributor.authorEren, S
dc.contributor.authorBalci, AE
dc.contributor.authorUlku, R
dc.contributor.authorCakir, O
dc.contributor.authorEren, MN
dc.date.accessioned2024-04-24T16:18:57Z
dc.date.available2024-04-24T16:18:57Z
dc.date.issued2003
dc.departmentDicle Üniversitesien_US
dc.description5th European Congress of Trauma and Emergency Surgery -- OCT 01-05, 2002 -- ISTANBUL, TURKEYen_US
dc.description.abstractObjective: Thoracic firearm injuries (TFI) have become increasingly prevalent in children. Our purpose is to assess the injury pattern, Injury Severity Score (ISS), length of hospital stay (LOS), management and outcome of children with TFI with respect to the type of injury and to evaluate the value of ISS for predicting injury severity and the eventual need for thoracotomy, as well as the rate of morbidity and mortality. Methods: Between January 1987 and June 2002, 110 children (88 boys and 22 girls) less than or equal to 16 years of age with firearm injuries to the chest were evaluated. The children were divided in four groups according to cause of injury. An ISS was calculated for each child. Those children who died before admission were excluded from the study. The relationship between ISS and prognostic factors was analyzed in all four groups. Results: The mean age was 11.1 +/- 3.0 (range 3 - 16) years. Eighty-eight (80%) were male and 22 (20%) were female. The causes of firearm injuries were high-velocity gunshot wounds (HVGSW) in 52 (47.2%), low-velocity gunshot wounds (LVGSW) in 23 (20.9%), shotgun wounds (SGW) in 18 (16.3%), and explosives wounds (EW) in 17 (15.4%). Lung injury Occurred in 72 (65.5%) patients. Tube thoracostomy was sufficient in 76.3% (84 of 110) for thoracic injury. The morbidity rate was 16.3% (18/110) and the mortality rate was 4.5% (5/110). Mean ISS was 16.62 +/- 8.2 (range 4-48). Fifty-eight patients (52.7%) had an ISS : 16, while 31 (28.2%) had a score between 17 and 25, and 21 (19.1%) had a score greater than 25. The need for thoracotomy, as well as the rate of morbidity and mortality were significantly higher in children for those with an ISS >25. SGW and EW groups had a significantly higher ISS. The mean LOS was 10.84 +/- 4.7 days (range 4-42). The value of LOS was significantly higher in children with SGW and EW. Conclusion: The majority of TFI in children can be treated successfully by tube thoracostomy if there are no gross pulmonary lacerations and airway injuries. SGW and EW were commonly associated with higher ISS and LOS. The ISS was found to be an independent predictor of the need for thoracotomy, as well as for rates of morbidity and mortality. (C) 2003 Elsevier Science B.V. All rights reserved.en_US
dc.identifier.doi10.1016/S1010-7940(03)00143-X
dc.identifier.endpage893en_US
dc.identifier.issn1010-7940
dc.identifier.issn1873-734X
dc.identifier.issue6en_US
dc.identifier.pmid12829063
dc.identifier.scopus2-s2.0-0038048072
dc.identifier.scopusqualityQ1
dc.identifier.startpage888en_US
dc.identifier.urihttps://doi.org/10.1016/S1010-7940(03)00143-X
dc.identifier.urihttps://hdl.handle.net/11468/16345
dc.identifier.volume23en_US
dc.identifier.wosWOS:000183900600007
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherOxford Univ Press Incen_US
dc.relation.ispartofEuropean Journal of Cardio-Thoracic Surgery
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectThoracic Firearm Injuriesen_US
dc.subjectChildrenen_US
dc.subjectInjury Severity Scoreen_US
dc.titleThoracic firearm injuries in children: management and analysis of prognostic factorsen_US
dc.titleThoracic firearm injuries in children: management and analysis of prognostic factors
dc.typeConference Objecten_US

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