First step toward a better trauma management: Initial results of the northern Izmir trauma registry system for children [Çocuklarda daha iyi travma yönetimi için ilk adım: Kuzey İzmir Travma Kayıt Sistemi’nin ilk sonuçları]

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dc.contributor.authorÖztan M.O.
dc.contributor.authorAnıl M.
dc.contributor.authorAnıl A.B.
dc.contributor.authorYaldız D.
dc.contributor.authorUz İ.
dc.contributor.authorTurgut A.
dc.contributor.authorKöse I.
dc.contributor.authorAcar K.
dc.contributor.authorSofuoğlu T.
dc.contributor.authorAkbulut G.
dc.date.accessioned2019-10-27T08:01:26Z
dc.date.available2019-10-27T08:01:26Z
dc.date.issued2019
dc.departmentEge Üniversitesien_US
dc.description.abstractBACKGROUND: Trauma is an important health problem in children, and improvement in trauma care on the national level is possible only through the knowledge gathered from trauma registry systems. This information is not available in our country, because there is no current trauma registry system in the hospitals. Our aim in this paper is to explain the trauma registry system we have developed and to present the first year’s data. METHODS: The planned trauma registry system was integrated into the emergency department registry system of 14 hospitals in the Izmir province. The data of pediatric patients with multiple trauma have been recorded automatically through the registry system. Demographics, vital signs, mechanism, the type of trauma, anatomical region, Injury Severity Score (ISS), Pediatric Trauma Score (PTS), Glasgow Coma Scale (GCS) score, the length of hospital stay, and the need for blood transfusion/endotracheal intubation/surgery/ hospitalization were evaluated by the patient transfer status and outcome. RESULTS: At the end of one year, a total of 356 pediatric major trauma patients were included in the study. The most common type of trauma was blunt trauma (91.9%), and the most common mechanism was vehicle-related traffic accident (28.1%). In the group with the Glasgow Outcome Scale ?3; the age was greater, ISS was higher, and PTS was lower. Motorcycle accidents, sports injuries, and penetrating injuries were more frequent in this group. All scores were significantly different between direct and transferred patients. The referral time to the hospital of the transferred patients was longer than directly admitted patients, but the results were not different. CONCLUSION: Pediatric major trauma is an important cause of mortality and morbidity, and our trauma registry system, which is a successful example abroad, is insufficient in our country. We hope that the trauma registry system we planned and the pilot application we started will be expanded to include other hospitals throughout the country with the aim of developing a national registry system. © 2019 Turkish Association of Trauma and Emergency Surgery.en_US
dc.identifier.doi10.5505/tjtes.2018.82780en_US
dc.identifier.endpage28en_US
dc.identifier.issn1306-696X
dc.identifier.issue1en_US
dc.identifier.pmid30742282en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage20en_US
dc.identifier.urihttps://doi.org/10.5505/tjtes.2018.82780
dc.identifier.urihttps://hdl.handle.net/11454/24993
dc.identifier.volume25en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Association of Trauma and Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma ve Acil Cerrahi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectMajor traumaen_US
dc.subjectPediatric traumaen_US
dc.subjectTrauma registryen_US
dc.subjectTrauma systemen_US
dc.titleFirst step toward a better trauma management: Initial results of the northern Izmir trauma registry system for children [Çocuklarda daha iyi travma yönetimi için ilk adım: Kuzey İzmir Travma Kayıt Sistemi’nin ilk sonuçları]en_US
dc.typeArticleen_US

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