Paediatric blunt torso trauma

Injury mechanisms, patterns and outcomes among children requiring hospitalisation at the Sultan Qaboos University Hospital, Oman

Khalid M. Bhatti, Kadhim M. Taqi, Ahmed Z S Al-Harthy, Rana S. Hamid, Zainab N. Al-Balushi, Dilip K. Sankhla, Hani A. Al-Qadhi

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objectives: Trauma is the greatest cause of morbidity and mortality in paediatric/adolescent populations worldwide. This study aimed to describe trauma mechanisms, patterns and outcomes among children with blunt torso trauma admitted to the Sultan Qaboos University Hospital (SQUH) in Muscat, Oman. Methods: This retrospective single-centre study involved all children ≤12 years old with blunt torso trauma admitted for paediatric surgical care at SQUH between January 2009 and December 2013. Medical records were analysed to collect demographic and clinical data. Results: A total of 70 children were admitted with blunt torso trauma during the study period, including 39 (55.7%) male patients. The mean age was 5.19 ± 2.66 years. Of the cohort, 35 children (50.0%) received their injuries after having been hit by cars as pedestrians, while 19 (27.1%) were injured by falls, 12 (17.1%) during car accidents as passengers and four (5.7%) by falling heavy objects. According to computed tomography scans, thoracic injuries were most common (65.7%), followed by abdominal injuries (42.9%). The most commonly involved solid organs were the liver (15.7%) and spleen (11.4%). The majority of the patients were managed conservatively (92.9%) with a good outcome (74.3%). The mortality rate was 7.1%. Most deaths were due to multisystem involvement. Conclusion: Among children with blunt torso trauma admitted to SQUH, the main mechanism of injury was motor vehicle accidents. As a result, parental education and enforcement of infant car seat/child seat belt laws are recommended. Conservative management was the most successful approach.

Original languageEnglish
Pages (from-to)e210-e216
JournalSultan Qaboos University Medical Journal
Volume16
Issue number2
DOIs
Publication statusPublished - May 1 2016

Fingerprint

Oman
Torso
Hospitalization
Pediatrics
Wounds and Injuries
Accidents
Accidental Falls
Seat Belts
Abdominal Injuries
Thoracic Injuries
Mortality
Sultan
Motor Vehicles
Medical Records
Spleen
Tomography
Demography
Morbidity
Education
Liver

Keywords

  • Abdominal injury
  • Blunt injury
  • Oman
  • Pediatrics
  • Thoracic injury
  • Trauma

ASJC Scopus subject areas

  • Medicine(all)

Cite this

@article{f4021bbce86748c5a4e6f0758515f684,
title = "Paediatric blunt torso trauma: Injury mechanisms, patterns and outcomes among children requiring hospitalisation at the Sultan Qaboos University Hospital, Oman",
abstract = "Objectives: Trauma is the greatest cause of morbidity and mortality in paediatric/adolescent populations worldwide. This study aimed to describe trauma mechanisms, patterns and outcomes among children with blunt torso trauma admitted to the Sultan Qaboos University Hospital (SQUH) in Muscat, Oman. Methods: This retrospective single-centre study involved all children ≤12 years old with blunt torso trauma admitted for paediatric surgical care at SQUH between January 2009 and December 2013. Medical records were analysed to collect demographic and clinical data. Results: A total of 70 children were admitted with blunt torso trauma during the study period, including 39 (55.7{\%}) male patients. The mean age was 5.19 ± 2.66 years. Of the cohort, 35 children (50.0{\%}) received their injuries after having been hit by cars as pedestrians, while 19 (27.1{\%}) were injured by falls, 12 (17.1{\%}) during car accidents as passengers and four (5.7{\%}) by falling heavy objects. According to computed tomography scans, thoracic injuries were most common (65.7{\%}), followed by abdominal injuries (42.9{\%}). The most commonly involved solid organs were the liver (15.7{\%}) and spleen (11.4{\%}). The majority of the patients were managed conservatively (92.9{\%}) with a good outcome (74.3{\%}). The mortality rate was 7.1{\%}. Most deaths were due to multisystem involvement. Conclusion: Among children with blunt torso trauma admitted to SQUH, the main mechanism of injury was motor vehicle accidents. As a result, parental education and enforcement of infant car seat/child seat belt laws are recommended. Conservative management was the most successful approach.",
keywords = "Abdominal injury, Blunt injury, Oman, Pediatrics, Thoracic injury, Trauma",
author = "Bhatti, {Khalid M.} and Taqi, {Kadhim M.} and Al-Harthy, {Ahmed Z S} and Hamid, {Rana S.} and Al-Balushi, {Zainab N.} and Sankhla, {Dilip K.} and Al-Qadhi, {Hani A.}",
year = "2016",
month = "5",
day = "1",
doi = "10.18295/squmj.2016.16.02.012",
language = "English",
volume = "16",
pages = "e210--e216",
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T1 - Paediatric blunt torso trauma

