Abstract
Context. We conducted this study with the aim of describing the epidemiological profile of severe trauma in children, and analyzing the main prognostic and evolutionary elements. Methods. We conducted a retrospective observational study, involving all patients under the age of 16, hospitalized in the pediatric intensive care unit for severe trauma, between January 2012 and December 2021. Results. In this study, 126 patients were identified, of which 102 were eligible for statistical analysis. Average age was 8.25 years. The etiology was dominated by road accidents (63.7%). The initial evaluation showed 82.4% of patients with impaired consciousness on admission, the mean pediatric trauma score (PTS) was 7.67 (-2; 12). Post-traumatic injuries were dominated by thoracic injuries (84.3%), followed by brain injuries (79.4%), abdominal injuries (69.6%), then limb fractures (41.2%). Complications were dominated by healthcare-related infections in 33.3% of cases. Hospital mortality was 23.5%, and its causes were dominated by severe ICHH (8.8%), infection (7.8%), and multiple organ failure (6.9%). In multivariate analysis, head trauma [OR=10.11; p=0.05] came out as a factor strongly related to mortality. Conclusion. the prognosis of a severely traumatized child is conditioned by the presence or not of an associated head trauma.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call