Evaluation of Blunt Abdominal Trauma in the Pediatric Ages.
Creators: name: Dogjani, Agron
name: Jonuzi, Engjellushe
Publisher: name: Zenodo
Year: 2017
Subjects: Trauma, Blunt, Children, Abdominal injuries, Management

description: Introduction: Trauma is the leading cause of morbidity and mortality in the pediatric age. The rankings by region injured most of the injuries will be occupied by CCT (craniocerebral trauma) followed by LMT (locomotors trauma) and AT (abdominal trauma) ranks third for frequency of trauma injuries in children. The aim of our study is recognition and description of the mechanisms that cause BATp (Blunt Abdominal Trauma pediatrics) identifies the signs and symptoms that accompany BATp. Materials &amp; Methods: The study has a retrospective character and includes all patients with BATp who presented to the emergency department (ED) at the UHT (University Hospital of Trauma) by 01/01/2016 –31/05/2016. The sample in the study was taken randomly without any restriction study. Other variables included are those that have to do with; age, gender, mechanism of injury, the examinations performed, and timing of their treatment tactics. The level of ISS was used as a measure for measuring the gravity of injuries in severe cases with ISS&gt; 15. Results: In the period under review are presented about 1,685 trauma patients, 695(41.2%) of these cases were hospitalized, which causes are; a - MVA - 598 (35.4%); b - FfH - 452 (26.8%); c - HsO - 593 (35.1%); d - GSW - 42 (2.4%) cases. Regarding gender distribution have; F - 378 (22.4%), M - 1307 (77.6%) cases, The distribution by age group is such; a - 0-16 years - 231 (13.7%), b - 15-30 years - 547 (32.4%); c - over 30 years - 867 (51.4%) cases. The mortality rate is 26 (3.7%), a satisfactory value in our conditions. Regarding hospitalized cases have this distribution; a - TCC to 310 (44.6%); b - Locomotor trauma 230 (33%); c - Abdominal Trauma 145 (20.8%); d - ORL 10 (1.4%) cases. Regarding the pediatric age they occupy; 231 (13.7%) of the total cases presented to the hospital 73 (10.5%) cases of trauma at the hospital. Our study involved 1685 patients from these 231 (13.7%) were 0-16 years 378 (22.4%) were female. Conclusion: The management of abdominal has undergone a considerable evolution in recent years. NOM is successful in more than 90% of cases, although this depends on a number of factors and conditions that are adapted to the conditions of children, who are dynamic and constantly increasing.TMAp mortality is calculated depending on the organs damaged: When you have a damaged organ such as the liver, spleen, kidney, or pancreas, it is less than 20%; If we have hollow viscus injuries it goes over 20%; If are included the big vessels it arrives over 50%.
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