T2 - Injury mechanisms, patterns and outcomes among children requiring hospitalisation at the Sultan Qaboos University Hospital, Oman

AU - Bhatti, Khalid M.

AU - Taqi, Kadhim M.

AU - Al-Harthy, Ahmed Z S

AU - Hamid, Rana S.

AU - Al-Balushi, Zainab N.

AU - Sankhla, Dilip K.

AU - Al-Qadhi, Hani A.

PY - 2016/5/1

Y1 - 2016/5/1

N2 - Objectives: Trauma is the greatest cause of morbidity and mortality in paediatric/adolescent populations worldwide. This study aimed to describe trauma mechanisms, patterns and outcomes among children with blunt torso trauma admitted to the Sultan Qaboos University Hospital (SQUH) in Muscat, Oman. Methods: This retrospective single-centre study involved all children ≤12 years old with blunt torso trauma admitted for paediatric surgical care at SQUH between January 2009 and December 2013. Medical records were analysed to collect demographic and clinical data. Results: A total of 70 children were admitted with blunt torso trauma during the study period, including 39 (55.7%) male patients. The mean age was 5.19 ± 2.66 years. Of the cohort, 35 children (50.0%) received their injuries after having been hit by cars as pedestrians, while 19 (27.1%) were injured by falls, 12 (17.1%) during car accidents as passengers and four (5.7%) by falling heavy objects. According to computed tomography scans, thoracic injuries were most common (65.7%), followed by abdominal injuries (42.9%). The most commonly involved solid organs were the liver (15.7%) and spleen (11.4%). The majority of the patients were managed conservatively (92.9%) with a good outcome (74.3%). The mortality rate was 7.1%. Most deaths were due to multisystem involvement. Conclusion: Among children with blunt torso trauma admitted to SQUH, the main mechanism of injury was motor vehicle accidents. As a result, parental education and enforcement of infant car seat/child seat belt laws are recommended. Conservative management was the most successful approach.

AB - Objectives: Trauma is the greatest cause of morbidity and mortality in paediatric/adolescent populations worldwide. This study aimed to describe trauma mechanisms, patterns and outcomes among children with blunt torso trauma admitted to the Sultan Qaboos University Hospital (SQUH) in Muscat, Oman. Methods: This retrospective single-centre study involved all children ≤12 years old with blunt torso trauma admitted for paediatric surgical care at SQUH between January 2009 and December 2013. Medical records were analysed to collect demographic and clinical data. Results: A total of 70 children were admitted with blunt torso trauma during the study period, including 39 (55.7%) male patients. The mean age was 5.19 ± 2.66 years. Of the cohort, 35 children (50.0%) received their injuries after having been hit by cars as pedestrians, while 19 (27.1%) were injured by falls, 12 (17.1%) during car accidents as passengers and four (5.7%) by falling heavy objects. According to computed tomography scans, thoracic injuries were most common (65.7%), followed by abdominal injuries (42.9%). The most commonly involved solid organs were the liver (15.7%) and spleen (11.4%). The majority of the patients were managed conservatively (92.9%) with a good outcome (74.3%). The mortality rate was 7.1%. Most deaths were due to multisystem involvement. Conclusion: Among children with blunt torso trauma admitted to SQUH, the main mechanism of injury was motor vehicle accidents. As a result, parental education and enforcement of infant car seat/child seat belt laws are recommended. Conservative management was the most successful approach.

KW - Abdominal injury

KW - Blunt injury

KW - Oman

KW - Pediatrics

KW - Thoracic injury

KW - Trauma

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U2 - 10.18295/squmj.2016.16.02.012

DO - 10.18295/squmj.2016.16.02.012

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