Abstract
Analysis of fatal polytrauma in children in Barnaul over the period of 11 years, study of medical records of polytrauma patients brought in to hospital and medicolegal autopsy data from the cases of fatal polytrauma in children. 685 cases of child polytrauma were registered from the year 2001 to 2011 including 88 cases of fatal polytrauma. 68 children died before admission, 20 patients hospitalized resulted in death. Most fatal cases resulted from motor vehicle incidents (61 / 69,3%), falling from a height (20 / 22,7%), criminal injuries (3 / 3,4%), home accidents (2 / 2,3%), and street injuries (2 / 2,3%). The highest lethality rate related to cases of falling from a height (18,2%), motor vehicle incidents (13,6%), criminal and street injuries (10%). The lethality rate of child polytrauma in urban area amounted to 12,8%, death rate - 7,1 per 100 000 population per year. The highest lethality rate was noted among infants (27,7%) and adolescents (16,7%). Most fatal cases resulted from motor vehicle incidents (61 / 69,3%). The highest increase of mortality rate in polytrauma is observed during summer season. Major causes of death are shock and substantial blood loss.
Highlights
Analysis of fatal polytrauma in children in Barnaul over the period of 11 years, study of medical records of polytrauma patients brought in to hospital and medicolegal autopsy data from the cases of fatal polytrauma in children
The highest lethality rate related to cases of falling from a height (18,2%), motor vehicle incidents (13,6%), criminal and street injuries (10%)
The lethality rate of child polytrauma in urban area amounted to 12,8%, death rate – 7,1 per 100 000 population per year
Summary
Проведен анализ политравмы (ПТ) у детей в г. Было зарегистрировано 685 случаев ПТ у детей, из них смертельной – 88. Большинство смертельных исходов были следствием дорожно-транспортных происшествий (ДТП) – 61 (69,3%), падений с высоты – 20(22,7%), криминальных – 3 (3,4%), бытовых – 2 (2,3%) и уличных – 2 (2,3%) травм. Наиболее высокая летальность отмечалась при падениях с высоты – 18,2%, ДТП – 13,6%, криминальных и уличных травмах – 10%. Летальность у детей при ПТ в условиях крупного города составила 12,8%, смертность – 7,1 на 100000 человек населения в год. Наиболее высокая летальность отмечалось у детей раннего возраста (27,7%) и подростков (16,7%). Большинство смертельных исходов у детей являлись следствием ДТП – 61 (69,3%). В летний период отмечалось резкое увеличение смертельных исходов от ПТ.
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