The retrospective analysis of pediatric patients who admitted after trauma to emergency room

Aims: The purpose of this retrospective study is to determine demographic information such as age, gender, time, place of trauma, mechanism of pediatrics traumas, consultation required department in emergency rooms and also to determine whether there is any relation between these data. Materials and Methods: In this study, we retrospectively reviewed pediatric trauma cases of 0-16 years old pediatric group who applied to Emergency Medicine Department of Medical School, Inonu University between January 1, 2013 and December 31, 2013 from the files of the computer registry system. A total of 573 patients were scrutinized. In addition to the demographic characteristics such as age and sex of the patients, the number of patients apply according to the month, the trauma mechanism, the place where the trauma, the desired consultations, the services where the patients are followed, traumatized body region, radiological and laboratory findings and treatments were examined. The relationship between laboratory findings (Hgb, Hct, MCV, PLT, WBC, RDW, Cr, BUN, AST, ALT, glucose, aPTT, INR, erythrocyte and leukocyte in urine), age and injured body regions were investigated. Results: It was determined that the number of male pediatric patients who applied with trauma was more than the number of female chilren patients who applied with trauma in this study. The mortality rate in pediatric trauma was found to be 0.87%. The number of pediatric traumas was found to be higher in july, august, september and october than in the other months. Falling and crashing is the most common mechanism of trauma etiology. Head and neck injuries were detected in the first place when the traumatized body region was examined. The most frequent consulted department is the department of orthopedics and traumatology, the second most frequent consulted department is the department of neurosurgery was detected. It has been determined that a large part of the patients who have been hospitalized and followed up have been monitored by emergency room. Head and neck injuries were found to increase more significantly when the age decreased. Patients with head and neck injuries were found to have significantly lower Hgb, Hct values than patients without head and neck injuries. The BUN value and the RDW value were detected to be significantly higher in patients with head and neck injuries. According to with the patience with head and neck injuries, the MCV value is higher than patients without head and neck injuries. As age decrease, patients have more abdominal trauma was detected. According to with the patience with abdominal injuries, the Hgb value and the Hct value are higher than patients without abdominal injuries. The AST and the ALT values of the patients with abdominal trauma were significantly higher than the AST and the ALT values of the patients without abdominal trauma. As age increased, injuries of extremity significantly increased. Conclusion: It has been determined that there are different etiological reasons for the incidence of pediatric traumas and incidence frequency has been determined to change seasonally. The duration of the apply to the emergency room is different according to the types of trauma, and it has been found that the injured body region is usually the head and neck region. Key words: Emergency, service, examination, imaging, laboratory, pediatrics, trauma