ArticleScandinavian journal of trauma, resuscitation and emergency medicine2025
Age- dependent injury patterns, management and impact on mortality of severe thoracic trauma in severely injured children: a retrospective study from the TraumaRegister DGU
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Imaging Pathways in Pediatric Thoracic Trauma: FAST-First Triage and Selective CT Escalation in Clinical Practice.Diagnostics (Basel, Switzerland) · 2026Article
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9 authors.
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Abstract
backgroundSevere thoracic trauma in children is rare and often underestimated. While standardized protocols exist, the rarity of polytrauma in children may lead to uncertainties in their application. Thus, we aim to characterize severely injured children with significant thoracic trauma and identify age-dependent differences in prehospital and early clinical management.
methodsPatients documented by German hospitals between 2008 and 2023 in the TraumaRegister DGU
resultsA total of 5,040 severely injured patients were analyzed (310 patients aged 0-5 years, 475 aged 6-12 years, 984 aged 13-16 years and 3,271 in group 17-20 years). With increasing age, significantly more males were injured and mechanism of injury was significantly different between the age groups. During prehospital management significant age dependent differences were seen regarding helicopter emergency medical service treatment, intubation, chest tube placement, application of catecholamines or tranexamic acid. Significant differences were found in terms of injured body regions, where the youngest suffered most from leading thoracic injury and injury to the head while abdominal injury and injury to extremities happened significantly more often in the 13-16 years old. During treatment the 13-16 years old received more blood products, were more likely to undergo thoracic surgery and stayed longer on the respective wards. Multivariate logistic regression showed an independent association with a significant mortality risk for MAIS ≥ 4 (OR = 2.87; p = 0.03), polytrauma (OR = 3.09; p < 0.001) and the need for blood transfusion before admission to the intensive care unit (OR = 2.46; p < 0.001).
conclusionsTreating severely injured children is always challenging, even more so when they have suffered critical trauma to the chest. With our results we offer starting points for age-dependent injury prevention and provide information to analyze and question current (pre-) hospital management protocols.
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