The prognostic importance of trauma scoring systems for morbidity in children with penetrating abdominal wounds: 17 years of experience☆
Section snippets
Materials and methods
Between January 1983 and November 2000, 143 children under 15 years of age with PAW (firearm trauma in 85, stabbing in 58) were admitted to the Pediatric Surgical Department of Dicle University Medical School. No patient underwent a negative laparotomy after a firearm wound in proximity to the abdomen. Twelve children with penetrating peritoneal stab injuries presented no abdominal organ pathology during laparotomy. These 12 patients and another conservatively managed 12 patients were all
Results
There were 99 boys (83%) and 20 girls (17%), with a mean age of 10.1 ± 3.3 years (range, 3-15 years). The mean hospitalization time was 8.9 ± 5 days (range, 1-60 days). The overall mean duration of hospital stay in the series was 8.9 days; the mean stay for patients with and without postoperative complication was 14.7 days and 8.4 days, respectively. The mortality rate for the series was 1.6%. Two patients died; one with a shotgun injury, of septicemia on the first day of admission; and the
Discussion
There has been a great deal of development and progress in trauma care institutions in the last 3 decades. To decrease the morbidity and mortality rates associated with trauma, rapid triage and transport of the critically injured patient to an appropriate center is crucial. To assist in the appropriate transfer of patients, trauma triage scoring systems have been developed; they have evolved to provide a measure of risk-adjusted mortality as well. In our study we aimed to evaluate whether the
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Abdominal gunshot wounds - A comparative assessment of severity measures
2015, Journal of Surgical ResearchCitation Excerpt :In an effort to offer a predictive measure for isolated abdominal trauma, the penetrating abdominal trauma index (PATI) was formulated in 1981 [17]. Few studies have directly compared its utility to the other most commonly used injury-severity scoring system, the ISS [18,20,21]. For LMICs with a high burden of relevant injuries [10–12], even less is known.
Risk factors for mortality and morbidity in Syrian refugee children with penetrating abdominal firearm injuries: an 1-year experience
2023, Ulusal Travma ve Acil Cerrahi DergisiEpidemiology of penetrating injury in an urban versus rural level 1 trauma center in the Netherlands
2022, Hong Kong Journal of Emergency MedicineEvaluation of risk factors for septic complications after laparotomy for abdominal trauma: A longitudinal cohort study
2021, Journal of Clinical and Diagnostic ResearchThefeasibility, appropriateness, and applicability of trauma scoring systems in low and middle-income countries: A systematic review
2020, Trauma Surgery and Acute Care OpenSystematic review and need assessment of pediatric trauma outcome benchmarking tools for low-resource settings
2017, Pediatric Surgery International
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Address reprint requests to Hayrettin Öztürk, MD, Dicle University Medical School, Department of Paediatric Surgery, 21280 Diyarbakir, Turkey.