Citation

Koot RW, Van der Werken C, op de Coul AA, van Puyenbroek MJ. Ned. Tijdschr. Geneeskd. 1994; 138(46): 2294-2300.

Vernacular Title

Multipel trauma bij kinderen jonger dan 16 jaar; een retrospectief onderzoek over

Affiliation

St. Elisabeth Ziekenhuis, afd. Intensive Care, Tilburg.

Copyright

(Copyright © 1994, Erven Bohn)

DOI

unavailable

PMID

7969623

Abstract

OBJECTIVE: Evaluation of incidence, treatment and outcome of multiple injuries in children and adults. METHOD: All patients aged 16 years or under with an Injury Severity Score of 18 or more admitted to the Intensive Care Unit between 1984 and 1991, were retrospectively studied. Type and severity of injuries, treatment, complications and outcome were noted. The severity of injuries was scored using both the Injury Severity Score and the Paediatric Trauma Score. RESULTS: Children are more likely to be run over by motor vehicles. Rib fractures are rare in childhood. Compared with adults, children stay relatively shortly in the Intensive Care Unit. None of the children studied developed a Respiratory Distress Syndrome (RDS) or Multi-Organ Failure (MOF). External fixation of fractures is a common treatment in children. CONCLUSIONS: I. Outcome of multiple injuries in children is relatively good. This can partly be attributed to the low incidence of RDS and MOF, but also to the more common diffuse brain injury in children compared with adults, with better outcome and lower mortality. 2. External fixation of fractures appears to be a first rate treatment in children. 3. Scoring of multiple injuries in children with the Paediatric Trauma Score instead of the Injury Severity Score offers no advantages.

Language: nl