Abstract
Background and aims: Early estimation of mortality risk of critically injured patients is mandatory for adequate therapeutic strategies. Current risk stratification relies on clinical diagnosis and scoring systems. Aims: We hypothesized whether a simple laboratory tests on admission could help improving risk prediction in high-energy traumatized children. Methods: In a 8-months period, 101 with high-energy traumatized children (median age: 6 years; range: 6 moths-15 years; male / female: 66 / 35) were included in our prospective study at Tepecik Teaching and Research Hospital. Results: The causes of trauma were traffic accidents (50 patients), falling down (39 pts), bicycle accidents (5 pts), and others (7 pts). 40 children (39.6%) were hospitalized. 2 patients (1.9%) died. There were significant correlations between Injury Severity Score (ISS) and leukocyte count, neutrophil count, glucose, creatine kinase, alanine aminotransferase, aspartate aminotransferase, blood pH, bicarbonate, base excess. Conclusions: Arterial base excess and blood glucose levels at admission are compatible with trauma scoring systems in children.
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