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Causes and clinical presentation of trauma in children up to 36 months of age
Type of publication
Tezės kitame recenzuojamame leidinyje / Theses in other peer-reviewed publication (T1e)
Title
Causes and clinical presentation of trauma in children up to 36 months of age
Date Issued
2006-10-04
Extent
p. PS 17. 21.
Is part of
4th European Congress on Emergency Medicine The European Vision for Emergency Medicine [elektroninis išteklius] : CD-ROM of Proceedings : 4th-8th October 2006 - Crete, Greece / Editor: Helen Askitopoulou; Anaesthesiology university of Grete. Crete, 2006.
Version
Originalus / Original
Series/Report no.
Poster presentations. PS 17 Trauma
Description
Bibliogr.: 3 pavad.
Field of Science
Keywords
Abstract
Objectives: To estimate the incidence of trauma cases in children under three years of age. To determine, how many cases were due to child abuse and to describe signs of their clinical presentation. Methods: We performed a retrospective analysis of children contingent under three years of age, admitted to our clinic between January 2000 and December 2005, and judged to meet one of the following “high – risk” criteria for child abuse: 1) all children under 12 month of age with any trauma; 2) children under 3 years of age with head trauma or any bone fractures. Physical abuse was stated when injuries were unexplained, unexplainable, implausible or incompatible with the history given by parents or caregivers. Results: Of 385 patients who met our criteria, 51 (13,2%) were classified as abused. Abused children were younger than non - abused (mean age 6 vs. 14 months), 38 (74.5%) of them – less than 1 year of age. In child abuse group only 11 children (30,5%) had history of trauma (OR = 0.06). In the group without trauma history children’s age was substantially younger than in the group with trauma history (mean age 7 vs. 15 months), 26 (65%) of them were under 1 year of age. Most common presenting symptoms were as follows: seizures, somnolence or collapse, refluxes or vomiting, episodes of respiratory arrest or cyanosis, indefinite head lump, decreased consciousness. In 21 (80%) cases “shaken baby” syndrome was stated. Ophthalmologic examination was performed in 45 (94.1%) cases in abused group and 237 (61.5%) cases in non – abused group. Retinal hemorrhages were revealed in 18 (40.0%) cases in the first group and only 2 (0.8%) cases in the second group. Performing Chi-square test we found statistical relationships between child abuse and age, consciousness, respiratory arrest, seizures and retinal hemorrhage (p < 0.001) Conclusions Examining a child younger than three years of age with unexplainable respiratory arrest, seizures or decreased level.
Type of document
type::text::conference output::conference proceedings::conference paper
Other Identifier(s)
(LSMU ALMA)990000661390107106
Coverage Spatial
Graikija / Greece (GR)
Language
Anglų / English (en)