Factors related to death of thoracic trauma emergency in children

Abstract

Objective To investigate the factors related to death of thoracic trauma emergency in children. Methods Total 528 children and infants aged 0-14 years with thoracic injuries, including 317 boys and 211 girls, admitted in emergency department from January 2010 to January 2014 were included in the study. The factors related to emergency death were investigated by using conditional logistic analysis. Results Among 528 cases, emergency death occurred in 34 cases with an emergency mortality rate of 6.44%.Single-factor analysis showed that emergency death was correlated with complication with other organ trauma, the time of first medical intervention, the time of arriving at first contact hospital, the rank of first contact hospital, hypoxemia and causes of injuries (all P 0.05). Logistic analysis showed that the time of first medical intervention>30 min (B=1.467, 95%CI: 0.412-0.975), complication with other organ trauma (B=2.342, 95%CI: 0.415-0.943), hypoxemia (B=2.915, 95%CI: 0.749-0.819), and first visiting to tertiary hospital (B=-1.861, 95%CI: 1.023-1.742) were influencing factors of emergency death. Conclusion The results indicate that to improve the success rate of emergency treatment of thoracic trauma in children, it is necessary to reduce the time of first medical intervention and to correct the hypoxemia promptly. Key words: Thoracic injuries; Child; Emergency death