Clinical Analysis of Blunt Abdominal Trauma in Childhood

Kim, Young Yuk; Jeong, Yeon Jun; Jung, Sung Hoo; Kim, Jae Chun

Abstract

Traumatic injury is one of the leading causes of morbidity and mortality in children. This is a clinical review of pediatric blunt abdominal trauma. A retrospective analysis of the 112 children with blunt abdominal trauma aged 15 years or less treated at the Department of Pediatric Surgery, Chonbuk National University Hospital was performed. The analysis included age, sex, injury mechanism, number and site of the injured organ, management and outcomes. The average age of occurrence was 7.6 years, and the peak age was between 6 and 8 years. There was a male preponderance with a male to female ratio of 2.3:1. The most common cause of blunt abdominal trauma was traffic accidents (61.6%), principally involving pedestrians (79.7%). The accident prone times were between 8:00 AM and 8:00 PM, the weekends (40.2%), and the winter respectively. Thirthy-five patients (31.2%) had multiple intra-abdominal organ injuries and the most common injured organ was the liver. Seventy-four cases (66.1%) were managed non-operatively and eleven cases (9.8%) expired. Of the patients who were treated surgically or were to be operated on one patient died before surgery, the remainder died during or after surgery. Risk factors such as number of injured organ, systolic and diastolic blood pressure, and trauma scores by Glasgow coma scale (GCS), Pediatric trauma score (PTS), revised trauma score (RTS), injury severe score (ISS), TRISS were significantly correlated with mortality rate.