ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Characteristics of pediatric thoracic trauma: in view of before and after the establishment of a regional trauma center.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 6 citations in OpenAlex.
- Emergency Department Imaging of Pediatric Patients with Blunt Thoracic Trauma: A Systematic Review, Meta-Analysis, and Practice Management Guideline.Journal of the American College of Emergency Physicians open · 2026Article
- Transfer dynamics of pediatric thoracic trauma patients across Türkiye.Pediatric surgery international · 2026Article
- Imaging Pathways in Pediatric Thoracic Trauma: FAST-First Triage and Selective CT Escalation in Clinical Practice.Diagnostics (Basel, Switzerland) · 2026Article
- Age- dependent injury patterns, management and impact on mortality of severe thoracic trauma in severely injured children: a retrospective study from the TraumaRegister DGUScandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Comparison of pedestrian injury characteristics between preschoolers and early school-aged children in Korea: a cross-sectional study.Journal of trauma and injury · 2025Article
- Impact of Transitioning to a Level 1 Trauma Center on Orthopaedic Surgical Volume and Resident Education: Case Report in Orthopaedic Education.JB & JS open accessReview
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePediatric 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.
methodsData of 168 patients' ≤ 15 years old diagnosed with thoracic trauma between 2008 and 2019 were retrospectively analyzed.
resultsPedestrian 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.
conclusionsUnderstanding 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.
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