Çocuk acil ünitemize düþme nedeniyle baþvuran travma olgularýnýn deðerlendirilmesi

AMAÇ Bu yazýda çocuk acil ünitemize gelen düþmeye baðlý travma olgularýný deðerlendirmeyi amaçladýk. GEREÇ VE YÖNTEM Çocuk acil ünitemize düþme þikayeti ile gelen 161 olgu (100 erkek [%62,1], 61 kýz [%37,9]) geriye dönük olarak incelendi. Olgular yaþ, cinsiyet, baþvuru þekli, düþme þekli ve yükseklikleri, yaralanma tipi, radyolojik bulgular ve yatýþ oranlarý açýsýndan deðerlendirildi. BULGULAR Baþvuran 161 olgunun yaþ ortalamasý 4,29±3,33 yýl ve düþme yüksekliði ortalamasý ise 135±95 santimetre idi. Sýk görülen düþme nedenleri ev eþyalarý (%35,4), merdiven (%17,4) ve balkon ile pencere (%11,2) idi. Yaralanmalarýn çoðu %84,4 ile kafa, %72,7 ile yumuþak doku ve %37,9 ile ekstremite travmalarý idi. Olgularýn 30’u (%18,6) yatýrýlýrken, 112’si (%69,6) ayaktan tedavi görmüþ ve %11,8’i ise acil servisten kendi isteðiyle ayrýlmýþtý.
SONUÇ Çocukluk çaðýnda düþmeye baðlý yaralanmalar genellikle ev içinde meydana gelirken sýk görülen travma tipi ise kafa travmasýdýr. Çocukluk çaðýnda düþmeye baðlý yaralanmalarý azaltmak için düþme nedenleri hakkýnda ailelerin eðitimi ve önleyici tedbirlerin artýrýlmasý gibi önlemler alýnmalýdýr.

Evaluation of the fall-related trauma cases applied to our pediatric emergency department

BACKGROUND The aim of this study was to evaluate the fall-related trauma cases who were admitted to our pediatric emergency unit. METHODS We retrospectively evaluated the files of 161 cases (100 males [62.1%], 61 females [37.9%]) who had sustained falls and were admitted to our pediatric emergency unit. Data on the patients’ age, sex, arrival type, type of fall, height fallen, type of injuries, radiological findings and hospitalization rates were investigated. RESULTS Of 161 cases mean age was 4.29±3.33 years and height fallen was 135±95 centimeters. The common types of fall were from furniture (35.4%), stairs (17.4%) and balconies and windows (11.2%). Major injuries included head trauma (84.4%), soft tissue (72.7%) and extremity (37.9%). Thirty cases (18.6%) were hospitalized, while 112 cases (69.6%) were treated as outpatient and 11.8% of them were discharged due to their own demand. CONCLUSION
The majority of fall-related injuries in childhood mostly occurs in private houses and head trauma is the most frequent injury. To decrease the frequency of the fall injuries, strategies should include parents’ education about the mechanism of falls and increase prevention strategies.