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Evaluation of pediatric trauma score and pediatric age-adjusted shock index in pediatric patients admitted to the hospital after an earthquake
Merve Misirlioglu1, Mehmet Alakaya1, Ali Ertug Arslankoylu1, Gulcin Bozlu2, Fatma Durak2, Ali Delibas3, Serra Surmeli Doven3, Ozlem Tezol4, Edanur Yesil5, Feryal Karahan6, Isa Killi7, Mehtap Akca51Department of Pediatric Intensive Care, Mersin University Faculty of Medicine, Mersin-Türkiye2Department of Pediatric Emergency, Mersin University Faculty of Medicine, Mersin-Türkiye
3Department of Pediatric Nephrology, Mersin University Faculty of Medicine, Mersin-Türkiye
4Department of Pediatrics, Mersin University Faculty of Medicine, Mersin-Türkiye
5Department of Pediatric Infectious Diseases, Mersin University Faculty of Medicine, Mersin-Türkiye
6Department of Pediatric Hematology and Oncology, Mersin University Faculty of Medicine, Mersin-Türkiye
7Department of Pediatric Surgery, Mersin University Faculty of Medicine, Mersin-Türkiye
BACKGROUND: In our earthquake-prone country, it is crucial to gather data from regional hospitals following earthquakes. This information is essential for preparing for future disasters and enhancing healthcare services for those affected by earthquakes. This study aimed to evaluate the Pediatric Trauma Score (PTS) and the Shock Index, Pediatric Age-Adjusted (SIPA), in children affected by earthquakes, to provide clinicians with insights into the severity of trauma and hemodynamic stability.
METHODS: The study included patients admitted to our hospital's pediatric emergency service within the three weeks following the earthquake. We evaluated their age, sex, admission vital signs, mechanical ventilation requirements, development of crush syndrome, length of hospital stay, PTS, and SIPA.
RESULTS: Our study included 176 children (89 females and 87 males) with trauma. Fifty-eight (32.95%) children had crush syndrome, and 87 (49.43%) were hospitalized. The median PTS was 10 (ranging from -3 to 12), and the median SIPA was 1.00 (ranging from 0.57 to 2.10). We observed a negative correlation between the time spent under debris and PTS (r=-0.228, p=0.002) and a positive correlation with the SIPA score (r=0.268, p<0.001). The time spent under debris (p<0.001) and SIPA score (p<0.001) were significantly higher in hospitalized children. PTS was significantly lower in hospitalized children than in others. A PTS cutoff point of 7.5, and a SIPA cutoff point of 1.05, predicted hospitalization in all children. Time spent under debris and SIPA were significantly higher in children with crush syndrome than in others (p<0.001). PTS at a cutoff point of 8.5 and SIPA at a cutoff point of 1.05 predicted crush syndrome in all children.
CONCLUSION: PTS and SIPA are important practical scoring systems that can be used to predict the severity of trauma, hospitalization, crush syndrome, and the clinical course in pediatric patients admitted to the hospital due to earthquake trauma.
Deprem sonrası hastaneye başvuran çocuk hastalarda pediatrik travma skoru ve pediatrik yaşa göre düzeltilmiş şok indeksinin değerlendirilmesi
Merve Misirlioglu1, Mehmet Alakaya1, Ali Ertug Arslankoylu1, Gulcin Bozlu2, Fatma Durak2, Ali Delibas3, Serra Surmeli Doven3, Ozlem Tezol4, Edanur Yesil5, Feryal Karahan6, Isa Killi7, Mehtap Akca51Mersin Üniversitesi Tıp Fakültesi, Çocuk Yoğun Bakım Bilim Dalı, Mersin, Türkiye2Mersin Üniversitesi Tıp Fakültesi, Çocuk Acil Bilim Dalı, Mersin, Türkiye
3Mersin Üniversitesi Tıp Fakültesi, Çocuk Nefroloji Bilim Dalı, Mersin, Türkiye
4Mersin Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Mersin, Türkiye
5Mersin Üniversitesi Tıp Fakültesi, Çocuk Enfeksiyon Bilim Dalı, Mersin, Türkiye
6Mersin Üniversitesi Tıp Fakültesi, Çocuk Hematoloji ve Onkolojisi Bilim Dalı, Mersin, Türkiye
7Mersin Üniversitesi Tıp Fakültesi, Çocuk Cerrahisi Anailim Dalı, Mersin, Türkiye
BACKGROUND: In our earthquake-prone country, it is crucial to gather data from regional hospitals following earthquakes. This information is essential for preparing for future disasters and enhancing healthcare services for those affected by earthquakes. This study aimed to evaluate the Pediatric Trauma Score (PTS) and the Shock Index, Pediatric Age-Adjusted (SIPA), in children affected by earthquakes, to provide clinicians with insights into the severity of trauma and hemodynamic stability.
METHODS: The study included patients admitted to our hospital's pediatric emergency service within the three weeks following the earthquake. We evaluated their age, sex, admission vital signs, mechanical ventilation requirements, development of crush syndrome, length of hospital stay, PTS, and SIPA.
RESULTS: Our study included 176 children (89 females and 87 males) with trauma. Fifty-eight (32.95%) children had crush syndrome, and 87 (49.43%) were hospitalized. The median PTS was 10 (ranging from -3 to 12), and the median SIPA was 1.00 (ranging from 0.57 to 2.10). We observed a negative correlation between the time spent under debris and PTS (r=-0.228, p=0.002) and a positive correlation with the SIPA score (r=0.268, p<0.001). The time spent under debris (p<0.001) and SIPA score (p<0.001) were significantly higher in hospitalized children. PTS was significantly lower in hospitalized children than in others. A PTS cutoff point of 7.5, and a SIPA cutoff point of 1.05, predicted hospitalization in all children. Time spent under debris and SIPA were significantly higher in children with crush syndrome than in others (p<0.001). PTS at a cutoff point of 8.5 and SIPA at a cutoff point of 1.05 predicted crush syndrome in all children.
CONCLUSION: PTS and SIPA are important practical scoring systems that can be used to predict the severity of trauma, hospitalization, crush syndrome, and the clinical course in pediatric patients admitted to the hospital due to earthquake trauma.
Manuscript Language: English