Purpose: Pediatric thoracic trauma differs from those of adult in terms of the small anatomy and rapid tissue recovery. Therefore, it is important to know the characteristics of the pediatric thoracic trauma to improve treatment results. In addition, this study examined the changes in pediatric thoracic trauma features and results from the establishment of a level 1 regional trauma center. Methods: Data of 168 patients’ ≤ 15 years old diagnosed with thoracic trauma between 2008 and 2019 were retrospectively analyzed. Results: Pedestrian traffic accidents were the most common cause of chest injury. The average injury severity score was 17.1 ± 12.4 and the average pediatric trauma score was 5.6 ± 4.1. Lung contusion was the most common in 134 cases. There were 48 cases of closed thoracostomy. There was one thoracotomy for cardiac laceration, one case for extracorporeal membranous oxygenation, and six cases for embolization. Of all, 25 patients died, providing a mortality rate of 14.9%. In addition, independent risk factors of in-hospital mortality were hemopneumothorax and cardiac contusion. Since 2014, when the level 1 regional trauma center was established, more severely injured thoracic trauma patients came. However, the mortality was similar in the two periods. Conclusions: Understanding the clinical features of pediatric thoracic trauma patients can help in efficient treatment. In addition, as the severity of pediatric thoracic trauma patients has increased due to the establishment of the regional trauma center, so pediatric trauma center should be organized in regional trauma center to improve the outcomes of pediatric thoracic trauma.
|Number of pages||10|
|Journal||European Journal of Trauma and Emergency Surgery|
|Publication status||Published - 2022 Feb|
Bibliographical noteFunding Information:
We are grateful to Ms. Aejeong Song, Miss Woo Jung Lee and Miss Eun Yeong Park, a physician assistant and research technician, Department of thoracic and cardiovascular surgery, Yonsei Wonju Severance Christian Hospital for helpful discussion, and technical assistance of data collection. This work was supported by the Yonsei University Wonju Campus Future-Leading Research Initiative of 2017 (2017-52-0066).
© 2021, The Author(s).
All Science Journal Classification (ASJC) codes
- Emergency Medicine
- Orthopedics and Sports Medicine
- Critical Care and Intensive Care Medicine